Is ascites common

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midlifemom
Posts: 1358
Joined: Wed Jan 15, 2014 10:58 am
Location: NJ

Is ascites common

Postby midlifemom » Sun Sep 18, 2016 9:36 pm

Is ascites common with crc?
Do many folks need an external drain? Or just go to hosp when need to be drained?

How do you know when you need it drained?

Any other info on this greatly appreciated.
Stage 3 cc - dx Jan '14 age 53, cea 2.9
t2n2m0, KRAS mutant, MSS
Folfox Feb - Aug '14
Nov '14 cea 27.7 -2 liver masses
Dec '14 left lobectomy and HAI
Jan '15 FUDR and FOLFIRI
Aug '15 fudr done, liver clear, add avastin for lungs. Cea 4.3
Feb '16 CEA rising
May '16 2 wk break then drop Iri for 6 weeks.
Jul '16 cancer grew, constricted main bile duct. Stent inserted. On break till jaundice clears. CEA climbing. Doing reduced Folfox. Allergic to Oxali.
Sep'16 chemo failed. Trial or hospice?

Lee
Posts: 6207
Joined: Sun Apr 16, 2006 4:09 pm

Re: Is ascites common

Postby Lee » Sun Sep 18, 2016 9:56 pm

Yes it can happen. Yes they can drain it. Hope others with more knowledge than me will come along. Do you think you have it? If yes, call your Dr 1st thing tomorrow morn.

(((HUGS))

Lee
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 16 years and counting!

Willow.NZ
Posts: 176
Joined: Sun Mar 08, 2015 3:05 am

Re: Is ascites common

Postby Willow.NZ » Mon Sep 19, 2016 3:54 am

I'm sorry that things sound like they may not be progressing well for you. My Dad had ascites & the palliative team discussed drainage only if become severe. His ascites was only evident in the last 2 weeks of life and did not require drainage. Are you at a point of considering whether to Continue chemo or not? My thoughts are with you as I know you have endured so much.
Dad diagnosed Sept 14 Stage IV. Age 57yrs. Transverse colon - spread to Retroperitoneal, Mesenteric & Supraclavicular lymph nodes. Folfiri commenced Sept 14.
April 15 - Bowel resection
August 15, stable scan
Feb 16 - No signs of cancer on scan...stop chemo & scan in 3 month
Scan April 16, Crazy growth to stomach, lymph nodes & multiple mets to liver. Commencing Folfox.
August: chemo not working. Stopped treatment.
September 3rd 2016 peacefully left this earth.

DarknessEmbraced
Posts: 3817
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Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Is ascites common

Postby DarknessEmbraced » Mon Sep 19, 2016 8:07 am

I'm sorry you are dealing with this!*hugs* I hope you were able to get a hold of your doctor!*hugs* Hope you feel better soon!*hugs*
Diagnosed 10/28/14, age 36
Colon Resection 11/20/14, LAR (no illeo)
Stage 2a colon cancer, T3NOMO
Lymph-vascular invasion undetermined
0/22 lymph nodes
No chemo, no radiation
Clear Colonoscopy 04/29/15
NED 10/20/15
Ischemic Colitis 01/21/16
NED 11/10/16
CT Scan moved up due to high CEA 08/21/17
NED 09/25/17
NED 12/21/18
Clear colonoscopy 09/23/19
Clear 5 year scans 11/21/19- Considered cured! :)

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exaussie
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Location: Silverton OR
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Re: Is ascites common

Postby exaussie » Mon Sep 19, 2016 2:56 pm

Call your Dr asap. Cause needs to be found. Hugs and warm thoughts to you
DS 26 yrs old diagnosed 6/13 T3N2aM1b
Resection 6/13
6 rounds chemo folfax
12/13 Fissure
hernia surgery 12/13
5 months break
Maintenance chemo 3/14
Crazy growth. Liver failing. Folfox and vectibex 7-29-14
Chemo failure Hospice 8/26
Left us 8/28

jortego128
Posts: 288
Joined: Sat Aug 15, 2015 7:47 am

Re: Is ascites common

Postby jortego128 » Mon Sep 19, 2016 3:38 pm

We dealt with ascites with my mom. As far as anybody knew, it was from her liver involvement. Malignant ascites of the abdomen is very commonly associated with significant liver involvement. She was dx'd in June, and had visible abdominal swelling by mid to late October. It was not painful, but uncomfortable, because untreated you can swell to the point you appear to be 6+months pregnant and it puts pressure on your stomach, intestines and lungs.

The procedure to drain is called paracentesis and is a relatively simple outpatient procedure. At my moms first paracentesis procedure the doctor drained approximately 5 liters of ascites fluid from her abdomen (For reference, this is about 20 lbs, its a lot). The next two or so they also drained 3 to 4 liters. The fluid is a clear, I'd say lemon yellow color fluid.

This is OK, until your ascites becomes advanced and fills your abdomen too often. In the last few months of her life her ascites would need draining every two weeks or less. At that point it become more than just an annoyance--it was another burden, and in my experienced opinion, at that point a permanent drainage catheter that you can drain at home is a much better option . Even the catheter installation was an outpatient procedure. I believe she had about 3 outpatient paracentesis procedures before we opted for the drainage catheter.




My mom used the PleurX system seen below and I must say I have a good opinion of it. Easy to use, effective, and safe.

http://www.carefusion.com/our-products/ ... age-system

Things you can do to help slow the ascites include limiting your sodium (salt) intake and taking diuretic medication. This may help slow, but not stop, the ascites.


Please feel free to ask me here or PM me any more questions as I have personal experience with this as my moms caregiver.

Josh
DM 57 yrs old dx 6/8/15 T:4a N:1b M:1
KRAS G12D and TP53 C242fs mutations
Poorly Differentiated, Prominent Signet Ring Component(~50%)
Microsatellite Stable, 3 of (13)lymph nodes positive
15 Liver mets, largest 3.2 cm
Prim. Resection, Right Hemicolectomy 6/21/15
Start Chemo 7/20/15
2 rounds FOLFOX, 1 round FOLFOX +Avastin
CT 8/28/15, met growth, largest 4.5cm
4 rounds FOLFOX+Avastin
CT 11/06/15 mets stable, lungs clear
Begin FOLFIRI+Avastin 11/17/15, Stop chemo 1/26/16
Entered Paradise 3/11/2016

mariane
Posts: 704
Joined: Sun Sep 13, 2015 6:16 pm

Re: Is ascites common

Postby mariane » Mon Sep 19, 2016 5:30 pm

I am very very sorry. Sending prayers
Last edited by mariane on Fri Nov 18, 2016 9:28 pm, edited 1 time in total.
mom of now 14 years old twins, dx @ 40 in 6/2015 with upper rectal cancer, 10+ liver mets, CEA 140
chemo: 8/2015 - 10/2016 - 4xFOLFIRINOX, 2xFOLFOX, 8xFOLFIRI, 10x5FU, HAI pump -12xFUDR
4 surgeries, complete pathological response
CEA<2 since 10/2015
NED since May 2016

I praise God for every day with my family!

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exaussie
Posts: 618
Joined: Sun Jan 19, 2014 1:19 am
Location: Silverton OR
Contact:

Re: Is ascites common

Postby exaussie » Wed Sep 21, 2016 3:56 pm

I hope you got the drs to make a plan for you.
Best wishes for your health
DS 26 yrs old diagnosed 6/13 T3N2aM1b
Resection 6/13
6 rounds chemo folfax
12/13 Fissure
hernia surgery 12/13
5 months break
Maintenance chemo 3/14
Crazy growth. Liver failing. Folfox and vectibex 7-29-14
Chemo failure Hospice 8/26
Left us 8/28

mariane
Posts: 704
Joined: Sun Sep 13, 2015 6:16 pm

Re: Is ascites common

Postby mariane » Wed Sep 21, 2016 8:27 pm

Midlifemom,

Thinking about you all the time and praying for you.
Last edited by mariane on Fri Nov 18, 2016 9:27 pm, edited 1 time in total.
mom of now 14 years old twins, dx @ 40 in 6/2015 with upper rectal cancer, 10+ liver mets, CEA 140
chemo: 8/2015 - 10/2016 - 4xFOLFIRINOX, 2xFOLFOX, 8xFOLFIRI, 10x5FU, HAI pump -12xFUDR
4 surgeries, complete pathological response
CEA<2 since 10/2015
NED since May 2016

I praise God for every day with my family!

michellecairn
Posts: 80
Joined: Wed Dec 23, 2015 7:09 pm
Facebook Username: Michelle Pulera
Location: Kenosha, Wisconsin

Re: Is ascites common

Postby michellecairn » Fri Sep 23, 2016 12:35 pm

jortego128 wrote:It was not painful, but uncomfortable, because untreated you can swell to the point you appear to be 6+months pregnant and it puts pressure on your stomach, intestines and lungs.


Jortego128 is right about acites being uncomfortable. I have had it since my dx, and it's gotten worse with time.

I do look somewhere between 6-9 months pregnant. I have not worn a pair of jeans or normal pants in just about a year. I live in yoga pants and sweatpants. I actually have 1 pair of maternity pants, and a few maternity shorts that I'd rather wear.

I do not have any liver involvement, but I do have perinoteal carcinomatos, so I'm told that is the cause of my ascites. I haven't been given an option to have it drained at all. The reasoning is that it will just come back.

I'm actually afraid of what I would look like if it was drained as I've lost so much weight that I am 10 pounds away from my lowest weight ever.

Right before my dx, my ascites was drained only because my OBGYN was doing a laproscoptic procedure on me because he thought I had residual blood clots in my abdomen - not cancer. My ascites wasn't nearly as bad as it is at the moment, but I did get great relief at the time. It honestly didn't last long though. So I just add this to the list of side effects I've got and soldier on.

Best wishes to everyone!
Age: 39(38 at dx), married, mom of 2
Stage IV
DX: 10-7-15 colon cancer (signet ring cell)
CEA: 10-4-15: 9.5, 2-8-16: 42.5, 3-7-16: 22.6, 5-26-16: 18.8, 7-27-16: 14.3, 10-20-16: 21.1
abnormal MSH6 and BARD1
KRAS: wild type
MSI High
Lynch positive
11-16-15: 1 round Folfirinox/5FU, 5 rounds folfox/5FU , 4 with Avastin
2-8-16: Chemo not working
3-7-16: back to folfox/Avastin/5FU
3-24-16: Keytruda
2-23-17: FAILED Keytruda
3-2-17: Erbitux
3-30-17: Erbitux + Irinotecan
5-25-17: FAILED Erbitux + Irinotecan

justin case
Posts: 4269
Joined: Sun Sep 04, 2011 8:26 am
Location: Katy, Texas

Re: Is ascites common

Postby justin case » Fri Sep 23, 2016 8:34 pm

Lee wrote:Yes it can happen. Yes they can drain it. Hope others with more knowledge than me will come along. Do you think you have it? If yes, call your Dr 1st thing tomorrow morn.

(((HUGS))

Lee

This is a very serious situation, I would take Lee's advise !
7/11 diagnosed Stage 2 colon and rectal cancer
chemo/rad
lar/temp ilio
Reversal & port removal
21 round of chemo Folfox 9tx, 5fu 12 tx
Last treatment July 2012

Pita
Posts: 637
Joined: Wed Feb 10, 2016 3:48 pm
Location: So Calif

Re: Is ascites common

Postby Pita » Sat Sep 24, 2016 5:19 pm

How are you doing MLM, we haven't heard from you for awhile? Always prayers and hugs... ox
70yo Fem DX: 1/21/2016 RC Stage IV-Nodules lungs
MSS-Kras Wild-Lynch Synd Neg-Lung Biopsy 1/27/16-Port 2/19/16
MRI 7/7/16 Endometrial polyp found, watching LAR 7/19/16, No Ileostomy, Stage ypT3 N1
CT 11/7/16: Most mets stable,1 shrunk,1 new??
CEA Tests: 1/21/16=20, 12/22/16=5.3, 1/20/17=4.8, 2/15/17=6.2
9/20/16-1/24/17 Folfuri & Avastin
#10/10 Done
PET/CT 2/10/16-1/31/17=Some shrunk & growth to 2, Avastin failing ??? :evil:
2/21/17 Folfuri & Avastin

lpas
Posts: 1010
Joined: Wed Nov 19, 2014 11:11 pm

Re: Is ascites common

Postby lpas » Tue Sep 27, 2016 1:56 pm

Thinking of you MLM, and hoping all is OK. Please check in when you can.
11/14 Dx sigmoid CC @ 45yo
12/14 Colectomy + hysterectomy
Stage IIIB, T3N1bM0, 2/20 nodes, MSS, G2, KRAS(A146T), TP53, SMAD4, ERBB2, CEA 1.0
2/15-7/15 XELOX & celecoxib
2/19 clean scope
11/19 clean CT
Ongoing cimetidine & other targeted supplements
Mom to a 6 & 8yo


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