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Suggest Treatment For Clots In Lungs

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Posted on Tue, 24 Jun 2014
Twitter Tue, 24 Jun 2014 Answered on
Twitter Thu, 17 Jul 2014 Last reviewed on
Question : My dad had clots in the lung. This was seen via a ct chest scan.
He was on herparin injections for about 5 months . What needs to be done now to
Check if they have dissolved or not and to
Prevent them coming back?
doctor
Answered by Dr. Chobufo Ditah (1 hour later)
Brief Answer:
See below

Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about these lung clots that your father suffered. I hope he had recovered and is doing a lot better at this time.

Right now, there is no test that needs to be done to check whether the clots were completely dissolved or not. If your father has no symptoms related to this like breathing difficulties, chest pain, it is enough evidence that the clots are no longer a problem and need no further aggressive measures to investigate them.

What was the cause of this lot per his doctors? If the cause was related to a condition or risk factor that is not permanent, then there is no further action required. However, if the risk is still present, then he need to be transitioned to warfarin and the INR levels monitor closely to obtain a range of 2-3. This would be the major way to address it from coming back again.

In all, he needs no further testing to show that these clots are dissolved. If the risk factor was temporary, he needs no new medications. If the risk factor is still present. he needs to be transferred onto an oral agent and monitored to achieve the precise goal.

I hope this addresses your query fully. I wish your dad well. Feel free to ask for more information and clarification should need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (7 hours later)
What is INR level?

Also i spoke to u begore re his colon cancer. He had surgery march and was a dukes c1.

Just started oral chemo yest as he was refusing it at first. But his cea level was 3 in may and 4 in XXXXXXX Is this concerning?
doctor
Answered by Dr. Chobufo Ditah (12 hours later)
Brief Answer:
Wecome back!

Detailed Answer:
Good news to know that he started his chemotherapy. That is a very good and bold step in the right direction.

With a rising CEA level, it indicates continued multiplication of cancer cells somewhere in the body. This means that the need and urgency of chemotherapy is very much present. Luckily enough, he is already on treatment. Please, be supportive to him as always.

INR=International Normalised Ratio. It is used to follow up the clotting system. 1 is the standard for the general population. The higher it is, the lower the ability of the body to clot easily. This is why a higher number is needed in persons with clotting disorders.

I hope this helps. I wish your dad well and feel free to ask for more information if need be.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (3 minutes later)
Hi thanks so much. But there no
Guarantee that chemo can
Kill definatley cancer cells right?

What do u think re the rise from 3 to 4 in 1 month?
doctor
Answered by Dr. Chobufo Ditah (10 hours later)
Brief Answer:
Se below

Detailed Answer:
There is no guarantee that the chemotherapy would kill the cancer cells but this offers to best way to addressing this. Though no guarantee, this is the best available option and it does works for many. Should it be unable to completely eradicate the cancer cells, it would greatly slow down the multiplication and delay progression towards a terminal state. In any case, it is clearly better than doing nothing.

The rise from 3 to 4 in a month is concerning and certainly not what we would have loved to hear. But then, it is not too big a difference.

I wish your dad the best of possible outcomes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (5 hours later)
If not
Able to kill all the cells u say it would
Slow it down greatly the progression .... Could this
Be months or years?

Why is it that chemo sometimes would not
Eradicate all the cells?

With a dukes c1 with 10 nodes, is it likely that he has cells within the body ?

Do these cells always turn into mets?
doctor
Answered by Dr. Chobufo Ditah (1 hour later)
Brief Answer:
See below

Detailed Answer:
Depending on how well he responds to chemotherapy, this can be months or years. Evaluation of treatment would be the best way to tell whether we see him benefiting from this for a longer period of time or a shorter duration. This would be guided by serial CEA levels, clinical evaluation and symptoms.

Some cells would not respond to chemotherapy. This can be caused by several different factors among which are mutations.

Mets means that cancer cells are out of the site of the primary cancer. Whether they multiply or not, is a different process. With C1, it means that there was enough evidence to show that these cells had reached the lymph nodes but these cells could not be reported or found in any other organ beyond the lymph nodes. Any time that evidence emerges, then he would be classified as having mets.

I hope this helps. I wish you well. I wish your dad the very best of every possible outcomes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (2 hours later)
Is someone with a c1 likely to get mets?

Do all cancer cells turn into mets in the body ?

From
Chemo he is getting nausea and some numbness . I hope it does not get worse as i know he will rhen stop treatment . He started on monday oral tablets
doctor
Answered by Dr. Chobufo Ditah (17 hours later)
Brief Answer:
See below!

Detailed Answer:
So long as there are possible cancer cells in the body, the risk of mets is real. The only thing that can make a difference is chemotherapy and his response to it.

Nausea is a well recognised side effect of chemotherapy. He should be aware of this by now. What he needs is to understand that this is for his best interest and up to him to do all and stay on treatment. Should he choose not to take his treatment because of side effects, then I am afraid this may just allow things to get worse very soon.

I hope this helps. I wish him well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (7 minutes later)
Yea that what we told him that side effects are worth lt as long as they dont get severe. He is getting fever at night though
doctor
Answered by Dr. Chobufo Ditah (10 hours later)
Brief Answer:
Glad you told him that

Detailed Answer:
Hi and thanks for being so supportive.

Nocturnal fevers are often associated with cancers and this is not strange. As the chemotherapy kicks in effectively, this will slowly fade way.

Please, cancer and chemotherapy weaken the immune system. Let him stay as much as possible away from persons with diseases or congested areas where disease spreads can be very rampant. Also, ask his doctor if he plans getting hi on any prophylactic antibiotics for opportunistic infections.

I wish him well.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (1 hour later)
He only
Got fever after starting the chemo not ever before. .

Am i worrying too much ?

I know hes had surgery but im worried alot about the re occurence or spread as i know ppl who have chemo sometimes still get mets
doctor
Answered by Dr. Chobufo Ditah (27 hours later)
Brief Answer:
See below

Detailed Answer:
Chemotherapy reduces the chances of having mets. Others successfully go without having mets while others still develop mets. What the final outcome is depends solely on his response and the end results. No amount of prediction can help here.

You are too worried and am worried you may develop a disease as a result of this. Please, stay calm, follow through with the treatment and manage every day's challenge as it comes. Above all, stay positive and hope for the best of every possible outcome. How much you invest is what matters most and not the end result as we do not have control over this.

I wish you both well.
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6318 Questions

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Suggest Treatment For Clots In Lungs

Brief Answer: See below Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about these lung clots that your father suffered. I hope he had recovered and is doing a lot better at this time. Right now, there is no test that needs to be done to check whether the clots were completely dissolved or not. If your father has no symptoms related to this like breathing difficulties, chest pain, it is enough evidence that the clots are no longer a problem and need no further aggressive measures to investigate them. What was the cause of this lot per his doctors? If the cause was related to a condition or risk factor that is not permanent, then there is no further action required. However, if the risk is still present, then he need to be transitioned to warfarin and the INR levels monitor closely to obtain a range of 2-3. This would be the major way to address it from coming back again. In all, he needs no further testing to show that these clots are dissolved. If the risk factor was temporary, he needs no new medications. If the risk factor is still present. he needs to be transferred onto an oral agent and monitored to achieve the precise goal. I hope this addresses your query fully. I wish your dad well. Feel free to ask for more information and clarification should need be.