grandee
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Posts:4
I am apparently experiencing gastroparesis, evidenced by vomiting food eaten greater than 24 hours earlier. Would it be better for me to contact the surgeon that did my chest wall resection or is it more likely the result of a hiatal hernia or other cause that would be better handled by my PCP? I am uncertain as to whether the vagus nerve could be damaged in a way to cause this while doing an upper left lobectomy. I have now had four episodes of this type of vomiting which are enormously unpleasant and last several hours before the nausea clears.
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Reply # - January 8, 2013, 08:11 AM
Reply To: Gastroparesis
Grandee's bio,
9/10/10 chest x-ray found tumor 9/13 CT Scan 9/22 Needle biopsy 9/23 PET scan Dx single NSCLC tumor 7.8 x 6.2 cm invading 1st and 2nd ribs & pectoralis no evidence of lymph involvement or metastasis, stage IIIB inoperable. Only option chemo & radiation. Started both 10/20. Did 6 chemos & 25 radiation. 1/6/11 L chestwall resection with ULectomy and removal of ribs 1 & 2. Determined to be adenocarcinoma stage IIB on surg. path. June & Sept '11 & Jan '12 PET were NED Next scan May '12
Hi Grandee, what an awful time you're having, I'm so sorry.
I've pasted your bio above to give others a look at your past treatments and dx. You certainly want to move forward on this asap and a call to your medical oncologist would be a good first call to make to move forward toward a thorough work up.
I'll will contact a doctor for comment in the meantime. You should hear back from us within the day. I hope you will have information from your oncologist's office by then as well.
All best,
Janine
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Reply # - January 8, 2013, 02:41 PM
Reply To: Gastroparesis
Thank you Janine. Haven't we all been through the ringer?
I do not trust my oncologist. He insisted I was inoperable right up until I had the surgery, so if he doesn't know any more than that I'm sure he wouldn;t have any idea about this, He is still shocked every time he sees me - that I survived the surgery. My PCP is the one that refered me to the surgeon, he will at least check with another doctor before telling me there is no hope.
I think I will call the surgeon's office tomorrow (problem is he is 200 miles away and it is hard for me to get there). I am scheduled to see the surgeon again in April. I see him more often than I do my oncologist anyway.
Grandee
Reply # - January 8, 2013, 04:46 PM
Reply To: Gastroparesis
Grandee, see if your surgeon can recommend you to a local surgeon or palliative doctor. Wishing you the best. Take care, Judy
Reply # - January 8, 2013, 09:31 PM
Reply To: Gastroparesis
Gastroparesis is really outside of the realm of a cancer doc's management in most cases, so it's not something we'd be able to provide any real expertise on. Perhaps the surgeon will have some suggestions, but we'd often seek input from a GI specialist on any recommendations on how to manage this...Chances are good that the surgeon and also a PCP won't be able to offer many suggestions, I'm sorry to say. Gastroparesis can be hard to manage, but the options depend on the specific case and probable cause for a particular person.
Good luck.
-Dr. West