← Return to Started chemo for pancreatic cancer and already want to quit

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@amyjom

Hi, I read your post and had some questions, my mom is starting Chemo next week, she is 83 years old and the Dr. did not stage her pancreatic cancer because she also has a mass in her kidney. We are trying to get everything ready for her first treatment and wanted to get advice on what worked best as far as cleaning up if she has vomiting and diarrhea. Any helpful suggestions as my Dad 85 will be her main caregiver and we will support them on the weekends unless one of us kids needs to come over and help care for her full time. We live about 2 hours away.

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Replies to "Hi, I read your post and had some questions, my mom is starting Chemo next week,..."

I'm not @margefromwi, but here are some ideas. Re nausea and vomiting, make sure that your mom has prescriptions for medication and knows how to take them. I was prescribed Zofran and Compazine, which I was told I could alternate every four hours, and also dexamethasone. I have always kept a trash can with a plastic liner bag near me in case I suddenly got sick. The bag can be bundled up and thrown out without much mess. I also kept a roll of paper towels nearby.

Re diarrhea, I keep adult pullups on hand and wear them when I feel dicey. You didn't mention what meds your mom will be getting. I don't know anything about the Gemzar/Abraxane regimen, but with modified Folfirinox, the irinotecan will cause diarrhea. (The med's nickname is "I ran to the can.") I get atropine during chemo and was prescribed Lomotil and Imodium to alternate for diarrhea, so again, make sure she has medications and knows how to take them. You might want to get some baby wipes for easy cleanup.

I hope that helps. Good luck to your parents and your family! I hope all goes well.

Hi, @amyjom. I hope that your mother tolerates treatment well, and that the entire family does well during this stressful time.

Some ideas about dealing with nausea, and about diet:
— My Rx were generic Zofran and generic Phenergan, alternated. Other people have mentioned Compazine and olanzapine.
— Having a little something in my stomach 1st thing, and throughout the day, often helped: two bites of plain white bread, saltines, or matzoh.
— Eating a bite of candied ginger helped, as did sucking on a wintergreen-flavored Lifesaver.
— Ensure Clear is like juice with added protein; I find it too sweet, so I dilute it. I preferred the apple flavor, which is hard to find (CVS and Walgreens sell the mixed-fruit variety, which I haven't tried). Adding water reduces the amt of protein per serving, of course, but for me they're just too sweet.
— The protein shake I prefer is made by Bolthouse Farms (in the refrig. section of my grocery store); it has fewer lab chemicals than Ensure et al., and I feel strongly that lab chemicals make us sick / keep us sick. I find these too sweet, too, so I dilute them with dairy milk, soy milk, or both (soy milk has a little less protein per ounce than does dairy milk; pre-illness I avoided dairy, but my diet has changed since diagnosis, in part bc my tastebuds have changed and in part bc I'm eager to get protein from anything that appeals to me).
— The dietician at my cancer center recommended that I boost my protein intake by adding powdered milk whenever possible (to mashed potatoes, to my protein shakes, to anything with a compatible flavor).
-- I craved mild foods, mostly starchy: mashed potatoes, pasta with a little butter, toasted white bread with a little butter, mild cheeses, grilled-cheese sandwiches, scrambled eggs, roast chicken (with minimal seasoning), sliced deli turkey, roasted sweet potatoes, grits (sometimes with corn, peas, and carrots), and occasionally mild lasagna. It might help to make batches of these things and divide them into single-portion stackable freezer containers (my supermarket sells own-brand rectangular stacking containers that hold 9 ounces -- they're perfect for me). If your mother doesn't want these foods now, she might want them when chemo ends and her appetite increases but she's not up to cooking. Or your father might want them now, given that he's probably not going to feel like cooking.