Xeloda stomach pains

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SarahS
Posts: 49
Joined: Sat Mar 11, 2017 12:44 pm

Xeloda stomach pains

Postby SarahS » Wed Jun 21, 2017 9:18 pm

Has anyone else had problems with severe stomach pains on xeloda ?

We switched over to xeloda and avastin 3 weeks ago instead of doing the 5-fu infusions.
So it being the first go with xeloda our onc started us at 2500mg a day for 2 weeks with one week off.
Everything was fine for the first week to 10 days, a little skin peeling on hands and feet but really nothing worse than that and then the diarrhea started and it has not stopped!!!!!!!!!! In fact it got worse as the week off went on.
We saw the oncologist yesterday and he said he would give my husband another week off and if he feels better enough next week we'll start again on a reduced dose.
In the last few days in addition to the diarrhea he has been having some quite severe stomach pains, which seem to move around, it's not always the same spot and it feels better when he's lying down.
The onc didn't seem too concerned with any of this but I'm going out of my mind with worry.
The last scan we had was just over a month ago and showed some shrinkage and no new growth, so I don't think this is progression and the most likely explanation is the xeloda but I'm sure you know how your mind can work under these circumstance
I was hoping we'd be able to carry on with the xeloda as the pills are much more convenient than the pump but if the next round is this bad I don't think that is going to be an option :(
Wife and caregiver to husband diagnosed with stage 4 colon cancer Nov 2016
Emergency surgery to remove blockage in cecum 12/03/2016
Stage 4 colon cancer. Mets to liver, peritoneum, possibly lungs
K-Ras G12C MSS
01/05/2017 Begin Folfox 6 plus Avastin
CEA pre surgery 114, post surgery 70, 02/2017- 35 03/2017- 23 04/2017- 12

aja1121
Posts: 214
Joined: Sat Jun 28, 2014 5:12 pm

Re: Xeloda stomach pains

Postby aja1121 » Thu Jun 22, 2017 9:53 am

Does your husband take any anti-nausea meds with the Xeloda? My husband initially complained of stomach pain and nausea to the nurse practitioner at the oncology office. She told him to take one Zofran (anti-nausea) followed immediately by a small meal or a large snack; then, 30 minutes after taking the Zofran, take the Xeloda. He has found that if he does this, the stomach pain/nausea are significantly improved. He tends to go back and forth between diarrhea and constipation on Xeloda. When he has diarrhea, Lomotil is the only thing that has helped. If you don't already have Zofran and Lomotil, I'd suggest that you ask the oncologist to prescribe for him.
05/23/14 DH dx Stage 3B rectal ca (age 41)
6/2014 chemorad | 10/2014 LAR, all nodes clean
FOLFOX x 10 | VATS/lung met | ileo reversal
09/15 local recurrence
10/15 colostomy
11/15 FOLFIRI x 4, major growth
02/16 tumor debulked
Stable ten months on Xeloda/Avastin
Growth on clinical trials NCT02024607 (BBI608 + FOLFIRI), NCT02817633 (anti-PD-1 + anti-TIM-3), NCT03175224 (c-Met inhibitor)
09/27/2018 started hospice
02/07/19 died

Beckster
Posts: 416
Joined: Thu Jan 12, 2017 3:01 pm
Location: New Jersey

Re: Xeloda stomach pains

Postby Beckster » Thu Jun 22, 2017 10:18 am

SarahS wrote:Has anyone else had problems with severe stomach pains on xeloda ?

We switched over to xeloda and avastin 3 weeks ago instead of doing the 5-fu infusions.
So it being the first go with xeloda our onc started us at 2500mg a day for 2 weeks with one week off.
Everything was fine for the first week to 10 days, a little skin peeling on hands and feet but really nothing worse than that and then the diarrhea started and it has not stopped!!!!!!!!!! In fact it got worse as the week off went on.
We saw the oncologist yesterday and he said he would give my husband another week off and if he feels better enough next week we'll start again on a reduced dose.
In the last few days in addition to the diarrhea he has been having some quite severe stomach pains, which seem to move around, it's not always the same spot and it feels better when he's lying down.
The onc didn't seem too concerned with any of this but I'm going out of my mind with worry.
The last scan we had was just over a month ago and showed some shrinkage and no new growth, so I don't think this is progression and the most likely explanation is the xeloda but I'm sure you know how your mind can work under these circumstance
I was hoping we'd be able to carry on with the xeloda as the pills are much more convenient than the pump but if the next round is this bad I don't think that is going to be an option :(


I was on Xeloda for 6 months. Yes, sometimes I had stomach pains along with severe heartburn and diarrhea. i found that the diarrhea started 4 days before the end of the 2nd week and continued into the first half of the 3rd week. It became worse as the cycles increased. My onc told me to take an immodium every 2 hours if it became bad, which I did. It helped greatly and keep me back on track.
57/F
DX:(CC) 10/19/16
11/4/16- Lap right hemi(cecum)
CEA- Pre Op (1.9), Pre Chemo (2.5)
Type: Adenocarcinoma
Tumor size:3.5 cm x 2.5 x 0.7 cm
Grade: G3 (path) G2 (pre-op)
TNM: T3N0M0/IIA
LN: 0/24
LVI present
Surgical margins: clear
MSS
12/27/2016 - Capeox, anaphylactic reaction
1/2/17 to 6/9/17- Xeloda monotherapy
6/17,12/17,6/18,12/18, 6/19, 12/19 CT Scan NED :D
CEA- 6/17- 3.6, 9/17- 2.8 12/17-2.8, 3/18-3.1, 6/18-3.0, 9/18 2.8, 12/18 2.5 3/19 3.1 6/19 3.1 9/19 2.6 12/19 2.8 6/20 3.0
Clear Colonoscopy 10/17, 11/19 :D


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