What causes swollen feet while on Hydromorphone?
Patient: My husband has mesothelioma cancer in his right lung. He was diagnosed a year and a half ago. He did 4 Chemo treatments over a year ago, but got too sick. He was experiencing severe pain 2 months ago, and MDAnderson did 10 days of radiation, which shrunk the tumors considerably, but he is still experiencing quite a bit of pain. He takes methodone every 12 hours, gabapentin 300 mg in the morning and again at 3, and 600 mg at 9 p.m. He can take hydromorphone 4 mg if needed, usually takes 1 in the afternoon, and sometimes 1-2 during the night. He prefers to take Tylenol instead, and was taking 8 per day, but Dr. told him to cut way back on that, but he is still taking 4-6 per day. Tonight his feet are swollen REALLY big, especially the right one. I have him soaking his feet in room temp water with some arthritus and sport cool blue ice soaking liquid with alcohol and capsium . what else should I do? Doctor: Hi,  The swelling of feet may not be related to intake of Image result for Hydromorphone. This can be related to lymphedema caused by cancer itself or other cardiac or renal causes that need to be detected after proper investigations.  Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Praveen Tayal,  Orthopaedic Surgeon