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Old 08-17-2007, 12:32 PM   #1
Believe51
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Unhappy HELP! WHOLE BRAIN METS=Anyone Having Stomach Problems???

(BRAIN METS not whole brain mets...thinking of radiation again!!)Hubby has still not started chemo due to some severe stomach problems. I have read in several places that this is a side efeect of BRAIN METS...can anyone elaborate on this??

Anyone else having this issue??

WE NEED TO START CHEMO ASAP AND CANNOT DO SO UNTIL THIS IS FIXED!! HELPPPPPPPPPPPPPPPPP!!

Believe51
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9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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Old 08-17-2007, 01:14 PM   #2
Barbara H.
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Of course, I can't say for sure, but I think that his stomach problems are from the radiation to the hip. I would consult with his oncologist, and radiologist to see if he can receive some medication to relieve this.
Best wishes,
Barbara H.
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Old 08-17-2007, 01:20 PM   #3
Believe51
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That's What I Thought

I think it was from the pelvis too, cannot wait until doctor comes back from vacation. Again, maybe this is the area in the pain that controls pain, keep you posted>Believe51
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9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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Old 08-17-2007, 01:46 PM   #4
Lani
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from what I understand

brain mets don't usually cause stomach problems but the treatment for the brain mets can in the longer run ie, steroids given to decrease swelling in the brain can cause ulcers. Also, from what I understand, radiation given which passes through the abdomen and pelvis cannot help but affect the parts of the Gastrointestinal tract that lie in the way (they try to apply the radiation with pinpoint accuracy, but areas around what they are aiming at do get some radiation and the cells which line the GI tract are some of the fastest multiplying cells in the body (and therefore among those most affected by nontargetted chemotherapy and radiation therapy. As I recall your husband was waiting to get on Tykerb/Xeloda, as we all know from the "diarrhea diva" that at least one and perhaps both of these can cause diarrhea and other GI complaints.

Hope some of this helped.

PS is he on any other meds (Pain meds or otherwise) which he might ask to
try an alternative to to see if his stomach complaints improve. Many pain meds bother the "stomach" ie, cause nausea, stomach pain,bloating or cause lower GI complaints such as diarrhea or constipation.
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Old 08-17-2007, 02:54 PM   #5
VaMoonRise
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So Sorry to hear that Ed is having stomach problems

Hi Sweetie,

If it gets too bad I wouldn't hesitate to call the Oncologist on call and let them know what is going on. Hopefully they can answer some of your questions and do something to help. Have you tried the BRAT diet to calm things down a bit?

I haven't had any major stomach problems since having WBR and being on steroids other than pain in my liver from liver mets which is starting to get better, hoping it means the Xeloda is starting to work already. I did have some nausea last night that was pretty intense though, luckily my Zophran took care of it pretty quickly. The Xeloda hasn't caused any diarrhea but Tykerb sure did. I was living on Immodium throughout the day and night.

Sorry that I am not very helpful. I just wanted to let you know that I am thinking about you both and praying that Ed starts to feel better soon so that he can start on his next treatment plan.

Be sure to keep us posted.

Love, Hugs & God Bless,
Nicola
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March 18, 2004, Age 36
Diagnosed: High Grade DCIS, Microcalcifications, Solid and Comedo type, Nuclear grade 3 with 1mm margins, ER+, PR+, Stage "0"
3-8-04 Left breast lumpectomy.
4-1-04 thru 6-24-04 Adjuvant XRT.
11-29-05 Gallbladder attack.
12-01-05 Surgery to have gallbladder removed, discovered cancer spread throughout liver in both lobes, HER2+ amplified by FISH and interestingly enough negative for ER and PR.
12-9-05 Clinical trial consisting of Tykerb, Taxol and Herceptin along with Zometa once a month. On clinical trial for 15 months before liver mets started progressing. Started on Navelbine 3-9-07. Navelbine failed, switched to Gemzar July 07. MRI of the brain on July 7, 07. Results revealed multiple brain tumors. Taken off of Gemzar immediately and began 15 rounds of WBR which I completed on July 26, 07. CT scan on 7-26-07 significant progression in the liver mets. I am now getting ready to start on Xeloda along with Herceptin and Zometa once a month.
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Old 08-17-2007, 03:55 PM   #6
hutchibk
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What are the stomach problems? Gas pain/acid reflux; Stomach aches; Diarrhea; Irritated stomach lining; or all of the above? Can you easily identify the symptoms? I agree that you need to work with whatever doc is on call... and hopefully your friends here can help figure out the best soothing solution. I know:
*Nexium/Protonix or digestive enzymes for gas/acid reflux
*Immodium, Bentonite clay, Carob powder for diarrhea
*Glutamine (not only helpful for neuropathy) for tender/irritated tummy
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NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 08-18-2007, 01:14 PM   #7
Andrea Barnett Budin
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Exclamation Stomach Pain Is My Issue. Here's All I Know...

Marie, honey, Please be specific, as Brenda asked. Stomach spasms or general pain, diarrhea...????? The stomach lining does get eaten away. I had that and developed Irritable Bowel Syndrome w/Taxotere. Never had a stomach ache before in my life. Then during and after, I had the IBS daily till '05. '98-'05 I'd take up to 20 Imodium in a day, just to try and control the problem. I was terrified to leave the house. I turned myself in to the onc, about Imodium. He thought and asked, then what happens, when you stop it? What happens the next day? I am normal, I said. Okay! Then go for it, he said. I was afraid to exceed the no more than 4 a day warning, but was desperate.

The Oxywhatever for pain helped. It has codeine in it. Another onc told me, if in doubt, take it! If nothing else, the codeine will help stop the diarrhea. Librax helped the spasms, but taken every 6 hrs makes you groggy. Donnatol is good sometimes for less of a problem.

Wobenzym N (2 in AM and 2 in PM, not as recommended on label) changed my life. My NY onc nutritionist gave m that one. After Wobenzym, I was sick only 1 o 2 days a wk vs 7 days a wk. I stocked up so as NEVER to be without. It became a lifesaver!

Then, Effexor, to stop my hot flashing (and did not) DID stop my IBS -- after 8 yrs of suffering. It was so wonderful, I stopped the Wobenzym.

Also, probiotic Lactobacilius Asidopholus (taken twice a day) has finally relieved the horrible all day gas pains all but completely. They were so bad I'd turn ashen and think I was dying. Honest. Now, a distant memory.

So, I HOPE and PRAY this helps Ed get some quick relief! There is absolutely no reason to suffer, my oncs always tell me. You've just got to find what works for you. And fast. Enough pain. Please let us hear how things are going, Marie -- for Ed, and for you. YOU'VE BEEN THROUGH SO MUCH. This is remedyable (how do you spell that anyway?). We love your fighting SPIRIT. Here's to getting this #*!? thing hammered...!

BIG HUGS, Andi

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'95 post-meno dx Invasive LOBULAR w/9cm tumor! YIKES + 2/21 nodes. Clear mammo 10 mnths earlier. Mastec/tram flap reconst/PORT/8 mnths chemo (4Adria/8CMF). Borderline ER/PR. Tamoxifen 2 yrs. Felt BLESSED. I could walk and talk, feed and bathe myself! I KNEW I would survive...

'98 -- multiple mets to liver. HER2+ 80%. ER/PR- Raging, highly aggressive tumors spreading fast. New PORT. 9 mnths Taxotere Fought fire w/fire! Pronounced in cautious remission 5/99. Taxotere weekly for 6 wks, 2 wks off -- for 9 mnths. TALK ABOUT GRUELING! (I believe they've altered that protocol since those days -- sure hope so!!)
+ good old Vit H wkly for 1st 3 yrs, then triple dosage ev 3 wks for 7 yrs more... The "easy" chemo, right?! Not a walk in the park, but not a freight train coming at 'ya either...

Added Herceptin Nov '98 (6 wks after FDA fast-tracked it for met bc). Stayed w/Vit H till July '08! Now I AM FREE! Humbly and eternally grateful for this life-saving drug! NED since '99 and planning on keeping it that way. To hell w/poor prognosis and nasty stats! STOPPED VIT H JULY '08...! REMAIN STABLE... Eternally grateful...Yes is a world & in this world of yes live (skillfully curled) all worlds ... (e e cummings) EVERY DAY I BEAT MY PREVIOUS RECORD FOR # OF CONSECUTIVE DAYS I'VE STAYED ALIVE. Smile KNOWING you too can be a miracle. Up to me and God now...
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Old 08-20-2007, 02:01 PM   #8
Believe51
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Unhappy To Elaborate A Bit

Hubby has mostly pain, some of it gas that he cannot get rid of. Nausea, no extreme loose stools or constipation, and major spasms. I think the thing that bothers him most is the spasms which we have under control somewhat. His chemo schedule is delayed and that alone is causing him depression (he has very rarely been depressed in life, a bit with the dx, but mostly being behind schedule with chemo). As you all fine folks know, it has been a total of 4 months off chemo. We have almost made it to a safe zone, but the cancer fought back with a vengence.

Watch out cancer.....

Here We Come.....and we Believe!!!! See eveyone in NED!!>>Believe51
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9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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Old 08-20-2007, 06:17 PM   #9
MichelleH
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Unhappy Marie,

Marie,

Gas can cause some severe pain, I had this problem after coming home from my recent CAT scan. After my scan I had severe gas pain (from the contrast I had to drink) and I was very tired & I tried to lay down and take a nap but the pain kept getting worse. I am not one to call a doctor for every little thing and will endure most things until I can't take it no more! I finally called the doctor and I wanted to know what I could take for it and he suggested just walking around the yard a bit. So I did and the gas pains were relieved within minutes. If walking doesn't help ED, I would not wait till the doc gets back from vacation. Call the your doctor's office if there is another Onc working there and ask him /her. Or call the nearest hospital ask to talk to the Onc on call. By all means don't wait any longer.
Please keep us posted on Ed.
We are praying for you both.
Love,
Michelle
Keep BELIEVING my love.
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Sept. 2003- 5cm tumor in left breast Her2+ Er- Pr- grade 3,
Mastectomy & 11 nodes removed, all negative.
4 rounds A/C + 12 wky Taxol
25 rads
Dec 2006- recurrence Stage IV (diagnosed 3 days before Christmas!) Lymph nodes in chest, liver, 3 ribs
January 2007- 3 tri wkly rounds of Taxol/Herceptin
Response to lymph nodes in chest, but several more bone mets (skull, shoulders, more ribs, femur, several on spine), liver tumors still growing.
March 2007- 8 wkly rounds of Navelbine/Herceptin/ every 4th wk Zometa
Lymph nodes in chest look great, but more bone mets (of course!), Clavicles, hips, and sacrum (above tail bone) to add to the list. Liver mets still growing.
June 5- started Tykerb/Xeloda

Aug 14- Scans are showing great progress! Tumor shrinkage and bones are healing!

Nov 21 CT scan shows tumor growth in liver & bones next Doc appt on 11-27

Dire need of a lot of prayers and a miracle.
Stay at home mom, 5 yr old girl & 8 yr old boy.
Wife of loving husband
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Old 08-30-2007, 02:18 PM   #10
Shell
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you've probably already learned what you needed to know, but I was told the stomach issues were related to the steroid decadron I had to take for the WBR. I didn't have any problem, but many do...

Regards,
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init diag 3/17/03-stage IIIC
ER-/PR-/HER2+++
CET x4 neo-adjuvant
lump & SNB 8/03
CET x2
radiation and herceptin/navelbine 11-03-1/04
1st reoccur to lymph nodes 8/04
complete axillary dissection 12/04
herceptin/taxotere til progression (lungs) 3/05
xeloda w/out lapatinib trial 6/05
lapatinib/tykerb added 4/06
ended trial 8/06 due to progression
doxil / avastin 11/06-12/06 - wasn't working
navelbine/herceptin/avastin 12/06/3/07 - progression
gemzar/carboplatin/tykerb 4/07
mri shows extensive mets to bone in pelvic area 6/07
switched to abraxane (3 on/1 off) + tykerb 6/07
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Old 08-31-2007, 07:09 AM   #11
Blanche
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Michele, you and your family are in my prayers. Blanche
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