Rant- Irinotecan and the inevitable finally happened

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KElizabeth
Posts: 400
Joined: Sat Oct 31, 2015 12:41 pm
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Location: Omaha

Rant- Irinotecan and the inevitable finally happened

Postby KElizabeth » Tue Feb 07, 2017 1:38 pm

:evil:
It was just a matter of time unfortunately, so I can't be too surprised but I finally did my pants in at work. I made it into the woman's locker room and almost onto the toilet so it could have been much worse. I made it out of the facility with without embarrassing myself, but it was really an ordeal to clean up myself and the bathroom before the hourly workers filled the lunchroom which would have trapped me in the locker room for an hour.
I am going to learn my lesson here and stock my locker with extra undies and pants so there will be less chance for a walk of shame in the future.

If I ever say irinotecan is easy again please remind me of this and I'll shut up. :oops:
Female age 39- ,2 teens.
Colon Cancer - DX March 2013
Age 34 at DX - Stage III B
Resection surgery -May 2013
FOLFOX - June, 2013 to Sept, 2013
5FU plus leukavorin Sept, 2013 to Dec, 2013
METs liver and lungs discovered Sept, 2015
KRAS - MSS
FOLFIRI plus Avastin - Sept, 2015 - July 2017
Durvalumab and Cediranib Sept 2017 Dec 17
FOLFOX with desensitization protocol - current

DarknessEmbraced
Posts: 3817
Joined: Sat Nov 01, 2014 4:54 pm
Facebook Username: Riann Fletcher
Location: New Brunswick, Canada

Re: Rant- Irinotecan and the inevitable finally happened

Postby DarknessEmbraced » Tue Feb 07, 2017 3:05 pm

I'm sorry that happened to you KElizabeth!*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! :)

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

Re: Rant- Irinotecan and the inevitable finally happened

Postby Pita » Tue Feb 07, 2017 3:58 pm

So sorry that happened to you! My worst occasion was once when family and I were out walking and even though I didn't have an ice cream, I made a mess in the shoppe's bathroom and too many times to count at home even though it's only 10 feet to the bathroom. Onc reduced Irantothecan and haven't had very many major issues since. He said the difference wasn't huge as far as treatment but better then me losing so much from my body, becoming dehydrated and losing weight at 115 is not good. Perhaps have a small reduction?
Best wishes, hugs and prayers to you...
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

recruiter
Posts: 82
Joined: Thu Feb 11, 2016 12:01 pm
Facebook Username: Bill Wilson

Re: Rant- Irinotecan and the inevitable finally happened

Postby recruiter » Tue Feb 07, 2017 4:19 pm

They don't jokingly call it "I run to the can" for nothing, unfortunately.

It happened to me, too. Total, EF-5 destruction. So now, I carry a backpack everywhere I go filled with emergency supplies - pants, underwear, wipes, paper towels, etc.

If I need to be away from a toilet for any length of time, I take one Immodium - which screws up my system for a couple of days and produces hard stools that savage my rectal tumor. It's not a great system.

And sorry to say, I avoid going anywhere I can't take it - which has been a major, major negative in my life as someone who loves sporting events.
DX Stage 4 2/16 with lung mets
4/16 CT, PET show "marked improvement" in size and number of lung mets, rectal tumor.
8/16 "Great report" from scans, lung mets continue to shrink in size and number, CEA 1.6, cancer "in remission" but surgeon believes tumor remains too large.
10/16 Xrays for constipation problems reveal tumor occupies 25 percent of rectal canal: Occupied 80 percent upon diagnosis 2/16
12/16 Back on Avastin; tumor can be removed, but need better margins.

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

Re: Rant- Irinotecan and the inevitable finally happened

Postby Pita » Tue Feb 07, 2017 6:41 pm

I do exactly as you do Recruiter backpack everywhere. Still waiting for 1 immoduim to let loose from 3 days ago. :roll: oxo
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

KElizabeth
Posts: 400
Joined: Sat Oct 31, 2015 12:41 pm
Facebook Username: KElizabeth
Location: Omaha

Re: Rant- Irinotecan and the inevitable finally happened

Postby KElizabeth » Tue Feb 07, 2017 9:02 pm

Pita wrote:I do exactly as you do Recruiter backpack everywhere. Still waiting for 1 immoduim to let loose from 3 days ago. :roll: oxo


The backpack is a good idea.
I don't have the same problem with imodium. I can take ten and still no help. It never stops me up. I think it does help with ther cramping though.
Female age 39- ,2 teens.
Colon Cancer - DX March 2013
Age 34 at DX - Stage III B
Resection surgery -May 2013
FOLFOX - June, 2013 to Sept, 2013
5FU plus leukavorin Sept, 2013 to Dec, 2013
METs liver and lungs discovered Sept, 2015
KRAS - MSS
FOLFIRI plus Avastin - Sept, 2015 - July 2017
Durvalumab and Cediranib Sept 2017 Dec 17
FOLFOX with desensitization protocol - current

recruiter
Posts: 82
Joined: Thu Feb 11, 2016 12:01 pm
Facebook Username: Bill Wilson

Re: Rant- Irinotecan and the inevitable finally happened

Postby recruiter » Wed Feb 08, 2017 11:52 am

I am sorry to hear that. Immodium brings me to a screeching halt - and a couple of days later causes me to screech in pain because of hard stools. I'm going to the eye doc today, and I'm trying to figure out if I feel well enough to gamble.

It's a difficult thing, living in fear of the next big accident. My surgeon complained that operating on me would be "life-changing." I told him, "You don't think my life has been changed negatively already?"
DX Stage 4 2/16 with lung mets
4/16 CT, PET show "marked improvement" in size and number of lung mets, rectal tumor.
8/16 "Great report" from scans, lung mets continue to shrink in size and number, CEA 1.6, cancer "in remission" but surgeon believes tumor remains too large.
10/16 Xrays for constipation problems reveal tumor occupies 25 percent of rectal canal: Occupied 80 percent upon diagnosis 2/16
12/16 Back on Avastin; tumor can be removed, but need better margins.

KElizabeth
Posts: 400
Joined: Sat Oct 31, 2015 12:41 pm
Facebook Username: KElizabeth
Location: Omaha

Re: Rant- Irinotecan and the inevitable finally happened

Postby KElizabeth » Wed Feb 08, 2017 7:11 pm

recruiter wrote:
It's a difficult thing, living in fear of the next big accident. My surgeon complained that operating on me would be "life-changing." I told him, "You don't think my life has been changed negatively already?"


Exactly. Colon cancer is very unglamorous. I can't even hold a fart in anymore. They say never trust a farther, but trust one or not they are coming out. People always say what a trooper I am because they don't hear me complaining. They don't hear me complain because I know they don't want to hear how I had to clean the bathroom at 2AM naked when the blitzkrieg hit before I made it all the way down to the toilet. They don't want to hear much of it really. I just tell them it's getting better and I hope it is.
Female age 39- ,2 teens.
Colon Cancer - DX March 2013
Age 34 at DX - Stage III B
Resection surgery -May 2013
FOLFOX - June, 2013 to Sept, 2013
5FU plus leukavorin Sept, 2013 to Dec, 2013
METs liver and lungs discovered Sept, 2015
KRAS - MSS
FOLFIRI plus Avastin - Sept, 2015 - July 2017
Durvalumab and Cediranib Sept 2017 Dec 17
FOLFOX with desensitization protocol - current

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GreenLakeGirl
Posts: 777
Joined: Mon Jan 18, 2010 5:55 am
Location: Pacific NW

Re: Rant- Irinotecan and the inevitable finally happened

Postby GreenLakeGirl » Wed Feb 08, 2017 8:42 pm

For those of you who struggle with Imodium, you might ask your doctor about Lomotil. It's also an anti-diarrheal med, but I find it's much easier on my guts, and I don't have the pain and cramping I got on Imodium.
2009, age 37 with a 2yo: CC, IIIB (T4N1M0). IBD history
2010-11: FOLFOX, 12 rounds. 5 surgeries (3-step Ileal j-pouch, infection, VATS)
Currently NED.
Mom, you can go the hard way if you want, but the easy way is much easier. ~my 3yo

recruiter
Posts: 82
Joined: Thu Feb 11, 2016 12:01 pm
Facebook Username: Bill Wilson

Re: Rant- Irinotecan and the inevitable finally happened

Postby recruiter » Fri Feb 10, 2017 9:22 am

KElizabeth wrote:
recruiter wrote:
It's a difficult thing, living in fear of the next big accident. My surgeon complained that operating on me would be "life-changing." I told him, "You don't think my life has been changed negatively already?"


Exactly. Colon cancer is very unglamorous. I can't even hold a fart in anymore. They say never trust a farther, but trust one or not they are coming out. People always say what a trooper I am because they don't hear me complaining. They don't hear me complain because I know they don't want to hear how I had to clean the bathroom at 2AM naked when the blitzkrieg hit before I made it all the way down to the toilet. They don't want to hear much of it really. I just tell them it's getting better and I hope it is.


That's exactly right, and it makes it very difficult - and at times impossible - to plan on going out.

As with my backpack, I have my bathroom disaster kit as well - a Swifter, enough paper towels to side my house, Lysol, Clorox.
DX Stage 4 2/16 with lung mets
4/16 CT, PET show "marked improvement" in size and number of lung mets, rectal tumor.
8/16 "Great report" from scans, lung mets continue to shrink in size and number, CEA 1.6, cancer "in remission" but surgeon believes tumor remains too large.
10/16 Xrays for constipation problems reveal tumor occupies 25 percent of rectal canal: Occupied 80 percent upon diagnosis 2/16
12/16 Back on Avastin; tumor can be removed, but need better margins.

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

Re: Rant- Irinotecan and the inevitable finally happened

Postby Pita » Fri Feb 10, 2017 8:38 pm

recruiter wrote:As with my backpack, I have my bathroom disaster kit as well - a Swifter, enough paper towels to side my house, Lysol, Clorox.

When I dont make it to the toilet it's usually within inches of it and I bought some of those pads you put under yourself in bed or wherever. They have really helped with minimal cleanup. haha I'll cover the whole floor with them then I'll side my house with them too. :lol:

Saw Colorectal Surgeon last week, no LARS for me. Since Immodium works so good for me, he suggested 1/2 Immodium in morning, early dinner and then prune juice. Will start it soon. Also he said it's been 6+ months since surgery and I will never be without bathroom issues as long as I'm on chemo.
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

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MikeManess
Posts: 90
Joined: Fri Apr 01, 2016 3:56 pm
Location: Forney, Texas

Re: Rant- Irinotecan and the inevitable finally happened

Postby MikeManess » Sun Feb 12, 2017 8:55 pm

When I was on Folfox + Avastin I had watery diarrhea, so my doctor gave me Tincture of Opium, also known as Ladanum. It did the trick.

\Now that I'm on Folfiri + Avastin, I've found it also helps tremendously. Stool is still loose, urgency is there, but only one time per day instead of multiple times. I have the option of taking more doses than 1 per day, but so far it's under control.

By the way, Tincture of Opium is extremely bitter tasting, and I don't get a feeling of being medicated,
3/11/16 Colonoscopy - 9 benign polyps, 1 large cancerous tumor in right ascending colon
4/19/16 Right colectomy
6/3/16 Two liver spots detected, added Avastin to Folfox
12/20/16 Liver surgery. Pathology shows no active cancer cells
6/7/17 Final chemo
12/5/17 Port removed
05/23/18 Liver tumor discovered in scans
04/04/19 Radiation treatment
08/15/19 Additional radiation treatment
08/21/19 NED again

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Maia
Posts: 2443
Joined: Fri Aug 24, 2012 8:00 am

Re: Rant- Irinotecan and the inevitable finally happened

Postby Maia » Mon Feb 13, 2017 4:21 am

MikeManess wrote:so my doctor gave me Tincture of Opium, also known as Ladanum.


Sometimes there is wisdom in the old methods! I like how your doctor thought of that. You're taking something with such a tradition (in literature, for example).
It's Laudanum: https://en.wikipedia.org/wiki/Laudanum : )

KElizabeth
Posts: 400
Joined: Sat Oct 31, 2015 12:41 pm
Facebook Username: KElizabeth
Location: Omaha

Re: Rant- Irinotecan and the inevitable finally happened

Postby KElizabeth » Mon Feb 13, 2017 10:30 pm

Maia wrote:Sometimes there is wisdom in the old methods! I like how your doctor thought of that. You're taking something with such a tradition (in literature, for example).
It's Laudanum: https://en.wikipedia.org/wiki/Laudanum : )

I like plant based alkaloid solutions, BUTT Alas I am allergic to morphine.
A few plant based alkaloid that I can use are pharmaceutical atropine and hyoscyamine (both from Datura (it's a particularly nasty poison so do not ingest any part of the plant)). Two doses of atropine during infusion stops the early diarrhea completely. I use Nulev or hyoscyamine to stop cramping and urgency when things get really rough, but it doesn't stop the diarrhea for me at all.
Female age 39- ,2 teens.
Colon Cancer - DX March 2013
Age 34 at DX - Stage III B
Resection surgery -May 2013
FOLFOX - June, 2013 to Sept, 2013
5FU plus leukavorin Sept, 2013 to Dec, 2013
METs liver and lungs discovered Sept, 2015
KRAS - MSS
FOLFIRI plus Avastin - Sept, 2015 - July 2017
Durvalumab and Cediranib Sept 2017 Dec 17
FOLFOX with desensitization protocol - current


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