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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Esophageal Cancer. Had Surgery Done. Have Early Dumping Syndrome, Swollen Foot And Ankles. Should I Take Abdomen Scan?

Hello Dr. My Father in law 72 yrs old was diagnosed esophageal cancer. He had 3 chemo then surgery then 3 post op chemo. The surgery done 3 mnths back,in Chennai, consisted of distal gastrectomy with 1 anastomisis n 60 staples where the junction of the esophagus and part of the stomach is removed. The PET Scan show nodal metastasis and a dark spot is found in the lungs. For 3 months now he was getting diarrhea followed by low blood count and low potassium n sodium. He was admitted in the clinic and now he is ok recovered i could say. Till now he s had an early dumping syndrome which is not helping him to eat properly.So he s eating small meals. Now past 2 days his foot, ankles are swollen. Do youthink its the disease progression, shall we proceed with a CT scan abdomen? Thx u so much .
posted on Mon, 7 Oct 2013
Twitter Thu, 21 Nov 2013 Answered on
Twitter Fri, 22 Nov 2013 Last reviewed on
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Oncologist,  's  Response
Dear,
your father must have developed nutritional deficiency leading to hypoproteinaemia which is the cause of swollen feet and ankles. This can be ruled out by doing blood test for serum proteins Albumin, Globulin and A/G ratio. this condition cannot directly be attributed to the progression of the disease. A good protein diet will improve his condition.
Dr. J. Ticku
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Have Esophageal Cancer. Had Surgery Done. Have Early Dumping Syndrome, Swollen Foot And Ankles. Should I Take Abdomen Scan?

Dear, your father must have developed nutritional deficiency leading to hypoproteinaemia which is the cause of swollen feet and ankles. This can be ruled out by doing blood test for serum proteins Albumin, Globulin and A/G ratio. this condition cannot directly be attributed to the progression of the disease. A good protein diet will improve his condition. Dr. J. Ticku