Hi anons,
My mom is struggling with cancer and cancer induced anemia, meaning her hemoglobin gets super low.
Anemia was also a reason she couldn't have the tumor surgery.
Can you suggest something she could do to max her hemoglobin?
Things she does under doctors suggestion:
>eats iron supplements
>iron rich diet
>tries to exercise (gets tired tho) which is e.gm 10minutes on elipse
>tries to go outside often
Note - shes 60yo, thin, relatively active, sporty, but obvuously gotten weak because of chemo. Mainly does housework.
Any great ideas to raise red blood cells from your practice? I thought quick cold showers should help e.g.
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Monthly IV infusions of heme iron, vitamin D, and B vitamins could be a good place to start if she has no appetite to get in enough of it through diet. Run it by her doctor to see if it would be a good idea and to see if there are any practices that can do the treatment. I'm sorry about your mom bro
>what type of cancer
>>eats iron supplements
>>iron rich diet
let me guess, the doc told her to eat more spinach?
>cold showers
no, that's another stressor on top if what she has,
this could be a nice supp regime depending on the type of cancer and stage, have her eat more steak and eggs, maybe stem cells release factors, Cerule makes a good one, also probably unironically keto might help to supoort an eventual chemio.
>t. put a testicular tumor in remission and then revolved it
what i did, keep in mind i catched it very early and didn't spread around
>carnivore
>grounding (yes)
>sunmaxxing
>stem cells product above
>everything i could get my hands on to open up and clean blood vessels
gl anon, i send power for mom
>what type of cancer
Stomach cancer. Tumor. It is imho stage II. Anemia is both natural/genetic and cancer-accelerated.
>>>eats iron supplements
>>>iron rich diet
>let me guess, the doc told her to eat more spinach?
Iron supplements, lean meat, potatoes, spinach, salmon. Kind of anything i found scientifically based.
>>cold showers
>no, that's another stressor on top if what she has,
Hmm, ok.
>
# this could be a nice supp regime depending on the type of cancer and stage, have her eat more steak and eggs, maybe stem cells release factors, Cerule makes a good one, also probably unironically keto might help to supoort an eventual chemio.
She struggles to eat very strictly, but she tries. Before hospital she lost 10 kg from 62 to 50 and now is about 54-56. She went on a little binge eating after getting first blood transfusion and getting chemo and feeling better.
>>t. put a testicular tumor in remission and then revolved it
>what i did, keep in mind i catched it very early and didn't spread around
Its a case for her, but complications stopped chances for surgery.
(yes)
Hah, Latvia. Sun will be up only in 1-3weeks from now. Ok but i get what you are saying
>>stem cells product above
i could get my hands on to open up and clean blood vessels
>gl anon, i send power for mom
Ok stomach cancer, Stage II, after neoadjuvant chemo
So i presume she is loosing blood into the stomach + cancer related anemia
I know cancer diagnosis sucks, but Stage II stomach cancer after neoadjuvant chemo is the best time to do surgery. She will probably need another rounds of chemo after surgery and then she will be cured. It's totally curable.
If she is loosing blood i would reccomend i.v. iron (i don't know how expensive it is for you but out hospital pays 100eur for 1 ampoule of ferriccarbocymaltose 500mg), it is given once every week - monts depending on severity of anemia
I wouldn't suggest iron tablets, they are aggresive on the stomach and may irritate the tumor
And mailny healthy hutrition, lots of calories, protein, glutamine, agrinine, HBM, omega3 - immunonutrition to reduce mustle wasting and promote fast recovery after surgery
Light excersise is encouraged to recude musle wasting, be it cardio or light resistance training
Docs are suggesting against surgery. Imho i should get 3rd opinion and see if she is ok w risks.
She is losing blood to anemia, but do not have stomach bleeding. She imho has genetic deficiency in red blood cells and cancer is just destroying additional cells causing severe anemia.
Kek i researched a ton of stuff and lowkey am wondering why terminally ill dont just blast roids for few months before death. I mean whatbis there to lose.
Just if anyone else in this thread is wondering - i am just lookimg at ideas to then discuss with professional oncologists and my mother and then see if we can do something better. There is stagnation and slow worsening over last 1 year when she was diagnosed.
I do not understand why they are against surgery. She is not old, in good shape. Partial or total gastrectomy is not a huge high risk surgical procedure
Maybe she has extensive lymph node involvement. If she would have metastases then surgery is out of the question.
But that wouldn't be stage II...
Or maybe she has DLBCL (difuse large cell B lymphoma of stomach), that would be a completely different approach
If she would have MALT lymphoma the therapy of choice is to first treat helicobacter infection
Or maybe the anemia (as you suggested maybe genetic) may be serious and have worse prognosis than stomach cances, idk if she has myelodysplastic syndrome or something
I can't provide much insight with this little information but best hopes to your mum
sorry im moronic if she has high ca19-9 it wouldn't be lymphoma
>o not understand why they are against surgery. She is not old, in good shape. Partial or total gastrectomy is not a huge high risk surgical procedure
Anemia is main reason.
Chems are making her weaker month by month so i dont understand the total reasons.
From all analyses i read cancer is not aggressive.
No she has gone through few tomographies and other high detail tests and only one node is involved, and imho it is not cancerous but reacting to tumor
She had severe anemia but no blood anywhere.
If she was my patient id look into imducing artificial heightened hemoglobin, do surgery and then hope the hemoglobin stays high long enough to complete healing of tissue.
There is lot of talk that surgery would be risky. Idk why.
Blond losses from stomach are often insidious, your wont notice few blood drops a day digested by Colon
Options are: blood transfusions - fast, Safe, you news to get them in hospital
If Iron deficient - Iron, if other deficiencies - B12, B1 - give vitamins
Erythropoetin - risk of tumor growth, Higher risk of trombosis
HIF stabilisers - used only in advanced renal disease, dunno if it would be effective in order diseases
Anabolic steroids - moderaterly effective, buď you will turn her into man
And od course there are many causes of anemia (hereditary defects, dysplastic syndroms, autoimmune anemias...) but they need specific treatment, if causally treatable
She was critical 1 year ago and had blood transfusion. Got noticeably better.
Perhaps i should look at specialist who could enaure that.
Point is - shes not afraid to die, but the drop in energy is something that fricks her mentally. Id rather have her energetic, and die, than miserable and die miserable.
the cancer is not that big, but the cancer increases white cells which destroy more and more red cells.
Her cancer is tumor, and not blood or lymph csncer.
Medgay here
This seems extremely stupid to me
Is she meeds the cancer surgery they should just given her a few blood cell transfusions and to it
If the is severely sideropenic (meaning low iron storage in body) then iron supplementation may help, but cancer related anemia is by other mechanisms and giving iron may act as growth factor for cancer cells
>This seems extremely stupid to me
>Is she meeds the cancer surgery they should just given her a few blood cell transfusions and to it
They did at the beginning, but not every time.
Ill consult some professional if transfusions could be given more often. Otherwise it indeed feels like we are missing out on maxing chems.
>If the is severely sideropenic (meaning low iron storage in body) then iron supplementation may help, but cancer related anemia is by other mechanisms and giving iron may act as growth factor for cancer cells
Yes that is probably the concern. She has to exercise lightly, but was suggested to not actually work out, exactly because it would give more energy to csncer.
Imho the aim on my side is to make her not feel tired, while ensuring lonfevity, as she is 100% sane, calm and desires to be productive.
Btw i have contacted several different oncologists and a very experienced lady gave a suggestion similar to yours
I have no tips for you, brother. Just wishing you the best. Lost my aunt to stomach cancer, they found it too late and she left us in a matter of weeks. Wishing your mum the best, she has a son who cares a lot SIGMI
I'm sorry to hear that friend. I can't imagine how I'd feel if I was in your situation.
At least she's relatively active and not obese, those are extremely important factors when it comes to determining the likely outcome of any serious disease.
What country are you from and what type of cancer is it?
If she has anaemia that is symptomatic and severe enough that it's delaying surgery then I would have thought the hospital would be organising blood transfusions or EPO to get her red cell count up to the level where the operation is safe. That's what I'd be doing.
At the very least they should be considering an IV iron infusion. Not all anaemia in cancer patients is the result of iron deficiency but a significant proportion is and oral iron supplements often take as long as 2 months to correct the anaemia. There are some reasons why IV iron may be inappropriate for your mother but talk to her doctors, make sure they've considered it and have them explain why it is/isn't appropriate.
If she needs to continue taking oral iron then make sure she's taking the tablets correctly (take them together with vitamin C, DON'T take them with calcium, dairy, coffee, tea, cereals, antacids or any of the many other foods and medications which can impair iron absorption - talk to your doctor or pharmacist about the specifics). If she can't tolerate the tablets (nausea etc) then talk to your doc about alternatives.
Start fattening her up if she's particularly thin. It's good that she's not obese but at the same time being too thin becomes dangerous if the cancer progresses. Appetite is one of the first things to go when you start chemo. Even if she doesn't end up requiring chemo, having at least a few calories in reserve is helpful.
Encourage her to eat a healthy, high-protein diet with generous portions. Protein supplements may be beneficial.
Exercise as much as she can tolerate.
>What country are you from and what type of cancer is it?
Latvia, stomach cancer stage ii(?) Single tumor, one lymphnode possibly affected, marker ca19-9 at 350 fluctating, regressing now was rising lasy quarter
>hospital would be organising blood transfusions or EPO to get her red cell count up to the level where the operation is safe.
Hospital did give transfusion to get her out of critical
But later the red blood cells didnt raise enough so they opted not to do operation.
Idk lowkey i feel they just chickened out because she is otherwise healthy and operations bear a risk of spreading and death so they rather decided to chemo and keep her alive w cancer in there.
Yes, iron is taken as you suggest. I think she still drinks 1 coffee a day, i will suggest to quit it.
She is very slowly gaining weight back. But steadily.
>ill consult some oncology physio specialist. There is will to exercise but imho it should be done in a particullar way, not to accelerate growth factors where they shouldn't
>i feel they just chickened out because she is otherwise healthy
Exactly my thought
>risk of spreading
Regional lymfadenectomy must be done during the operation, if the lymph nodes are thoroughly removed and the chemo afterwards ensured that all remaining cells are dead there shouldn't be any spreading
And quitting coffee is recommended
Tell her to hop on a cycle of test, along with SS and GOMAD
in theory this may not be crazy
testosterone increaces red blood cells and stomach cancers aren't hormone (androgen) sensitive AFAIK
SS + GOMAD - if she can tolerate it with anemia
Dubbs and OPs mom gets well soon.
post body
Stay strong brother
Why can't she just get blood transfusion?