Brother diagnosed with stage 4 colon cancer

Posted by steele @steele, Apr 19 3:53pm

My brother was recently diagnosed with stage 4 colon cancer. The cancer has spread to his lungs. He has 4 nodules located in the lower part of his lung with two measuring .8 one measuring 1.0 and the last one measuring 1.3. I do not know if this is mm or cm? I am just wanting to take part in this support group discussion hoping to find people who have had similar diagnoses and have come out the other side. We are a very close family and are really struggling with this news. He starts chemo this coming Tuesday. His doctor has him doing chemo in house so to speak one day and then wearing a machine for 46 hours while home, returning back to hospital for it to be removed and then getting a shot, I think to build up red blood cells. He will do chemo with this regiment every other week. This is all I know.

Interested in more discussions like this? Go to the Colorectal Cancer Support Group.

Sorry about your brother. Dealing with 3 years of colorectal colon cancer and 22 rounds of chemo, here are a few things that have helped me deal with similar symptoms. Yogurts, fruits, bananas, rice, soups and eggs have been my go to foods while going thru chemo treatments, staying away from processed foods. For all the cramping, I found that eating smaller meals and smaller portions helped a lot. If I ate a large, heavy meal the cramping was terrible where I felt like I needed to go the bathroom, several times in a row, but only a little bit comes out. When this happens I take an Imodium to shut my system down for awhile. Smaller meals helped quite a bit. For the cramping, I take Compazine regularly thru the day and Zofran at night. This helps quite a bit for nausea and cramping. Hope this helps.

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@steele

Steele, (me) is feeling heavy hearted today although my brother is still doing ok. The side effects are really intensifying. He seemed so down when I talked to him last night - plagued with nausea and diarrhea. He has just finished his 6th round of chemo - scheduled for his first CT scan on the 12th, which is a Friday, with results scheduled for Monday the 15th. I did not know until talking to him last night that his tongue has been numb going on 3 weeks and he has not been able to taste any food. In addition, the cramping is more severe as is the constipation. Every week, the symptoms show up at different times. His 6th round was so good and he was happy until the symptoms hit around the 4th day off, first time they have come so late in the process. I think I read on here from a kindred soul that very few people make the whole recommended protocol without needing a break. I think he is getting there. I will post his results when we get them on Monday. In the meantime, keep those prayers from all you Warriors coming!

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First, sorry he's going through this.

As a colon cancer survivor (FOLFOX6) the continuing cycles do wear you down and cause one of weaken. Seems one goes downhill the first week, then rebounds to 90-95% of where one started for each cycle - seems to be a cumulative effect.

Second, they can adjust the protocol. I had several times where they halted for a week or two, but mine was only Stage 3C with no lung spread. They also dropped the oxaliplatin early in my treatment because of the severity of side effects. The question I can't answer is whether they will do this for a stage 4 case.

Mayo Clinic did indeed tell me that nobody completes the 12 cycle - a cycle every 2 weeks protocol as scheduled.

The loss of taste and numbness is common. Nervous system issues such as neuropathy/numbness are common. I had severe balance issues (note: collapsing at the infusion center will get you LOTS of attention and a wheelchair ride to the ER), difficulty hearing, difficulty swallowing and weird visual issues which they attributed to the oxaliplatin.

I think what he's going through is typical and normal, but the oncology team should (and will) consider adjustments. The last thing they want is for him to drop out of his therapy, so they likely will make adjustments.

Hope this helps.

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@steele

Thank you Isadora 2021 for you insightful recommendations. My brother has been given medication for the diarrhea but he doesn't like to take it because it clogs him up worse. He finally gets relief and feels back to normal once he has several "blowouts" to be perfectly descriptive. But, the constipation and cramping before he gets to that point is the most painful. I too was hoping he would not get the neuropathy. My older 1/2 sister recently went through treatment for rectal cancer and she had to stop the chemo because the neuropathy in her feet was unbearable and unfortunately, 2 years later she still has it, although not as bad. I do worry that he isn't eating enough as yesterday and the day before he couldn't hold anything down. I keep trying to talk him into letting me get the traveling IV Med people to come and give him an IV of electrolytes on these bad days but he said his oncologist told him not to waste his money as he could drive to the center and get one. Maybe what she wasn't considering was that he wouldn't feel well enough to drive there, even though it is a short drive. I am going to keep on him to do that. He has a lovely wife so I have to be careful and not become too intrusive but I really believe it would help him. And, I love that you mentioned Belong. I am on there - I am Rita@1255. I just love Werner 14! The people on there are just amazing. I take screenshots of positive remedies and things they say and send to him - especially the funny sayings as laughter is also a great medicine. So happy to see the letters NED - thank you for this support.

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@steele

I’m so glad your brother has his sisters for support as well as his wife! I learned from my own treatments that it’s awesome to have several very close people in your main support team to avoid overloading any one person. You sisters are amazing. It’s such a bumpy ride, including getting used to each new side effect and getting on top of it. Chemo diarrhea is so much easier on the body than constipation!! Hydration is key and very small frequent meals.

Oh my goodness! Belong is fabulous - complements this site perfectly. Werner14 is such a tonic and has been through so much with his MML. I’m Isadora on there too.

Looking forward to keeping in touch and reading your updates. Please send my best regards to your brother 🙏😊🏋🏻‍♀️🤺

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@percherondad

Everyone reacts to chemotherapy differently. There is no one-size-fits-all when I was diagnosed with stage four I did eight rounds of chemo since then I have done another 10 rounds. I am fortunate that the side effects are small. I mostly had side effects from the drugs that they included with the chemo when I was having infusions every two weeks. Now that I am taking oral xeloda I have virtually no side effects. Will put salt and pepper on them. Sometimes a break for a month is beneficial. Everything works but nothing works all the time.

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@percherondad, you're so right. Everyone reacts differently to chemo and different regimens will have different side effects. Breaks can help.

I also agree with your wise statement "Everything works but nothing works all the time."

A burning question based on your username. Do you have Percherons? Were you originally diagnosed with stage 4 or did cancer return metastasized?

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Good evening,

I wanted to update those of you who have been so kind in following my brother's journey with colon cancer and giving me such great advise and support. This is what he sent us, his siblings, after leaving his oncologists office after his first scan after undergoing 6 rounds:

"Just left the Dr.'s office. The two small spots on my lungs are gone. The 8 mil shrunk to 5 and the 5 mil shrunk to 2. Will look at the colon tumor after 12 treatments, but the blood marker on the tumor is now normal. Chemo is working!!!"

He also asked for a reprieve as we both have a timeshare at the end of this month for a week and he was scheduled to undergo treatment that week. The oncologist said that yes, it could be pushed back a week.

He started round 7 yesterday with the 2 day pump coming off tomorrow. Said he was feeling good today.

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@colleenyoung

@percherondad, you're so right. Everyone reacts differently to chemo and different regimens will have different side effects. Breaks can help.

I also agree with your wise statement "Everything works but nothing works all the time."

A burning question based on your username. Do you have Percherons? Were you originally diagnosed with stage 4 or did cancer return metastasized?

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I owned a beautiful Percheron mare for many years, thus my screen name. I had no symptoms of anything in 2021. I developed what my doctor thought was diverticulosis I took an antibiotic, and it went away, but my primary with whom I am very friendly said I don’t like the fact that you’ve never had diverticulosis before and you suddenly have it at your age I want you to have a. Colonoscopy. I went, and when I woke up and the doctor said he couldn’t get through with the camera that there was something blocking it, and he tattooed as far as he could go. Mind you I had already had a CT scan that showed a spot on my liver but didn’t show anything in my colon. To make a long story short I had a tumor the size of a baseball. I also had a CEA of over 300. The guy who removed the tumor in my colon did a really great job and resection to me. I had eight sessions of chemo I had a liver surgery at upstate in Syracuse New York that was very successful and then I developed some nodules in my lungs. I had another 12 sessions of chemo and my CEA, which was over 300 before my colon. Surgery is now 3.1. I am on xeloda As a maintenance drug and I seem to be OK. Of course every scan makes you bite your fingernails but generally I’m in really good health.

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@percherondad

I owned a beautiful Percheron mare for many years, thus my screen name. I had no symptoms of anything in 2021. I developed what my doctor thought was diverticulosis I took an antibiotic, and it went away, but my primary with whom I am very friendly said I don’t like the fact that you’ve never had diverticulosis before and you suddenly have it at your age I want you to have a. Colonoscopy. I went, and when I woke up and the doctor said he couldn’t get through with the camera that there was something blocking it, and he tattooed as far as he could go. Mind you I had already had a CT scan that showed a spot on my liver but didn’t show anything in my colon. To make a long story short I had a tumor the size of a baseball. I also had a CEA of over 300. The guy who removed the tumor in my colon did a really great job and resection to me. I had eight sessions of chemo I had a liver surgery at upstate in Syracuse New York that was very successful and then I developed some nodules in my lungs. I had another 12 sessions of chemo and my CEA, which was over 300 before my colon. Surgery is now 3.1. I am on xeloda As a maintenance drug and I seem to be OK. Of course every scan makes you bite your fingernails but generally I’m in really good health.

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Thanks for sharing more details of your journey. Your experience will be helpful for other members of the forum, especially those who have questions and/or are newly diagnosed.

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