Asked for Female | 68 Years

Can I Safely Manage Stage 4 Cervical Cancer Symptoms at Home?

Patient's Query

Hello Doctor, good evening. I am Lokesh, and I am taking care of my grandmother at home. She has stage 4 cervical cancer, and we are currently focusing on palliative care. Unfortunately, we do not have regular access to a nearby doctor or hospital, so I’m managing everything myself at home. I’m doing my best to support her with love, comfort, and the correct medicines. She has been experiencing: Pain (sometimes mild, sometimes strong) Lack of sleep or restlessness Occasional constipation and vomiting feeling I have some medicines like: Tramadol 50 mg Paracetamol 650 mg Lorazepam 1 mg Pan 40 Ondansetron 4 mg Lactulose syrup Based on her condition, I would like to know: 1. When and how to use Tramadol or Paracetamol for pain. Can they be used together? 2. Is Lorazepam safe to give daily? Should I reduce it slowly if I stop? 3. What are the risks if I stop Tramadol or Lorazepam suddenly? 4. Can I use Ondansetron only when vomiting starts? Or daily? 5. How often should I give Lactulose syrup if there’s no bowel movement? 6. Do you recommend any vitamins or supportive care for comfort or strength? 7. If she is calm and has no symptoms, can I skip some medicines? I want to provide her full comfort, dignity, and peace. Kindly guide me with the best possible medicine routine and precautions I should follow at home.

Cancer

Answered by Dr. Sridhar Susheela

You can give Tramadol and Paracetamol together if the pain is intense, but it's good to space them out a bit. Paracetamol can be used every 4-6 hours, and Tramadol can be taken every 4-6 hours as needed. Lorazepam can be used daily for anxiety or restlessness. If you ever need to stop it, it's best to reduce the dose gradually to prevent any withdrawal symptoms. Suddenly stopping Tramadol or Lorazepam can cause withdrawal symptoms like increased pain, anxiety, or even seizures. So, it's safer to taper them off slowly. Ondansetron can be used as needed when vomiting starts. It's usually taken 30 minutes before meals that could trigger nausea. Lactulose syrup can be given every 8-12 hours if there's no bowel movement. Make sure she's drinking enough fluids to help it work better. A daily multivitamin can be beneficial for overall health and strength. It's good for supporting the body during this time. If your grandmother is comfortable and symptom-free, you can skip some medicines. But always consult with an oncologist before making any changes.

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Dr. Sridhar Susheela

Oncologist

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Questions & Answers on "Cancer" (368)

Hello Doctor, good evening. I am Lokesh, and I am taking care of my grandmother at home. She has stage 4 cervical cancer, and we are currently focusing on palliative care. Unfortunately, we do not have regular access to a nearby doctor or hospital, so I’m managing everything myself at home. I’m doing my best to support her with love, comfort, and the correct medicines. She has been experiencing: Pain (sometimes mild, sometimes strong) Lack of sleep or restlessness Occasional constipation and vomiting feeling I have some medicines like: Tramadol 50 mg Paracetamol 650 mg Lorazepam 1 mg Pan 40 Ondansetron 4 mg Lactulose syrup Based on her condition, I would like to know: 1. When and how to use Tramadol or Paracetamol for pain. Can they be used together? 2. Is Lorazepam safe to give daily? Should I reduce it slowly if I stop? 3. What are the risks if I stop Tramadol or Lorazepam suddenly? 4. Can I use Ondansetron only when vomiting starts? Or daily? 5. How often should I give Lactulose syrup if there’s no bowel movement? 6. Do you recommend any vitamins or supportive care for comfort or strength? 7. If she is calm and has no symptoms, can I skip some medicines? I want to provide her full comfort, dignity, and peace. Kindly guide me with the best possible medicine routine and precautions I should follow at home.

Female | 68

You can give Tramadol and Paracetamol together if the pain is intense, but it's good to space them out a bit. Paracetamol can be used every 4-6 hours, and Tramadol can be taken every 4-6 hours as needed. Lorazepam can be used daily for anxiety or restlessness. If you ever need to stop it, it's best to reduce the dose gradually to prevent any withdrawal symptoms. Suddenly stopping Tramadol or Lorazepam can cause withdrawal symptoms like increased pain, anxiety, or even seizures. So, it's safer to taper them off slowly. Ondansetron can be used as needed when vomiting starts. It's usually taken 30 minutes before meals that could trigger nausea. Lactulose syrup can be given every 8-12 hours if there's no bowel movement. Make sure she's drinking enough fluids to help it work better. A daily multivitamin can be beneficial for overall health and strength. It's good for supporting the body during this time. If your grandmother is comfortable and symptom-free, you can skip some medicines. But always consult with an oncologist before making any changes.

Answered on 10th June '25

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My father in law is diagnosed with Oral Submucuos Fibrosis. Doctors have said this is a pre-cancerous disease. We want to do a biopsy and start treatment if biopsy shows an unfortunate positive result. We are from Guwahati, Assam. Kindly suggest where its best in India and expected cost of treatment.

Dr Rahul Maheshwari oral surgeon assam

Answered on 23rd May '24

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I’m female, 17years old. I found that there is a lump in my left armpit, it has been there fro about two years. It doesn’t hurt when untouched but can hurt alittle tiny bit when pressed on or squshed. What is it? Cancer?

Female | 17

I would suggest that you consult medical expert in the field of breast health or oncology for further diagnostics. There may be a swollen lymph node, an infection or benign growth in your left armpit and these all should not have malignancy. Don’t wait and visit your doctor immediately.

Answered on 23rd May '24

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I am suffering from squamous carcinoma near retromolar. What is the best treatment for this type cancer?

Male | 45

First Oncologist will analyze the report and depending on the stage of the cancer, If operable surgery is the treatment of choice and depending on the stage chemotherapy and radiation might also be required

Answered on 23rd May '24

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Hello, Recently my sister was diagnosed with stomach cancer.Cordailly request to tell me what should I do and where to get good treatment? Thank you

Female | 34

Kindly visit a surgical oncologist for the staging and relevant treatment. The centre for treatment depends on your location. You should visit a tertiary care cancer hospital if thats possible for you.

Answered on 5th June '24

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My father has diagnosed with liver cancer after many examinations. Since he lives in Eritrea (Africa), which hospital would you recommend me for best Liver Cancer treatment? What are the services provided to international patients?

Liver cancer patient need complete evaluation and staging for further management. In India several hospital treating liver malignancy like Aiiims, ILBS Delhi.

Answered on 23rd May '24

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Mere known mai kisi ko liver cancer ho gaya hai please btaye hum kya kr sakte hai

Male | 43

If someone you know is dealing with liver cancer, ask them to consult a specialist in liver diseases and cancers to determine the extent and stage of the cancer. Based on the diagnosis, the doctors will recommend treatment options like surgery, radiation, chemotherapy, targeted therapy, or immunotherapy. They need to focus on managing symptoms and side effects, maintain a healthy lifestyle, and consider joining support groups. Regular check-ups and collaboration with their oncologist team will be important for monitoring and managing the cancer effectively.

Answered on 23rd May '24

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Hello Sir, I am from Ludhiana. My masi had gone through breast cancer operation and chemotherapy quite a few years (7 years) back from Apollo hospital, Chennai. Since then she often falls sick (feels weak, drowsy throughout the day, bad taste) all of a sudden once in 4-6 months and then again normal. We did many tests but nothing was diagnosed and there was no sign of cancer. We want to know if it is an after effect of chemotherapy and guide how to go through with this. She is now 56.

Yes some side effects of chemotherapy following breast surgery are weakness, drowsiness and altered taste. Proper nutrition and sufficient fluid intake is of utmost importance. You need to visit oncologist for any medication for that will help her in minimizing the side effects.

Answered on 23rd May '24

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We have done many tests in TATA memorial hospital from last 13days but doctors are just taking different tests they did not prescribed any medicines they are just suggesting more tests giving appointments. So what should we do now .Reports shows the cancer yet they didn't admitted the patient .Please suggest any helpful advice

Hello,

Please send me these reports -

CBC ,CRP, LFT & PET scan

Hope that helps,

regards,

Dr sahoo (9937393521)

Answered on 23rd May '24

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Cervical cancer How much money is required to treatment

Female | 26

The treatment plan depends on the stage of treatment. I would suggest you to please consult with your reports, to understand the treatment plan and cost estimates

Answered on 26th June '24

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One of relative is suffering from jaundice and liver enlargement Is that a liver cancer or something else. They don't have money for treatment Tell me what we can do?

Further Investigation to be done under guidance of Expert Oncologist

Answered on 23rd May '24

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Sir , Do u perform colonoscopy

Female | 47

Greetings from Rid of Pain Physiotherapy

my first advice is don't go for surgery at first. go for Physiotherapy, get some best results.Because after surgery also u need physiotherapy. better u try it on priority basis. u will get result definitely, but if don't get then choose surgical maneuver only

Answered on 23rd May '24

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Hello, my mother is 44 years old. She has done USG and FNAC tests. USG report says that Fibroadenoma and FNAC report say that ductal carcinoma. What can I do to cure these? Please suggest

Hello Mithun, Surgery is the main treatment for DCIS. The most common type of breast cancer is ductal carcinoma in situ (DCIS), indicating the cancer cell growth starts in the milk ducts. The goal of therapy for DCIS is to prevent the development of invasive breast cancer. Therapeutic approaches include surgery, radiation therapy, and adjuvant endocrine therapy. Patients with DCIS undergo local treatment with breast-conserving therapy (BCT) or mastectomy. BCT consists of lumpectomy (also called breast-conserving surgery, wide excision, or partial mastectomy) followed in most cases by adjuvant radiation. Patients found to have invasive or micro-invasive disease at surgery should be managed accordingly. Although mastectomy achieves excellent long-term survival with a local recurrence rate on the order of 1 per cent, it provides overly aggressive treatment for many women. BCT has less morbidity but is associated with a higher risk of local recurrence. Hormone therapy and radiation therapy are adjuvant therapies if considered. Consult an oncologist for further guidance - Best Oncologist In India. Hope my answer helps you.

Answered on 23rd May '24

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My mom is cancer tumor can you help Yes we have the report of biofc No and is not using medicine for cancer

Female | 45

Your mother probably has a malignant tumor. She needs to see an oncologist as soon as possible. Cancer can be diagnosed by only an oncologist. Please make an appointment with any oncologist for the earliest possible availability.

Answered on 23rd May '24

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Hi, Can Immunotherapy treat all types of cancer?

Immunotherapy is a newer treatment to treat cancer along with other therapies. But it all depends on treating clinician's discretion, as treatment depends from case to case. Consult Cancer Treatment doctors in Mumbai, or any other city of your preference, get evaluated and then plan treatment under strict medical supervision. Hope our answer helps you.

Answered on 23rd May '24

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Can u cure the 1st stage of cancer

Male | 40

When we talk about cancer, early detection is the key. The 1st stage signifies that the tumors are still small and have not developed into metastasis yet. Symptoms may not be obvious, but you might notice some unusual body changes. Causes may differ, but always it is not clear why they emerge. The main solution for 1st-stage cancer is to remove or destroy the abnormal cells through treatments like surgery, radiation therapy, or chemotherapy. The end goal of these therapies is to eliminate cancer and prevent its recurrence. Timely diagnosis and treatment are the factors controlling successful acute leukemia treatment in the first stage.

Answered on 4th Sept '24

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My aunt got a tumor in the kidney in 2014 and found cancer. She was 35 at that time. Since then, she has been surviving with only the right kidney. She is a diabetic patient too. Last month diagnosed with some abnormality on her other kidney too. Though it was nothing severe and was treated with medicine. But we are worried that if the other kidney also gets affected, what are her survival chances?

Having only one kidney does not affect the quality of life to a very high extent, but any disease or disorder of the remaining kidney can be fatal and will require immediate treatment. The most important thing is such a scenario is regular follow ups with nephrologist and routine investigations such as blood tests and ultrasonography tests. This improves and also increases the chances of survivals.

Answered on 23rd May '24

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Hi, Can you tell me what are the side effects of Radiation therapy as my sister-in-law has been admitted for it?

Side effects of radiation therapy depends upon the type of cancer, its location, the radiation therapy dose, and the patient's general health. Some of the common side effects of radiation therapy are: Skin problems. The patient may have dryness, itching, blistering, or peeling. Fatigue, which is described as feeling tired or exhausted almost all the time, and others. Consult Cancer Treatment doctors in Mumbai, or any other city of convenience, and they will guide through the side effects during treatment. Hope our answer helps you.

Answered on 23rd May '24

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37 year old female who has nail-patella syndrome. Has had a kidney transplant but has failed. On home dialysis now and constantly throwing up and chronic cough. Severe fatigue and weight loss. Diagnosed with lymph node cancer recently. She needs some kind of help.

Female | 37

These troubles are likely coming from your underlying conditions and treatments. One prescription is the discuss these symptoms with your healthcare team since they might change your dialysis or medication to make you feel more comfortable. Palliative care, together with also nutrition guidance and medications for nausea and fatigue, can be quite helpful, so should be combined with supportive therapy. Furthermore, ALS patient receives a cancer certificate, so close engagement with his/her oncologist is critically important.

Answered on 19th Dec '24

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Sir my Mother age around 50 to 55 year And she has surfing pain last 2 month According to CT scan report in gall bladder cancer and it spread to liver and lymph can help me to save my mother life

Female | 50 to 55

Gallbladder cancer, especially one that has spread, can lead to severe discomfort and symptoms like abdominal pain, jaundice, or weight loss. The treatment methods could be quite different, but they commonly involve chemotherapy, targeted therapies, or palliative care to minimize the symptoms and increase the patient's quality of life. One must be acquainted with an oncologist who has a specialization in this area. They can plan her course of treatment according to her condition and needs.

Answered on 17th Dec '24

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Hello Doctor, good evening. I am Lokesh, and I am taking ca...

Can I Safely Manage Stage 4 Cervical Cancer Symptoms at Home?

Questions & Answers on "Cancer" (368)

I’m female, 17years old. I found that there is a lump in my left armpit, it has been there fro about two years. It doesn’t hurt when untouched but can hurt alittle tiny bit when pressed on or squshed. What is it? Cancer?

I am suffering from squamous carcinoma near retromolar. What is the best treatment for this type cancer?

Hello, Recently my sister was diagnosed with stomach cancer.Cordailly request to tell me what should I do and where to get good treatment? Thank you

My father has diagnosed with liver cancer after many examinations. Since he lives in Eritrea (Africa), which hospital would you recommend me for best Liver Cancer treatment? What are the services provided to international patients?

Mere known mai kisi ko liver cancer ho gaya hai please btaye hum kya kr sakte hai

Cervical cancer How much money is required to treatment

One of relative is suffering from jaundice and liver enlargement Is that a liver cancer or something else. They don't have money for treatment Tell me what we can do?

Sir , Do u perform colonoscopy

Hello, my mother is 44 years old. She has done USG and FNAC tests. USG report says that Fibroadenoma and FNAC report say that ductal carcinoma. What can I do to cure these? Please suggest

My mom is cancer tumor can you help Yes we have the report of biofc No and is not using medicine for cancer

Hi, Can Immunotherapy treat all types of cancer?

Can u cure the 1st stage of cancer

Hi, Can you tell me what are the side effects of Radiation therapy as my sister-in-law has been admitted for it?

37 year old female who has nail-patella syndrome. Has had a kidney transplant but has failed. On home dialysis now and constantly throwing up and chronic cough. Severe fatigue and weight loss. Diagnosed with lymph node cancer recently. She needs some kind of help.

Sir my Mother age around 50 to 55 year And she has surfing pain last 2 month According to CT scan report in gall bladder cancer and it spread to liver and lymph can help me to save my mother life

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