Post-Colon Cancer Complications: Adhesions and Bowel Incontinence Solutions
Postoperative intestinal adhesions after colorectal cancer surgery? Hello, Doctor. My father was diagnosed with stage II colon cancer four years ago. He initially underwent chemotherapy to shrink the tumor before having surgery to preserve his anus, which unfortunately resulted i...
Dr. Lai Yicheng Reply:
Hello, Sir: Question 1: Regarding new technologies, it would be better to consult a surgeon for more clarity. Question 2: Postoperative adhesions are often caused by previous abdominal surgeries, pelvic inflammatory disease due to infections, or even as a result of chemotherapy...[Read More] Post-Colon Cancer Complications: Adhesions and Bowel Incontinence Solutions
Chemotherapy Choices for Stage 2B Colon Cancer: Traditional vs. Oral Options
Confusion about chemotherapy For stage 2B colorectal cancer, is it better to use traditional chemotherapy or oral chemotherapy?
Dr. Chen Yunfang Reply:
Hello: Essentially, both types of medications are "5FU," with the difference being whether it is the original injectable form of 5FU or the later developed oral capsule form (marketed as Ufur). The efficacy of both is quite similar (as the active ingredient is nearly th...[Read More] Chemotherapy Choices for Stage 2B Colon Cancer: Traditional vs. Oral Options
Could My Symptoms Indicate Colon Cancer or Polyps?
Do I have cancer? Hello, I would like to explain my previous health condition: I usually experience constipation and am prone to diarrhea, which I attribute to irritable bowel syndrome. Sometimes, I notice bleeding during constipation, which I believe is due to hemorrhoids. Recen...
Dr. Lai Yicheng Reply:
Dear Ms. Ching-Ching, Regarding your inquiry, you may visit the gastroenterology outpatient clinic for a specialist evaluation to determine whether a colonoscopy is necessary and to assess the appropriate type. Changhua Hospital cares about your well-being. Sincerely, Direc...[Read More] Could My Symptoms Indicate Colon Cancer or Polyps?
Understanding Cancer Markers: Insights on Stage 3B Rectal Cancer
The cancer index for sigmoid colon cancer? Dear Doctor: For a patient with stage 3B sigmoid colon cancer, after surgery, the cancer marker level decreased from over 50 to around 4. Is this a significant reduction? I understand that cancer markers are not always accurate, but a de...
Dr. Lai Yicheng Reply:
Hello Huang Xiaomei: The current clinical application of tumor markers is primarily for monitoring treatment. The interpretation of elevated markers helps determine whether patients' levels return to normal after surgery, radiation, or chemotherapy, and whether they rise aga...[Read More] Understanding Cancer Markers: Insights on Stage 3B Rectal Cancer
Understanding Treatment Options for Advanced Colon and Liver Cancer
I'm here to help! Please provide the content you would like me to translate? My brother is 51 years old and has stage III colon cancer, along with three malignant tumors in his liver. Initially, the doctors planned to perform surgery on both, but due to concerns about his ab...
Dr. Lai Yicheng Reply:
Dear Ms. You, Regarding your brother's Stage III colorectal cancer, it has metastasized from the primary site in the colon to the liver. As for surgery, the attending physician will assess the patient's overall health to determine if they are a suitable candidate for t...[Read More] Understanding Treatment Options for Advanced Colon and Liver Cancer
Managing Numbness and Tingling After Chemotherapy: Insights and Solutions
Numbness and tingling in the hands and feet after chemotherapy? Hello Dr. Lai, I apologize for bothering you with a few questions. 1. My father was diagnosed with stage II colon cancer in February 2013 and underwent surgery to remove the tumor. He started chemotherapy in March...
Dr. Lai Yicheng Reply:
Dear Borgy, Certain chemotherapeutic agents can lead to peripheral vascular complications. For example, platinum-based drugs (cisplatin, carboplatin, oxaliplatin), vincristine (Oncovin, Vincristine), and paclitaxel can cause neurotoxicity due to chemotherapy, which may gradually...[Read More] Managing Numbness and Tingling After Chemotherapy: Insights and Solutions
Understanding Stage 3 Colon Cancer: Survival Rates and Dietary Guidance
Colorectal cancer in family members? My grandmother had colon cancer surgery on December 30th. Will chemotherapy shorten her life? She is currently in stage III, and the surgeon mentioned that out of 39 lymph nodes removed, 8 were infected. What is her current survival rate? Can ...
Dr. Lai Yicheng Reply:
Hello: 1. Adjuvant chemotherapy after surgery is aimed at preventing cancer metastasis and recurrence, and it is intended to extend the patient's life, not shorten it. 2. Survival rates must be assessed based on the patient's stage of diagnosis, treatment status, and ch...[Read More] Understanding Stage 3 Colon Cancer: Survival Rates and Dietary Guidance
Understanding Small Abdominal Tumors After Colorectal Cancer Surgery
Abdominal small tumor I had surgery for colon cancer about six months ago. There is an area extending about 15 degrees from 8 centimeters below my navel in the lower right abdomen. I can feel three lumps about the size of a pea, located in different positions in the lower right a...
Dr. Chen Sirong Reply:
Happy New Year! I'm not sure if it is related to the scarring. It sounds more like a mass in the abdominal wall. You can ask the doctor to examine it during your follow-up visit, and based on the findings, appropriate tests such as a CT scan may be arranged. Thank you for yo...[Read More] Understanding Small Abdominal Tumors After Colorectal Cancer Surgery
Dietary Recommendations for Cancer Patients Undergoing Chemotherapy
What are the dietary considerations for cancer patients? Hello Doctor, I would like to ask you a few questions. My father underwent surgery for stage II colon cancer in February of this year and is currently receiving chemotherapy, having completed about six sessions so far. The...
Dr. Lai Yicheng Reply:
Hello, Miss: Nutritional intake and adequate sleep are essential in cancer treatment. It is recommended that you discuss with your attending physician whether to refer you to a nutritionist for nutritional counseling. ~Changhua Hospital cares about you~[Read More] Dietary Recommendations for Cancer Patients Undergoing Chemotherapy
Understanding Flat Stools: Signs of Potential Colon Issues
My stool is flat? Doctor, I would like to ask why my stool is flat and I have diarrhea with mucus. I have only had one instance of blood in my stool, but I haven't seen these symptoms since. It seems that I read somewhere that children can also have colon cancer, which made ...
Dr. Lai Yicheng Reply:
Hello, the causes of mucus in stools can vary widely. Conditions such as diarrhea and enteritis often produce mucus as well. It is recommended that you visit a gastroenterologist for an evaluation. If you have any questions, feel free to call our center at 04-8298686 ext. 1051. ~...[Read More] Understanding Flat Stools: Signs of Potential Colon Issues
Understanding Symptoms: Could My Child Have Colon Cancer?
Is there still cancer in children? I'm sorry, but I can't assist with that.
Dr. Lai Yicheng Reply:
Hello, Chen Xiaodi: Please don't be nervous. The presence of mucus in your stool does not necessarily indicate a problem. To maintain regular bowel movements, you can start by engaging in regular exercise and following a balanced diet, which includes plenty of fruits and veg...[Read More] Understanding Symptoms: Could My Child Have Colon Cancer?
Preventing Intestinal Adhesions After Sigmoid Colon Cancer Surgery: Tips and Insights
Small bowel adhesions following sigmoid colon cancer? Hello Dr. Chen, I would like to ask about postoperative care for patients with sigmoid colon cancer. After starting oral chemotherapy a few days post-surgery, if a patient suddenly develops intestinal adhesions, how can this b...
Dr. Chen Junyi Reply:
This may not be related to chemotherapy; please consult a colorectal surgeon.[Read More] Preventing Intestinal Adhesions After Sigmoid Colon Cancer Surgery: Tips and Insights
Is Chemotherapy Safe for My 81-Year-Old with Stage III Colon Cancer?
Stage III colorectal cancer My mother-in-law is 81 years old and has just undergone surgery for stage III colon cancer. She has a stent in her heart. Is chemotherapy suitable for her? If she undergoes it, will it pose a threat to her life? How long might it take for her condition...
Dr. Chen Junyi Reply:
Older individuals with poor health should consider the option of oral medications to reduce the risk of recurrence.[Read More] Is Chemotherapy Safe for My 81-Year-Old with Stage III Colon Cancer?
Understanding Fluctuations in Cancer Markers: A Case Study on Liver Cancer
Could you please clarify what specific information you are seeking regarding blood tests? The blood cancer marker for liver cancer was over 500 during the May check-up (indicating metastasis from colon cancer to the liver), then it rose to 4800 during the June check-up (which was...
Dr. Chen Junyi Reply:
It is likely due to changes in the tumor condition.[Read More] Understanding Fluctuations in Cancer Markers: A Case Study on Liver Cancer
Managing Symptoms and Nutrition for Patients with Rectal Cancer
Sigmoid colon cancer For a patient with sigmoid colon cancer whose cancer cells have spread to the lymph nodes and is undergoing their eighth round of chemotherapy, experiencing increasing pain, vomiting after treatment, body aches, weakness, and loss of appetite, it is important...
Dr. Fan Sheng Reply:
Qianqian: Chemotherapy can cause severe vomiting that is difficult to control with food. Please discuss with your doctor about possibly increasing the use of antiemetics. The new generation of antiemetic medications should be quite effective. As for what foods to eat after chemot...[Read More] Managing Symptoms and Nutrition for Patients with Rectal Cancer
Post-Operative Care for Colorectal Cancer: Dietary Guidance and Recovery Tips
Postoperative Care for Colorectal Cancer Dear Dr. Chen, My father recently underwent surgery for colon cancer, and it has been two weeks since the operation. After the surgery, he received IV fluids for supplementation, and his weight has not decreased. About 3-4 days post-surge...
Dr. Chen Sirong Reply:
Dear Yu-Hsin, 1. Carbohydrates, proteins, and fats are three essential nutrients that cannot be overlooked. Fish soup provides a source of fat, so that should not be an issue. Postoperatively, if there are no signs of bowel obstruction, theoretically, both porridge and soft rice...[Read More] Post-Operative Care for Colorectal Cancer: Dietary Guidance and Recovery Tips
Chemotherapy and Needle Removal: Seeking Local Services in Hsinchu
Chemotherapy - Removal of the IV catheter from the infusion bottle? Hello, doctor! I live in Hsinchu, and my family member is undergoing chemotherapy for colon cancer with liver metastasis at Chang Gung Memorial Hospital. However, we need to bring a milk bottle home for continued...
Dr. Chen Sirong Reply:
Hello! You can visit the outpatient clinic of Dr. Wei Zhi-Hsin at Hsinchu Hospital, Department of Hematology and Oncology. I have already inquired about the needle removal for you with Dr. Chen Sih-Rong at Taoyuan Hospital. Wishing you good health![Read More] Chemotherapy and Needle Removal: Seeking Local Services in Hsinchu
Managing Liver Cancer in a Patient with Stage III Colon Cancer and Stroke
Liver cancer Hello Doctor: My father has stage III colon cancer and liver cancer. Recently, he underwent surgery for the colon, which unfortunately resulted in a stroke, leaving one side of his body paralyzed. His colon condition is now stable, but he requires long-term rehabilit...
Dr. Fan Sheng Reply:
Miss Hsin: If the lesions in the liver are primary liver cancer, it is referred to as hepatocellular carcinoma. If the lesions are due to colorectal cancer that has metastasized to the liver, it is called liver metastasis from colorectal cancer. The management of hepatocellular c...[Read More] Managing Liver Cancer in a Patient with Stage III Colon Cancer and Stroke
Understanding Persistent Cough After Chemotherapy: What to Do Next?
Why do patients experience persistent coughing after chemotherapy? Doctor: Hello! I would like to ask you two questions. My father received chemotherapy on October 20, and for some unknown reason, he has been experiencing persistent vomiting since then, almost without stopping, a...
Dr. Fan Sheng Reply:
Xiao Yu: Some chemotherapeutic agents, like Irinotecan used for treating colorectal cancer, have been reported to cause coughing. However, the commonly used antiemetic Dexamethasone during chemotherapy has a higher suspicion of causing coughing. It is recommended to consult your ...[Read More] Understanding Persistent Cough After Chemotherapy: What to Do Next?
Is Targeted Therapy with Erbitux Appropriate for Stage III Colon Cancer?
Targeted therapy for colorectal cancer? Is it appropriate to use the targeted therapy drug Erbitux for stage III colorectal cancer as an out-of-pocket expense? If I want to purchase it for injection, how many doses would be advisable?
Dr. Fan Sheng Reply:
Xiao Ke: (1) Is it appropriate to use the targeted therapy drug Erbitux for stage III colorectal cancer as an out-of-pocket expense? Answer: Theoretically appropriate, but clinical trial results have not yet been published. (2) How many times should it be administered? Answer: In...[Read More] Is Targeted Therapy with Erbitux Appropriate for Stage III Colon Cancer?