← Return to Help with nausea and vomiting relief post-esophagectomy

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@aheid

I know I've written before with respect to the issues that my husband has been going through since his esophagectomy last June (2023)—and I'm writing again because instead of getting better, he is getting worse. His cancer was in the cardia area and was Stage 1b...he did not go through chemo and/or radiation and you would expect his recovery to be quicker because of that but he is going through hell.

My husband is now 11-½ months post-op, still is unable to tolerate enteral formula (and we’ve tried four different brands), and continues to have chronic nausea and vomiting. He’s had issues with his j-tube (clogging, falling out, and leakage consisting of formula and bile). He’s had aspirational pneumonia twice as well as nutritional anemia.

He very recently had an EGD scan in the ER, where it was discovered that he has esophagitis. The doctor who performed the scan suggested that the pylorus be tightened up but the surgeon who performed the esophagectomy ruled against it.

The latest issue is a too-slow heart rate, erratic glucose readings and inadequate electrolytes. In addition, and I believe because of his failure to get proper nutrition, his red and white blood cells are very low, as is his hemoglobin. Now they want to take a bone marrow biopsy in hope of finding an answer as to why he is not producing enough blood….again I feel this is because of his lack of adequate nutrition. To that end, they will be providing nutrients via IV.

Anyone out there with similar experiences? Any suggestions? Help!

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Replies to "I know I've written before with respect to the issues that my husband has been going..."

@aheid, I'm just catching up with your message now. I'm sorry to hear that things have gotten even more complicated with your husband's health with heart issues too. Do you know about cardio-oncology?

Cardio-oncology offers expertise in addressing heart problems, potential or current issues during cancer treatments. At Mayo Clinic for example, the Cardio-Oncology Clinic (https://www.mayoclinic.org/departments-centers/cardio-oncology-clinic/overview/ovc-20442193) evaluates people prior to cancer treatment and patients who have experienced side effects due their treatment.

It sounds like your husband is already in the care of a cardiologist, so cardio-oncology may not be necessary. It must be frustrating when you're getting differing opinions on what to do next. Did he have the bone marrow biopsy?