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

I am 75 yr old and I have recently discover that I have pancreatic cancer . Because of my age I want to go for an easier treatment like targetted treatment for cancer which doesnot include needles and surgery and chemo

Female | 75

I have frequent stomach pain which is one of the early symptoms of Colon cancer. Please guide me with what I need to do.

What is moderately differentiated squamous cell carcinoma lung? What are the treatment options?

Male | 37

my mother is 71 years old diagnosed with uterus cancer. her surgery has been done and now we want to take guidelines what next we need to do

Female | 71

Hi doctor I'm poojashree...one of my friend has a stomach cancer...in the 2nd stage...it's curable...what we have to do for it...

Male | 23

I m 21 years old female my left nipples always cracks and peels out and little blood flesh which has come out of nipples is seen I m very tensed I have consulated two doctors they oitment is still thing from three years

Female | 21

Hello, I wanted to ask can Pancreas be transplanted and can it increase the survival rate of the patient?

Hello, I am experiencing some symptoms of Prostate Cancer. Is there any way to check if you have prostate cancer or not without visiting a hospital?

Hello, I am looking for a treatment to cure my Advance Gallbladder cancer completely. Please suggest to me the same.

. Heterogeneous Soft Tissue Nodule in the Right Lower Lobe (RLL) Size: 14 x 8 mm This nodule is described as heterogeneously enhancing, which suggests it may have varying levels of blood flow or different tissue densities within it. This could be indicative of a tumor. 2. Air Space Opacification in the Right Upper Lobe (RUL) Finding: There is patchy air space opacification with interlobular septal thickening in the posterior segment of RUL. This could represent infection, inflammation, or more concerningly, metastatic disease or lung cancer causing these changes. 3. Left-sided Pleural Effusion and Subsegmental Atelectasis Pleural Effusion: Mild left-sided pleural effusion is noted. Pleural effusion can occur in the context of metastatic disease or cancer. Atelectasis: This refers to partial lung collapse, which may occur when there is a mass obstructing the airflow or due to pleural fluid. 4. Enlarged Mediastinal and Hilar Lymph Nodes Lymphadenopathy: There are multiple enlarged and necrotic lymph nodes, most notably in the right hilar region, with the largest measuring 35 x 25 mm. Enlargement and necrosis of lymph nodes can be a sign of metastatic spread. The presence of enlarged lymph nodes in the mediastinum and hilum is typical of malignancy spreading beyond the primary lung site. 5. Liver Lesion Size: 14 x 13 mm lesion in the right hepatic lobe, which is well-defined and peripherally enhancing. A hypodense lesion could indicate a metastatic tumor, especially since it shows peripheral enhancement, a characteristic of some types of metastases. 6. Skeletal Lesions Multiple Lesions: There are mixed lytic and sclerotic bony lesions, some with soft tissue components. These lesions involve the vertebrae, ribs, glenoids, sternum, sacral ala, iliac bones, and femur. Soft Tissue Components: Some of the lesions, such as those in the ribs and iliac bones, have a soft tissue component, which suggests more advanced involvement, possibly indicating metastases. 7. Other Findings: No signs of emphysema, bronchiectasis, or pneumothorax were noted, which is reassuring as it reduces the likelihood of certain types of lung diseases. The liver, spleen, pancreas, kidneys, urinary bladder, and prostate all appear normal on imaging, which helps to rule out major issues in these organs. Impression: The findings of a heterogeneously enhancing solitary pulmonary nodule in the right lung, with associated hilar and mediastinal lymphadenopathy, along with a hepatic lesion and extensive skeletal involvement (with mixed lytic and sclerotic lesions), strongly raise concern for metastatic disease, most likely originating from the lung. The primary lung cancer is a potential consideration, though other primary sites are also possible. Next Steps: Histopathological correlation: This means a biopsy or tissue sample should be taken from one of the lesions (pulmonary, hepatic, or bone) to confirm whether the lesions are malignant and, if so, to identify the type of cancer. This will help determine the best course of treatment. The overall picture suggests a metastatic malignancy, likely of pulmonary origin, but further investigations and biopsy are essential to establish a definitive diagnosis and treatment plan.

Male | 58