questions on ascites

Hi,
Base on the info. you provided,the age factor 55 is on your dad’s side. However, I do not think liver transplant is an option anymore (based on Mayo’s criteria). Resection or surgery may not be choices either because of the lymph node involvement,but you can ask the doctors during 2nd opinions on surgical consult.

Liver cirrhosis will not exclude or prevent your dad to have chemotherapy like GEM/CIS;but GEMOX is a better choice due to less side effects on the kidney and hepatic toxicity.. Molecularly targeted drugs like sorafenib is another choices.But the preexisted health condition of your father will complicate the treatment (ie: cirrhosis patient makes it more difficult to clear drugs like sorafenib and other drugs like Xeloda due to hepatic metabolism..)

In addition, liver decompansation do occur in in chronic cirrhosis patients who have the disease for a long time and ascites is a problem as well as portal hypertension due to the back up of fluids in the lymphatic system.

Therefore acsites should be treated as well.
God bless.

hi dr.princess (cute name)….I am sorry to hear of your Dad’s problems. With the information given I am not able to respond, but the time you will receive this message most likely you’r Dad will be meeting with the physician. Please, come back to us after the visit. I am sure that you will have more information to share with us and gladly I we will try to help you with your questions.
All my best wishes,
Marion

Hi,
Please if,you can ,tell me when your dad was diagnosis?and where is the tumor located? And how many spots? Did he got the RFA done or still in question?
Did you dad also has cirrhosis in addition to cholangiocarcinoma?
How old is your dad and his current health condition ?I will check back in tonite and will answer your question .BTW, where you dad got treatment?
I am only a patient like your dad and not a doctor.
God bless.

Hello everyone , I am new member here , my father just diagnosed with peripheral intrahepatic CC , I have a question about Ascites
My dad has developed ascites before RFA , the doctor said that because of portal hypertension … we have an appointment with the oncologist tomorrow , I am afraid that he could say that my dad contraindicated with chemotherapy because of liver cirrhosis , any idea about that ????

God bless u all

Bob…..our bodies are comprised of protein so it makes sense to increase the intake.
My bigger concern though is the swelling in the abdomen and the pain Sheila is experiencing and for that I would speak with the physician immediately.
There is a procedure called paracentesis which can be used to remove fluid that has accumulated in the abdominal cavity (peritoneal fluid) for a condition called ascites.
As Lainy has mentioned the search function will lead you to numerous discussions on this subject. You will notice that this is not an uncommon condition for CC patients and that the majority of patients benefit from this treatment.
Please, make that call to the physician.
All my best wishes,
Marion

Hi Bob,

My doctors have always wanted to me eat as much protein as possible. I don’t remember anything being said about protein helping with ascites. Lasix worked best for me.

Betsy