Treatment regimens for colorectal cancer medications?
Hello Dr.
Chen, I have a question I would like to ask you.
I have been diagnosed with rectal cancer, which has been surgically removed, and I now have a colostomy.
For my subsequent medication treatment, my doctor prescribed Capecitabine capsules and mentioned that I need to continue taking them for 2 years.
Based on my research on this medication, it is typically taken continuously for a period of time, followed by a break of several days.
I have been taking it continuously for 5 months, and the persistent side effects are making me very uncomfortable.
Is this treatment approach correct? Should I consider seeking treatment at another hospital? Thank you!
Hong, 60~69 year old female. Ask Date: 2011/02/04
Dr. Chen Junyi reply Oncology
It is advisable to discuss with the original treating physician first.
Reply Date: 2011/02/04
More Info
When it comes to the treatment of rectal cancer, particularly after surgical intervention and the installation of a colostomy, ongoing medication is often a critical component of the post-operative care plan. In your case, it seems you are prescribed a medication known as "Youfu Capsule," which is intended to be taken for two years. This long-term medication regimen is not uncommon in cancer treatment, especially for patients who have undergone surgery for rectal cancer, as it aims to prevent recurrence and manage any residual disease.
However, it is essential to address the side effects you are experiencing. Side effects from cancer medications can range from mild to severe and can significantly impact a patient's quality of life. Common side effects associated with cancer treatments include nausea, vomiting, diarrhea, fatigue, and changes in appetite, among others. If you have been experiencing persistent and severe side effects for the past five months, it is crucial to communicate these issues with your healthcare provider. They may be able to adjust your dosage, switch you to a different medication, or provide supportive care to help alleviate these symptoms.
Regarding your question about whether this treatment approach is correct, it is essential to understand that treatment plans are highly individualized. The decision to continue with a specific medication regimen should be based on a thorough evaluation by your oncologist, who can assess the benefits versus the side effects you are experiencing. If you feel that your concerns are not being adequately addressed, or if you are unhappy with the current treatment plan, seeking a second opinion from another oncologist or medical institution can be a reasonable course of action. It is your right as a patient to seek clarity and comfort in your treatment plan.
In addition to medication, there are various supportive measures you can consider to manage side effects. For instance, dietary modifications, hydration, and the use of anti-nausea medications can help mitigate some gastrointestinal side effects. Engaging in light physical activity, if feasible, can also improve your overall well-being and help combat fatigue.
Furthermore, it is important to maintain regular follow-up appointments with your healthcare team. These visits allow for ongoing monitoring of your condition and the effectiveness of the treatment, as well as adjustments to your care plan as needed. If you have concerns about the efficacy of your current treatment or the potential for recurrence, discussing these with your oncologist can provide you with a clearer understanding of your situation.
In summary, while the treatment plan you are on may be standard for rectal cancer patients post-surgery, your experience with side effects is valid and should be addressed. Open communication with your healthcare provider is key to ensuring that you receive the best possible care. If you feel that your needs are not being met, seeking a second opinion is a reasonable step. Remember, managing cancer treatment is a collaborative effort between you and your healthcare team, and your comfort and quality of life should always be a priority.
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