Hello
I read a fair bit on here but post rarely. I had IL Surgery November last year followed by a further four sessions of FLOT, these were reduced due to much worse adverse effects I suffered particularly with Oxaliplatin, and this drug was discontinued completely after the second post op chemo session. There were some delays with the chemo due to chest infections and pneumonia.
I seem on the whole to have made a good recovery so far, I suffer diarrhea constantly however. The dietician seems to think this is because my pancreas is out of synch with the rest of my digestive system. She told me a month ago she would write to my GP suggesting I be prescribed some enzymes to take with all food intake/ milky drinks etc., was copying me into this. I haven't heard anything yet. I have experienced dumping syndrome especially when I ate too much or had too spicy foods. Dietician said I have double malabsorption once because of the IL Surgery and second because of the lack of my plumbing working in tandom, she is concerned I may need additional supplements.
Since chemo finished in March I have had a telephone appointment with the Surgeon who said he might send me for a scan prior to seeing him face to face in July. This has now been pushed back to August. I have monthly telephone appointments with dieticians- a different person each time, all tell me that I am doing well and to continue as I am, to start building up towards returning to work in November/ December.
To build exercise I try to garden/ go to the allotment daily, spending three or four hours digging, planting or general tasks. I do walk around 8-13,000 steps per day. I do however tire much more easily and I try not to nap as this then messes around with my sleep at night, which has to be with a wedge pillow as I can only get a couple hpurs if laid flat.
The Surgeon and my GP have told me that I need to continue with pain relief medications as the operation is in recovery terms a short while ago. I have also been told any return to work must be slowly phased and if possible to return part time- an option as I do have a pension income, although I do need to work as this alone is not enough to manage on until I hit state pension age.
Sorry for the long winded build up. My questions to others-
1) Does anyone else feel they are alone with their family with this seeming lack of communication with their treating team?
2) My concern is that the cancer has not been removed/ treated successfully as no one has said it has gone, there has been no follow up scans or tests- is this normal?
3) I do suffer pain around where the scars are and where the ribs (two) were broken but I seem to manage well with a couple of Paracetamol and feel I can live with discomfort rather than take oral morphine (which I forget to take) or start gabapentin, I can live with numbness/ tingling sensation to my chest. Is this normal or should I just keep taking the pain relief?
4) Does anyone else suffer diarrhea daily?
Thank you in advance for any replies, I think I must try to go back to bed as it's 5am again!
Laddo
Hi Laddo. From what you say regarding the digestive symptoms then this is normal and many of us on this site are taking Nutrizym or Creon. The GI nurse should be able to prescribe this for you from the hospital pharmacy so I suggest you speak directly to her/him and then long term get it added to your GP prescription. I am 3 years post surgery and still take it occasionally. The rib pain numbness will possibly hang around for a long time maybe many months but will gradually subside but I still can feel it at times even now! I guess it could be more of a problem for anyone doing physical work. I have great sympathy for you if you must return to work as I did not have to face this problem during what is a necessary long recovery period. The back up from the hospital medical teams after discharge does seem to be a bit of a postcode lottery according to various contributor comments on this site but I can only say that mine have been superb and I am very sorry that you feel you are not getting this level of support in your NHS area. I can only suggest that if you have any concerns about further tests/scans then you push hard for it. I know that this is easy for me to say as I am fortunate enough to be pushing against an open door whilst you are obviously having difficulties with your situation with the medical team. I hope all goes well for you.
Hi
My husband is three and a half years post surgery .His follow up appointments in the past three years have been Upper GI clinic appointments every three months in the first year and six monthly telephone appointments in the second and third years .However on three separate occasions he reported new symptoms and each time he had a CT scan and face to face clinic appointments Fortunately none of the symptoms were cancer related .
.So I have to say at The Salford Royal Hospital the aftercare is reliable and supportive .We can also phone his specialist nurse at anytime for advice etc .
My husband hasn’t been told yet that he’s been cured .We were told it would be five years until he is deemed as cured .All we are told is ‘Alls looking good ‘
He had a two part Ivor Lewis minimally invasive / robotic surgery .He had an epidural for five days after surgery and came home with paracetamol as his pain was minimal .He has just one small incision in his side , he says this area is completely numb .We've just assumed it’s nerve damage .Unfortunately other nerve damage sustained during the surgery has rendered him unable to feel hungry or thirsty .So eating and drinking has become more medicinal than enjoyable .He was informed pre surgery that this could happen .
He can sometimes experience diarrhoea but not everyday .Dumpings can still occur if he drinks whilst eating or over exerts himself .So the advice we were given was not to drink until 30-40 mins after eating and the same before eating .
It’s certainly life changing ! Lots of adapting and accepting the life long changes .Of course it can differ with each person and this is just his aftermath .
My advice would be to contact your Specialist nurse at the hospital you’re under .I’m sure they’d be happy to answer all your questions.and put your mind at ease .
Regards
J
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