Husband diagnosed stage 4 stomach (gastric) cancer

Posted by Sophia @edgar23, Apr 25, 2023

My husband got diagnosed with stage 4 stomach cancer / gastric cancer a month ago the process been very hard. He started chemo last Wednesday. He had two chemotherapy back to back. I’m very worried he keeps throwing up bile. He throws up about 4 ounces of bile every 30-45 min; it’s been 4 days already. Today he finally was able to keep something down and didn’t throw up all day but it started again at 10pm. I’ve been up all night making sure he is ok. He has been admitted at the hospital for two weeks already the doctors have been trying control his vomit. Everything just started so fast he was just ok and it’s still unbelievable of what’s going on. Decided to write this text for support and experiences that could help.

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Do the anti-naisea medicines help him? They actually made my
mother worse. Some things actually helped her a little that the doctors never mentioned. We just did trial and error. We got her some sea bands. Also, she took Dramamine … I cannot remember if it was the drowsy or non-drowsy one. Nurses told her that should not help, but it did seem to help a bit.

Some foods she could tolerate were Pringles and Lipton extra noodle soup. As she gradually got less nauseated, she could tolerate more foods.

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My mom's cancer got into her tummy and all she could eat was tapioca pudding and tomato soup. She also vomited a lot. It was very hard to be the caregiver of someone I loved very much and watching her go through that. I had already taken care of my husband 13 years ago when he had gallbladder cancer. I'm so sorry. I hope you find something that he can tolerate.

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He has been admitted at the hospital for two weeks already. it’s been a week since he had his first chemo. Since then it been so hard for him to keep food down. He didn’t eat for 4 days just throwing up bile every hour. Doctors were controlling his vomit everyday but what helped for his pain and nausea. Fetanyl patch 75mcg, 5 mg thc, gi cocktail pretty much a shot of anesthesia before he eats and zofran the main one. But the 5th day and 6th day he was only able drink pasteurized milk 8 ounces /3 times a day and half a banana. But today finally a week I am so happy he was able to keep more food down. He ate a pear, popsicle, watermelon and a little bit of chicken just two bites but it’s something. he is more active, was able to take a shower ,clean his ears. I just felt like sharing how happy I am today. Plus the doctors said he can go home tomorrow. The only think that is bothering me he has a fungal infection in his mouth. They have had him in iv antibiotics for a week already and it’s still there. I hope it goes away soon. They said lemon drop or anything else can irritate him and make it worst. I would just let the antibiotics do it’s part.
And I am happy taking him home already but I am worried how he is going to be at home but I know he would be more comfortable. I hope this message helps and I would like to hear more experiences. I hope second chemo he won’t be bad like the first one plus he going to be home this time.

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@edgar23

He has been admitted at the hospital for two weeks already. it’s been a week since he had his first chemo. Since then it been so hard for him to keep food down. He didn’t eat for 4 days just throwing up bile every hour. Doctors were controlling his vomit everyday but what helped for his pain and nausea. Fetanyl patch 75mcg, 5 mg thc, gi cocktail pretty much a shot of anesthesia before he eats and zofran the main one. But the 5th day and 6th day he was only able drink pasteurized milk 8 ounces /3 times a day and half a banana. But today finally a week I am so happy he was able to keep more food down. He ate a pear, popsicle, watermelon and a little bit of chicken just two bites but it’s something. he is more active, was able to take a shower ,clean his ears. I just felt like sharing how happy I am today. Plus the doctors said he can go home tomorrow. The only think that is bothering me he has a fungal infection in his mouth. They have had him in iv antibiotics for a week already and it’s still there. I hope it goes away soon. They said lemon drop or anything else can irritate him and make it worst. I would just let the antibiotics do it’s part.
And I am happy taking him home already but I am worried how he is going to be at home but I know he would be more comfortable. I hope this message helps and I would like to hear more experiences. I hope second chemo he won’t be bad like the first one plus he going to be home this time.

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Hello, @edgar23 I'm Scott and I was my wife's caregiver for her 14+ year war with brain cancer. I'm sorry for your husband and your journeys, but glad you found Mayo Connect. I came to connect during some of the toughest years of my caregiving years and it really helped me with my feelings of isolation and at times sadness bordering on despair. I am sure your post will help others -- I believe it is a huge help knowing we are not out here alone in our caregiving lives. They are so intensely demanding!

I admire your ability to see the improvements in your husband and send you heartfelt congratulations! Every step is huge and can bring us joy and hope while so often we don't see much good in our loved one's situation.

One thing with my wife was her tastebuds constantly changed and I took to asking her every day what might taste good. I couldn't always make it for her, but it helped me try and stay in tune with her changes in that challenging area.

While it wasn't always easy, my wife always did better at home and out of the hospital. I always noticed an (at times tiny) improvement in her calmness and comfort. Remembering that often helped me while doing all the extra wash 🙂

One of my favorite quotes helped me during caregiving and it is this: "Courage does not always roar. Sometimes courage is the quiet voice at the end of the day that can only manage to whisper 'I will try again tomorrow'".

I, too, hope this helps.

Strength, Courage, & Peace

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@nrocpop

Do the anti-naisea medicines help him? They actually made my
mother worse. Some things actually helped her a little that the doctors never mentioned. We just did trial and error. We got her some sea bands. Also, she took Dramamine … I cannot remember if it was the drowsy or non-drowsy one. Nurses told her that should not help, but it did seem to help a bit.

Some foods she could tolerate were Pringles and Lipton extra noodle soup. As she gradually got less nauseated, she could tolerate more foods.

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You might want to look at taking 95% standardized curcumin wit black pepper extract to both help recovery and possibly inhibit reccurrance, I would reccomend 1000 mg doses posssibly more than once a day. It is know to reduce side effects of treatment.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277549/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840955/
Also "timed release" vitamin C is helpful for building the immune system.

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Is there a cholangiocarcinoma support group I can join as a caregiver and also for a patient?

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@donsunlover

You might want to look at taking 95% standardized curcumin wit black pepper extract to both help recovery and possibly inhibit reccurrance, I would reccomend 1000 mg doses posssibly more than once a day. It is know to reduce side effects of treatment.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277549/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840955/
Also "timed release" vitamin C is helpful for building the immune system.

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This is so interesting. Thank you so much for sharing these links. I am going to tell my husband about this.

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@nrocpop

This is so interesting. Thank you so much for sharing these links. I am going to tell my husband about this.

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Even better would be to inform more doctors so may help many more patients.

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@edgar23

He has been admitted at the hospital for two weeks already. it’s been a week since he had his first chemo. Since then it been so hard for him to keep food down. He didn’t eat for 4 days just throwing up bile every hour. Doctors were controlling his vomit everyday but what helped for his pain and nausea. Fetanyl patch 75mcg, 5 mg thc, gi cocktail pretty much a shot of anesthesia before he eats and zofran the main one. But the 5th day and 6th day he was only able drink pasteurized milk 8 ounces /3 times a day and half a banana. But today finally a week I am so happy he was able to keep more food down. He ate a pear, popsicle, watermelon and a little bit of chicken just two bites but it’s something. he is more active, was able to take a shower ,clean his ears. I just felt like sharing how happy I am today. Plus the doctors said he can go home tomorrow. The only think that is bothering me he has a fungal infection in his mouth. They have had him in iv antibiotics for a week already and it’s still there. I hope it goes away soon. They said lemon drop or anything else can irritate him and make it worst. I would just let the antibiotics do it’s part.
And I am happy taking him home already but I am worried how he is going to be at home but I know he would be more comfortable. I hope this message helps and I would like to hear more experiences. I hope second chemo he won’t be bad like the first one plus he going to be home this time.

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Hello @edgar23 ,
I read what @IndianaScott wrote to you. His advice is full of kindness and of wisdom that comes from experience. I am so sorry that you are going through this and even though I do not share the same experience Scott has, I wanted to jump in here, hopefully to offer a suggestion for you? My significant other nearly died seven months ago due to a ruptured, gangrenous gallbladder. He was in septic shock on admit and went on to have a half a dozen or more serious complications. He had a bile leak and a stent was put in. The stent blocked and in addition to that he had kidney failure, severe malnutrition, a post op abscess, pancreatitis, anemia, sepsis, peritonitis, and also had his lung punctured accidently during an attempt to drain the abscess. He was sent home after a month in two different hospitals with an intra-abdominal abscess, fungal infection, a hospital acquired infection, severe malnutrition and could barely eat. We had to have an additional 7 weeks of IV antibiotics, 24hr/day in order to give him a chance of survival. There were three high powered antibiotics and one antifungal. In order to save him, these toxic drugs also did a number on his immune system. His hair fell out, he got seborrheic dermatitis other side effects from the antibiotics. He did not throw up bile, but it was draining from his intra-abdominal JP drainage tube in large amounts. He would not eat. He would become so nauseous. They talked of an NG tube for feedings. He would hear none of that! I feel your anxiety. Watching your love suffer is so very painful. And I don't know about you, but I felt so helpless. All I could do was pray and keep trying day after day. He slept in his recliner for almost two months. I slept on the couch next to him so I could be there if he needed me. I didn't want to be too far away from him. One thing that really helped him start making progress was I discovered Premier Protein drinks. It was packed with protein, 30g. He liked the taste (vanilla over chocolate) and he got some nutrition as well. It was easy on his stomach. I think we have gone through 4 or 5 cases now! I had experimented with Boost and Ensure and other brands too. The Premier Protein I get now is at Costco. It was stressed to us that protein is essential for his recovery and healing. I love that you celebrated the little things. I felt the same way. I remember being so happy when he ate anything at all, and even happier if he ate a little more the next day. It was a long, seriously hard journey with many ups and downs. The added bonus to getting him drinking the protein drinks was each day, little by little, he got more strength back. Because nutrition is so essential for healing, finally the progress started moving in the right direction. I am not an expert in anything, but I did want to share with you what helped my guy in his situation. I don't know if drinking protein drinks is recommended in your husbands case. Perhaps you could ask his physician or dietician? Did they give you a diet to follow? I hope you come back and share your journey here. Take care of yourself too. It's important you stay healthy physically and emotionally. God bless you.

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@edgar23

He has been admitted at the hospital for two weeks already. it’s been a week since he had his first chemo. Since then it been so hard for him to keep food down. He didn’t eat for 4 days just throwing up bile every hour. Doctors were controlling his vomit everyday but what helped for his pain and nausea. Fetanyl patch 75mcg, 5 mg thc, gi cocktail pretty much a shot of anesthesia before he eats and zofran the main one. But the 5th day and 6th day he was only able drink pasteurized milk 8 ounces /3 times a day and half a banana. But today finally a week I am so happy he was able to keep more food down. He ate a pear, popsicle, watermelon and a little bit of chicken just two bites but it’s something. he is more active, was able to take a shower ,clean his ears. I just felt like sharing how happy I am today. Plus the doctors said he can go home tomorrow. The only think that is bothering me he has a fungal infection in his mouth. They have had him in iv antibiotics for a week already and it’s still there. I hope it goes away soon. They said lemon drop or anything else can irritate him and make it worst. I would just let the antibiotics do it’s part.
And I am happy taking him home already but I am worried how he is going to be at home but I know he would be more comfortable. I hope this message helps and I would like to hear more experiences. I hope second chemo he won’t be bad like the first one plus he going to be home this time.

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@edgar23 Is your husband home now? Did you get support from the hospital, like a home care nurse? Is he doing better now that he’s home? Write down any questions or issues that come up so you can ask the doctor or nurse.
Can you get some neighbors/friends or family members to help>

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