Suggest next course of action for secondary cancer patient vomiting water
Patient: Sir,my father now admitted in elite mission hospital,they find that some lesions in liver.accoording to them this is case of secondory cancer...they take two ct scan abdomon and chest also.fnac test from lungs.and liver..we r waiting 4 the result..now patient was vomiting water,pain, gacious abdomn..what step i can do next to him.... Doctor: Hi,Thanks for writing in.The FNAC from lungs and liver are most important to decide the future course of treatment. Cancer cannot be confirmed unless a FNAC or biopsy test is positive. For vomiting and pain he must be given symptomatic treatment and his general condition is to be improved. A complete blood count is advised to know if he is having anemia. This has to be discussed with the doctor and if he is having low hemoglobin then it has to be treated first.If secondary cancer is confirmed then it is probably stage 4 disease. Treatment must be started immediately to extend survival and regular follow up with oncologist is required. Pain relief medicines should also be given with nutrition and supportive care. Please do not worry.