What to Do When the Kidney Does Not Function Well

We need to monitor not only for liver function but also for kidney function. However kidney problems are much less frequent.

Patients who undergo chemotherapy know that every time they receive chemotherapy, oncologists take blood to test for blood counts and also for liver and kidney function. Continue reading…

Posted by Heinz-Josef Lenz, MD on April 2nd, 2009
Posted in: From the Desk of Dr. Lenz | 3 Comments »
Tags: chemotherapy, kidney function, Managing Symptoms and Side Effects, side effects

Cancer Patients Fatigued Before Treatment Begins

Cancer patients are often very tired, a bone-weary fatigue that doesn’t get better with rest.  Fatigue is the most common complaint from patients during chemotherapy.  However, a recent study found that one in four patients are already severely fatigued before treatment ever begins.

Severe fatigue was most common in patients with gastrointestinal cancer, where almost one in three were fatigued at diagnosis. Continue reading…

Posted by Kate Murphy on October 30th, 2008
Posted in: Research & Treatment News | 1 Comment »
Tags: fatigue, side effects

Several Studies Show Evidence that Chewing Gum Helps After Colon Surgery

Five randomized studies have shown that chewing gum after colon surgery reduces the time it takes for patients to pass gas and have a bowel movement.

Patients in the studies chewed sugarless gum from 5 to 45 minutes, three times a day after surgery.  Control groups had similar surgeries but didn’t chew gum.

There was a trend toward leaving the hospital sooner, but the studies were too small to definitely show fewer hospital days for the gum chewers.

Still, the study authors wrote,

The potential cost savings from the reduction of even one postoperative day compared with the cost of several sticks of chewing gum are huge.

During intestinal surgery, the bowels stop moving contents forward, a situation known as ileus.  After surgery doctors listen for sounds in the bowel and wait for gas to pass through the rectum as signs that bowel activity is resuming.

Overall in the five studies, patients who chewed gum passed gas about half a day sooner and had their first bowel movement a day sooner.

The team concluded,

Chewing gum may enhance intestinal recoveryfollowing colectomy and reduce the length of hospital stay. Owing to the potential for substantial cost savings, larger-scale,blinded, randomized controlled trials with placebo arms are warranted.

Previously, C3 News has reported post-surgical gum chewing studies in California and Dallas and Pittsburgh.

More information about the overview of gum studies is on Medpage Today.

SOURCE: Purkayastha et al., Archives of Surgery, Volume 143, Number 8, August, 2008.

Posted by Kate Murphy on August 26th, 2008
Posted in: Research & Treatment News | No Comments »
Tags: ileus, side effects, surgery

FDA Approves Oral Aloxi to Prevent Chemo Nausea and Vomiting

The Food and Drug Administration has approved an oral formulation of Aloxi® (palonosetron) to prevent nausea and vomiting from chemotherapy.  A single 5 milligram capsule reduces the risk of nausea during the first 24 hours after chemotherapy and for up to five days afterwards.  The medicine is taken about an hour before chemotherapy starts. Continue reading…

Posted by Kate Murphy on August 25th, 2008
Posted in: Research & Treatment News | No Comments »
Tags: nausea, side effects

Allergic Reactions to X-Ray Contrast Can Be Treated without Long Term Problems

Occasionally people having CT scans or other imaging exams will have an allergic-type reaction to the iodine contrast, but research has found that they can be treated safely without long term effects. In fact, almost all reactions are mild and more han 99 percent patients with them will get better within a day.

Radiologists at the University of Michigan hospitals in Ann Arbor studied nearly 85,000 intravenous injections of nonionic iodinated contrast media looking for allergic-type reactions.  They analyzed both how the reactions were treated and whether there were any long term problems after a reaction. Continue reading…

Posted by Kate Murphy on August 4th, 2008
Posted in: Research & Treatment News | 5 Comments »
Tags: diagnosis, side effects