Chills and fever after APR

Please feel free to read, share your thoughts, your stories and connect with others!
mtipte
Posts: 80
Joined: Mon Dec 19, 2016 4:35 pm
Facebook Username: mario tipte
Location: Lima, Peru

Chills and fever after APR

Postby mtipte » Mon Mar 13, 2017 10:58 pm

Well, just here to update. As you can see in my signature my dear mum had APR about 2 weeks ago without complications, everything was going smoothly and she started to eat. She was discharged from clinic after a week. Now she has been experiencing chills and fever, does not want to eat and some coughs. We are in clinic again so her surgeon prescribed some antibiotics and for fever. Xrays and blood tests were taken too. A bit scared. Did anyone experience this?

Nothing seems to be easy here. In some weeks she will be under chemo to avoid recurtence as she was staged t3n1 ( 3 lymph nodes cancerous out of 26 taken).

Your prayers please.

Cheers.
Dear Mum 60 y/o
dx 09/16 RC III CEA 9
Chemo/rad 28 from 10/16 till 12/16
Xeloda
multiple lymph nodes
Adenocarcinoma low grade invasive
Now 2000 mg Xeloda for 2 weeks as maint. before surg.
24/01/17 CEA 4,9
APR surgery permanent colostomy :( 24/03/17
3/26 nodes involved -LVI - clean margins
Staged after surgery: T3N1Mx
Infection due to bladder problems. Slow recovery.
CEA 1.7 :)
Adj. Chemo Xelox 6 rounds 29/04/17
After round 3 CT Scans Clear 15/07

God is faithful. Only Jesus.

LB10
Posts: 99
Joined: Tue Mar 17, 2015 5:25 pm

Re: Chills and fever after APR

Postby LB10 » Wed Mar 15, 2017 10:32 am

Hi,
I had a similar experience. 2 weeks after my apr surgery I experienced fever and chills. I returned to the hospital. Ended up admitted for another week on IV antibiotics. They did a cat scan looking for abscess which was negative. Chest X-rays also negative. They never found a source of my infection but the surgeon said if you have a fever after surgery it's something to do with the surgery. They removed my port at that time as well, just in case, though e probability of it being a cause was extremely low.
It just took time for the antibiotics and my body to fight it off. I was quite miserable during this time. I remember thinking, how much is one person supposed to take? Eventually it passed. I hope your mom feels better soon. APR is a tough recovery as it is. Wishing her all the best.
Stage III Rectal cancer
Dx 3/14
4/14-7/14 8 rounds Folfox
8/14-9/14 Radiation/Xeloda
1/15 APR colostomy
46 yo wife & mom

Lee
Posts: 5175
Joined: Sun Apr 16, 2006 4:09 pm

Re: Chills and fever after APR

Postby Lee » Wed Mar 15, 2017 7:31 pm

Hi Mario,

I only had a fever once a few days following my surgery. It was not fun, but it did pass after a few hrs, and my bowels started gurgling. Was passing gas within 24 hrs. This is major surgery and sometimes, our bodies are happy about this surgery. Hopefully it will pass and she will be fine.

Thinking of you both,

Lee

P.S. Any chance she has the flu?
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 - 10 years and counting!

Sams wife
Posts: 749
Joined: Sun Jan 11, 2015 2:49 pm

Re: Chills and fever after APR

Postby Sams wife » Thu Mar 16, 2017 10:46 am

Not sure about fever & chills. I think he had both. But he definatley had a yellowish drainage from his incision. It took a month after surgery but pain & drainage showed up. As soon as I saw it we got onto the drs. Didn't want to end up with a wound vac & a years worth of infection. After the first round of antibiotics, there was still some drainage & pain coming back so he ended up on another antibiotic. Then onto chemo. I'm pretty sure he started on time
Husband dx 1/13/15 St.2 CEA 7.1
Chemo/25rad 2/15 till 4/24/15
5FU/leucovorin
Surgery 6/8/2015 Stage IIa T3N0MX microscopic cancer left
Watching 4 lung spots
0/5 lymph nodes. Lap. APR
25% less 5FU/leucovorin 7/14/2015 x 26 CEA 3.4
25% more 5fu 9/2015
9/16/15 CEA 7.7
1/16/16 @ 9.2 during allergy?
3/16 New lung spot 4x4 mm
6/16 CEA 6.9 spot 5x5

mtipte
Posts: 80
Joined: Mon Dec 19, 2016 4:35 pm
Facebook Username: mario tipte
Location: Lima, Peru

Re: Chills and fever after APR

Postby mtipte » Sat Mar 18, 2017 9:20 pm

Thanks to everyone. Your prayers are welcome.

At present It seems she is responding well to a mixture of antibiotics. Still in hospital fever was gradually decreasing after trying diff antibiotics and blood transfusion as the infection lasted a bit more. According to scans and xrays no abcess, but problems in her kidneys and bladder. Probably post surgery complications are common for major surgeries. Now she needs to recover well before adjuvant chemotherapy.

I have another question: how long is it approx between surgery and adjuvant therapy? I mean standard for stage 3 RC with nodes involved as you can see in my signature. I would appreciate your responses.

Regards.
Dear Mum 60 y/o
dx 09/16 RC III CEA 9
Chemo/rad 28 from 10/16 till 12/16
Xeloda
multiple lymph nodes
Adenocarcinoma low grade invasive
Now 2000 mg Xeloda for 2 weeks as maint. before surg.
24/01/17 CEA 4,9
APR surgery permanent colostomy :( 24/03/17
3/26 nodes involved -LVI - clean margins
Staged after surgery: T3N1Mx
Infection due to bladder problems. Slow recovery.
CEA 1.7 :)
Adj. Chemo Xelox 6 rounds 29/04/17
After round 3 CT Scans Clear 15/07

God is faithful. Only Jesus.

JJ2212
Posts: 268
Joined: Mon Oct 14, 2013 3:54 pm
Location: Montréal, QC

Re: Chills and fever after APR

Postby JJ2212 » Sun Mar 19, 2017 9:31 am

mtipte wrote:I have another question: how long is it approx between surgery and adjuvant therapy? I mean standard for stage 3 RC with nodes involved as you can see in my signature. I would appreciate your responses.

Regards.


I'm not sure about the standard wait time, but for me it was 6 weeks. Also, I was given FOLFOX but no Avastin because of perineal wound healing complications.
Rectal cancer dx 04/13 @ 42, MSS, KRAS positive
T3N2M1 (1 lung met)
5 weeks xeloda+radiation finished 07/13
APR 9/13 (permanent colostomy), 27/31 nodes positive :-(
12 rounds of FOLFOX 04/14
Lung met growth 11/14
26 cycles Regorafenib (Stivarga) from 11/15 to 01/17
New lung met and chest/neck lymph nodes 01/17
1 cycle Folfiri

mtipte
Posts: 80
Joined: Mon Dec 19, 2016 4:35 pm
Facebook Username: mario tipte
Location: Lima, Peru

Re: Chills and fever after APR

Postby mtipte » Fri Mar 24, 2017 11:12 pm

Thanks! My mum has just been discharged and finally at home! Doctors here don't know anything about curcumin or pipperine lol .

Now in her scan it seemed to be a subpleural node with a residual aspect. We got scared as this didn't show up in previous xrays or pre surgery scans. The surgeon says there's nothing to worry about as it's normally a scar from a past infection. The CT also showed minimal pleural effusion and docs assured it was because of the surgery.

Now waiting for her adjuvant treatment. She tolerates Xeloda quite well and I hope her onc will prescribe just monotherapy since I've read it's quite the same as using FOLFOX.

Any advice?

Thanks.
Dear Mum 60 y/o
dx 09/16 RC III CEA 9
Chemo/rad 28 from 10/16 till 12/16
Xeloda
multiple lymph nodes
Adenocarcinoma low grade invasive
Now 2000 mg Xeloda for 2 weeks as maint. before surg.
24/01/17 CEA 4,9
APR surgery permanent colostomy :( 24/03/17
3/26 nodes involved -LVI - clean margins
Staged after surgery: T3N1Mx
Infection due to bladder problems. Slow recovery.
CEA 1.7 :)
Adj. Chemo Xelox 6 rounds 29/04/17
After round 3 CT Scans Clear 15/07

God is faithful. Only Jesus.


Return to “Colon Talk - Colon cancer (colorectal cancer) support forum”



Who is online

Users browsing this forum: Aqx99, Google [Bot] and 30 guests