Precautions for esophageal cancer and cardia cancer after surgery

1.Mind: After surgical operation and other treatment measures, esophageal cancer and cardia cancer are completely curable. Therefore, you should have a correct understanding of your condition and the side effects during treatment, be sure to maintain an optimistic and cheerful mood, and firmly believe that you can overcome the disease. Only by adjusting your mentality, establishing confidence and actively cooperating with treatment can you mobilize the internal anti-disease mechanism of your body. 2. Diet: After discharge, you can continue to have semi-liquid diet, such as lotus root powder, steamed egg, cereal porridge, rice porridge, rotten paste noodles, etc., gradually change from thin to thick, and transition to soft food or even normal diet about one month after surgery. Pay attention to eating less and more meals, and eat 5-8 meals a day as needed, and chew and swallow slowly when eating. Do not avoid eating, all kinds of food as long as it is light, fresh, rich in nutrients, easy to digest can be eaten, do not eat spicy stimulating and indigestible food, prohibit smoking and alcohol. 3, position: do not lie down to eat, do not lie down immediately after the meal, you can take a proper walk for about 30 minutes before going to bed, sleep with the upper body cushioned 30 degrees, try to sleep towards the side of the surgery. 4, discomfort: if you have acid reflux, easy fullness, coughing and other discomfort, you can not sleep. Choking and coughing, you do not need to be nervous, because the removal of the cardia, coupled with the gastrointestinal emptying function is weakened, so the gastrointestinal food and gastric juice sometimes reflux into the esophagus to cause discomfort, after the above-mentioned dietary and postural adjustment measures, generally can be relieved, such as still can not be relieved, you can take some drugs such as omeprazole, morphine to control. If you have diarrhea, it is often related to gastrointestinal disorders after surgery. In addition to paying attention to clean food, you should avoid eating greasy food to avoid aggravating diarrhea symptoms. If you feel a pinprick-like pain and numbness in the surgical wound, it is related to the nerves of the chest wall cut off during the surgery, you should be patient, and the discomfort will slowly subside only after several months.5. Follow-up: You should insist on long-term regular follow-up. You should review every three to four months for two years after surgery, then every six months, and after the fifth year, it can be extended to once a year. Your doctor will review your chest X-ray, chest CT, abdominal ultrasound, etc. Other tests such as whole body bone scan and MRI may be performed as needed. If you have any other questions, you are always welcome to consult with us. Our general thoracic surgery clinic hours: every Monday to Saturday morning; Xu Songtao specialist clinic hours: Tuesday morning and Wednesday morning. 6.Chemotherapy: If you need to receive post-operative chemotherapy, it usually starts in about one month after surgery. Anti-emetic drugs can be injected half an hour before chemotherapy to reduce gastrointestinal reactions. Chemotherapy usually needs to be repeated once a month, and may take 2-6 times depending on the situation. Before each chemotherapy, blood test should be done to check the routine blood and liver and kidney function. If the white blood cell is <3500 or the liver and kidney function is abnormal, then chemotherapy should be temporarily suspended. Blood tests should be repeated 3 to 4 days after each chemotherapy, at least 4 times, and if there is any abnormality, you should follow the arrangement of radiotherapy doctor and adhere to radiotherapy daily, usually starting 3 to 4 weeks after surgery, and the course of treatment will take about 2-6 weeks.8. Chinese medicine: You can take Chinese medicine, including Chinese patent medicine and Chinese herbal medicine, at the same time of radiotherapy and chemotherapy. It is recommended that you take the medicine under the guidance of an experienced herbalist, and do not take some so-called secret recipes or prescriptions casually to avoid the danger of toxic side effects. Please note that the claim that Chinese medicine has no side effects is completely false. If necessary, you can also apply some immunomodulatory drugs and biological products such as interferon under the guidance of your doctor to enhance the anti-cancer mechanism in your body.9. Tonic: You can take some health care products to speed up the recovery, improve the immunity and reduce the toxic side effects of radiotherapy and chemotherapy. However, please note that the health care products market is confusing at present, so please do not believe in the untrue propaganda of some unscrupulous manufacturers and be alert to being cheated. If you need to take certain health care products, it is best to seek the advice of a doctor beforehand.10. Work: Because of the large trauma of surgery, often supplemented by chemotherapy or radiotherapy after surgery, a period of recuperation and recovery is required, and when these treatments are completed, and then rest for 2 to 3 months, you can gradually resume work depending on your physical condition, and can generally perform any work other than heavy physical labor.