Q:Why do I keep losing weight after receiving targeted therapy for advanced kidney cancer?
Patients who are receiving targeted therapy often ask, “Why am I not gaining weight, and my weight is lighter than before taking the medicine?”
First of all, it is because the tumor has been consuming the body in the body, and the tumor cells have stolen part of the nutrition from the body. Secondly, after targeted therapy, some patients will have the side effect of diarrhea, which affects the nutrient absorption of food. Another important point is that, because of tumor, patients will listen to the propaganda of their family members or other patients to restrict their diet and avoid many foods. In fact, it is only necessary to control in moderation. Because there is no evidence that chicken, eggs, beef and mutton, seafood and so on are hairy items and will cause tumor recurrence if eaten.
Therefore, our suggestion is that if you have diarrhea, you should actively treat diarrhea. Of course, patients with poor kidney function should control the protein intake, but not not to eat, but to eat in moderation. At the same time, the usual exercise is also very beneficial, can improve the quality of sleep. Doing the above, basically it is not easy to lose weight thin.
Q: My friend has kidney cancer, we are more concerned about how should we take care of him?
In recent years, the incidence of kidney cancer is relatively high and it is a common malignant tumor disease. The occurrence of kidney cancer seriously threatens people’s health, especially in the advanced stage of kidney cancer, family members must do a good job of nursing.
The key points of kidney cancer care are.
1. Careful observation: it is very important for patients’ recovery to play the supporting and auxiliary role of family and create a good atmosphere and environment for treatment and recuperation. The patient’s body temperature, weight, clothing size, urine and stool, appetite and emotional changes can be directly observed by family members. This is an important aspect of kidney cancer care.
2. Encourage patients to: combine movement and stillness, get up and live in a regular manner, and live in a disciplined way. Forming good living habits and reasonably arranging sleep, work, study, activities, entertainment and meals are all important to the care of kidney cancer.
3.Dietary care: For patients with poor appetite, poor appetite and low food intake. First of all, the diet should be as good as possible in terms of color, aroma, taste and shape, with a small number of meals and avoiding blind taboos. Some digestive drugs can be taken under the guidance of doctors. If you have abdominal distension, you should pay attention to adjust the diet structure and avoid eating indigestible and gas-producing foods. At the same time, pay attention to oral hygiene, rinse mouth with light salt water or mouthwash regularly, avoid smoking, alcohol and spicy, oily and other stimulating foods.
4. Dietary principles: The special dietary principles for kidney cancer patients include moderate protein intake, which should be 0.6 kg per kg of body weight per day. The protein intake should be 0.6 kg per kg of body weight per day, and the protein control should be accompanied by sufficient calorie intake to maintain the ideal body weight.
Q: Is blood in urine a precursor of kidney cancer?
Blood in urine may be a precursor of kidney cancer, but further diagnosis is needed to confirm the diagnosis.
Other early symptoms of kidney cancer include blood in urine which cannot be seen by naked eyes but found to have increased red blood cells only when microscopic examination is done in hospital, that is, microscopic hematuria, and hematuria without any reason and not improved by general medication should also be taken seriously, such hematuria is the early sign of kidney cancer patients. Such hematuria is the early sign of kidney cancer. It is most meaningful for the patient to seek medical attention and get timely and detailed examination during this period of time. It is important to know that kidney cancer patients have intermittent blood in urine, which is one of the early symptoms of kidney cancer. The blood in urine can be relieved naturally after a few days, or the patient may take some drugs to stop the bleeding temporarily, but often the patient will ignore it and think that the disease is cured without timely detailed examination, and only when the hematuria appears again or other symptoms appear will the patient pay attention to it, which has actually been delayed for several months or more than a year.
The tumor continues to grow and erode the surrounding kidneys during this time, so that the patient’s consequence is bad and the painful lesson is profound.
In addition to blood in urine, the common early kidney cancer symptoms include the following two categories.
1. Back pain: This is one of the early symptoms of kidney cancer. It is the result of the enlargement of cancer foci pulling the kidney envelope or compressing the surrounding nerves and muscle tissues. It is mostly dull pain in the lower back or upper abdomen. Occasionally, blood clots may be discharged downward and cause severe colic, which may be easily mistaken for kidney and ureteral stones.
2.Lumbar mass: Kidney cancer lesions can be felt (or seen) from the lumbar area or upper abdomen when they have increased to a considerable extent. About 20% to 30% of patients will have this symptom. The mass is easier to be felt when lying on the side, and sometimes it can be seen to move up and down with breathing. If the mass adheres to the surrounding tissues, the mass will be fixed and cannot be pushed, then it is in advanced stage.
Because kidney cancer is not easy to be detected in early stage, so many patients are diagnosed only in middle and late stage. This is very unfavorable to the treatment of kidney cancer patients. In the survey statistics, most kidney cancer patients rush to the hospital for treatment because of the occurrence of blood in urine.
Q: Is red wine alkaline? Can I drink it appropriately while taking medicine?
Drinking a small amount of red wine has no effect on taking medication. However, it is recommended to drink less or not to drink as it is good for health recovery with less tobacco and alcohol.
Q: Can I take Sunitinib together with cold medicine and anti-inflammatory drugs if I have a cold on the first day of taking Sunitinib?
Yes, you can take it together with cold medicine, but you should check whether the cold medicine and anti-inflammatory medicine are CYP3A4 inhibitors or inducers, and try to avoid combining it with such medicine. Please consult your primary care physician for details.