vomiting

Poor David is having such a hard time. We start chemo/radiation on the 30th and he hasn't eaten solid food since September 18 and that was only soft foods. He has lost over 40 pounds. He is down to 139 pounds and to top it off he is starting to vomit. Not only coming out his mouth, but his nose as well. He is so miserable. I wonder if he caught a stomach bug, but he has only been out of the house long enough for doctors visits since the last surgery. I am unsure what if anything I can do to help. He is getting very discouraged.
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Comments

  • CivilMatt
    CivilMatt Member Posts: 4,722 Member
    hang in there
    Hi VivianLee5689,

    It could be the flu or it could be the side effects of chemo. Are you taking the anti-nausea drugs correctly and at the correct time? If it is nausea vomiting you have to get in front of it and try to prevent it. Throwing up out the nose is not unusual; it will take the path of least resistance and when the patient is weak and tired, they can hardly care. Make sure the nurses know of your concerns, they probably share the same concerns. Hopefully, you can both get these rough few weeks behind you. To be honest, the flu makes me feel sick all over and all the time, cancer side effects kick your butt sporadically leaving moments of feeling normal (almost). You decide.

    Best,

    Matt

    It does get better.
  • luvofmylif
    luvofmylif Member Posts: 344
    CivilMatt said:

    hang in there
    Hi VivianLee5689,

    It could be the flu or it could be the side effects of chemo. Are you taking the anti-nausea drugs correctly and at the correct time? If it is nausea vomiting you have to get in front of it and try to prevent it. Throwing up out the nose is not unusual; it will take the path of least resistance and when the patient is weak and tired, they can hardly care. Make sure the nurses know of your concerns, they probably share the same concerns. Hopefully, you can both get these rough few weeks behind you. To be honest, the flu makes me feel sick all over and all the time, cancer side effects kick your butt sporadically leaving moments of feeling normal (almost). You decide.

    Best,

    Matt

    It does get better.

    Things just have to get
    Things just have to get better for David soon. I know how much my husband has been through but with time things got better before we had to endure the next treatment regime( going through chemo and radiation now). It seems like your poor husband has been stuck in the same place for so long...but, the body is amazing and can endure alot and heal from the most difficult situations. So, please don't despair(I know it's so hard) and tell him that it won't last forever. He will get there and so will you.

    Joan
  • Ingrid K
    Ingrid K Member Posts: 813
    tube ?
    Vivian, forgive me but I don't recall if David has a feeding tube. If not, you might inquire about getting one. This is not the time for him to be losing ANY weight...just the opposite..trying to put on weight was encouraged prior to tx starting.

    If he has a tube and it is causing the vomiting, perhaps the feedings are too fast. slowing down the rate might help him. Or ask about a pump for overnight feedings.

    As Matt said, stay ahead of the nausea by taking the nausea meds pretty much around the clock. Got to get that under control, hopefully before the rads start next week.

    Just be the squeeky wheel and mention all of this to the docs/nurses. They can usually come up with some sort of alternative for you. Wishing you the best !
  • blackswampboy
    blackswampboy Member Posts: 341
    vomiting and ativan
    vomiting can be a gift from rads too.
    I was vomiting three times a night toward the end of rads. no nausea, just sudden and violent mucous heave. I was down to 115 lbs, and losing nutrition that I couldn't afford to lose.

    tried a couple of nausea meds, they didn't help. then they wanted to give me a suction machine for the mucous, but I resisted that. fortunately, ativan finally helped some--at least it let me sleep.
    and when the rads ended, so did the vomiting.
  • Billie67
    Billie67 Member Posts: 898
    Ingrid K said:

    tube ?
    Vivian, forgive me but I don't recall if David has a feeding tube. If not, you might inquire about getting one. This is not the time for him to be losing ANY weight...just the opposite..trying to put on weight was encouraged prior to tx starting.

    If he has a tube and it is causing the vomiting, perhaps the feedings are too fast. slowing down the rate might help him. Or ask about a pump for overnight feedings.

    As Matt said, stay ahead of the nausea by taking the nausea meds pretty much around the clock. Got to get that under control, hopefully before the rads start next week.

    Just be the squeeky wheel and mention all of this to the docs/nurses. They can usually come up with some sort of alternative for you. Wishing you the best !

    Oh dear
    I'm so sorry you guys are going thru this. My advice is to first of all make sure he is taking his anti nausea meds regulary and not only when he thinks he will need them. It's too late at that point. If they are not working please ask for different stronger meds....they are out there and available to you.
    Let your dr or RNs know that he is vomiting so much and ask about dehydration. He may need some IV fluids, I went 3 times a week for 5 hours at a time and I felt so much better afterwards.
    As far as vomit coming out of his nose, ugh been there done that. It is very painful and I feel for him. Just have a little comfort in knowing that it does get better, I promise!
    I will be praying for you both.
    Billie
  • Hard12Find
    Hard12Find Member Posts: 217 Member
    Viv
    I echo what a lot of others have been saying, get different anti nausea meds, I found a suppository of fenegren works wonders for me and I had been same boat, vomiting and loosing weight. Dehydration.....The food pump is now my only source of hydration / nutrition and has been a lifeline. My oncologist yesterday thought she had seen some thrush in my mucous menmbranes and started me on an anti bacteria, and anti fungul meds which made me sick all over again, so my radiation doctor looked in my mouth said no thrush stop taking them, so I am building back from that. I am like swamp boy sudden mucous fits with gagging, but working on getting a suction pump. cant wait til we are all on the other side looking back.....
    Jim
  • phrannie51
    phrannie51 Member Posts: 4,716
    I might be reading your post wrong...
    but he's vomiting now, and hasn't yet started chemo, right? Blackswampboy says that rads made him vomit, but that ativan helped (Atavan helped me a lot during rads and getting amifostine)...I'm wondering if you called the Onc, and asked what they could do about getting him on anti-nausea meds before he starts chemo. Also, pain meds can cause nausea big time...especially on an empty stomach. He's lost a lot of weight already, so it's important that someone on your team knows what's going on. He may be getting dehydrated from the vomiting...and I swear dehydration makes a person feel more sick than anything else I experienced during treatment...

    I know it's hard to go without solid food for a long time, but so many of us have had to do that...and it's doable...most of us eat again...some sooner, some later...as long as he can get his soft foods, or liquid nutrician down and keep them down, he will be ok. I went from July 3rd to the last week of September on liquid only...thought I was going to starve to death...but that part was just in my head.

    p
  • katenorwood
    katenorwood Member Posts: 1,912
    I would call your primary
    Hey Vivian,
    Any fever with this vomitting ? He starts treatments on the 30th, I would make sure it isn't anything that needs to be addressed before he starts. I am so sorry David is going through all of this...thinking good thoughts for you both ! Katie
  • hawk711
    hawk711 Member Posts: 566

    I would call your primary
    Hey Vivian,
    Any fever with this vomitting ? He starts treatments on the 30th, I would make sure it isn't anything that needs to be addressed before he starts. I am so sorry David is going through all of this...thinking good thoughts for you both ! Katie

    My solution
    I vomited every 4 hours for a few weeks from the thick mucous that I had. When you lie down the thck saliva/mucous will drip to stomach...My solution that worked for me, was a suction machine that allowed me to get the thick crap out of my body before i swallowed it. If his problem stems from the thick mucous, I'd suggest the suction machine. Insurance paid for it too.
    all the best going forward,
    Steve
  • VivianLee5689
    VivianLee5689 Member Posts: 546
    hawk711 said:

    My solution
    I vomited every 4 hours for a few weeks from the thick mucous that I had. When you lie down the thck saliva/mucous will drip to stomach...My solution that worked for me, was a suction machine that allowed me to get the thick crap out of my body before i swallowed it. If his problem stems from the thick mucous, I'd suggest the suction machine. Insurance paid for it too.
    all the best going forward,
    Steve

    Heart felt thanks
    Thanks for all the comments and encouragement. David talked with the nurse today and she suspects a stomach bug. She wants him to take his anti-nausea medication around the clock until chemo starts. David told me tomorrow he thinks he wants to go in and request fluids. David has never been a worrier since I've met him, yet he is very worried about his health right now. The doctors all say he should be bulking up and swallowing before he goes in for chemo and radiation, but that doesn't appear it is going to happen. I have agree with others that we need to consider continuous feeding through the night. The gravity bag even dripping on its lowest setting doesn't seem to sit on his stomach well. The other thing I think I will have him ask for is the suction machine. He is spitting constantly and gagging sometimes. He hasn't started rads yet, so I know this is going to get worse. I know he would rather suction the stuff out rather than gag and spit. You head and neck survivors are one tough bunch. I wish I didn't have to be here, but I am so glad I found you guys.
  • Billie67
    Billie67 Member Posts: 898

    Heart felt thanks
    Thanks for all the comments and encouragement. David talked with the nurse today and she suspects a stomach bug. She wants him to take his anti-nausea medication around the clock until chemo starts. David told me tomorrow he thinks he wants to go in and request fluids. David has never been a worrier since I've met him, yet he is very worried about his health right now. The doctors all say he should be bulking up and swallowing before he goes in for chemo and radiation, but that doesn't appear it is going to happen. I have agree with others that we need to consider continuous feeding through the night. The gravity bag even dripping on its lowest setting doesn't seem to sit on his stomach well. The other thing I think I will have him ask for is the suction machine. He is spitting constantly and gagging sometimes. He hasn't started rads yet, so I know this is going to get worse. I know he would rather suction the stuff out rather than gag and spit. You head and neck survivors are one tough bunch. I wish I didn't have to be here, but I am so glad I found you guys.

    Vivian
    I remember a while back you said David was on ensure, is that still the case? Honestly his food might be what's not settling with him and not so much the act of feeding. Or it could be combination of both as it was in my case. He needs more nutrition than ensure has so hopefully they have changed that. Ensure is more of a supplement and not a meal. Insurance should pay for RX formula. Just a thought.
    Billie
  • VivianLee5689
    VivianLee5689 Member Posts: 546
    Billie67 said:

    Vivian
    I remember a while back you said David was on ensure, is that still the case? Honestly his food might be what's not settling with him and not so much the act of feeding. Or it could be combination of both as it was in my case. He needs more nutrition than ensure has so hopefully they have changed that. Ensure is more of a supplement and not a meal. Insurance should pay for RX formula. Just a thought.
    Billie

    Ensure
    He was on Ensure plus, but they just put an order in for Boost VHC. It is 560 calories per 8 ounces. We hope this helps him. He has thrown up multiple times today and hasn't taken any calories in. I am worried about him. He just sits around or sleeps.
  • boardwalkgirl
    boardwalkgirl Member Posts: 269
    So sorry!
    I am so sorry David is going thru this and you too. I was on Jevity for my tube feeding and never had any problem with it. When I had the mucous at the worse, I slept with a wedge pillow so my head was elevated and it seemed to make me not get as nauseated. You might try that too. When nothing else was helping my nausea, they gave me a presciption for BDR Suppositories which was a special compound the pharmacy made but they really helped. I hope things start looking up for you. I will be praying for you
  • Grandmax4
    Grandmax4 Member Posts: 723

    Ensure
    He was on Ensure plus, but they just put an order in for Boost VHC. It is 560 calories per 8 ounces. We hope this helps him. He has thrown up multiple times today and hasn't taken any calories in. I am worried about him. He just sits around or sleeps.

    Sorry to read
    what's going on with David, I'm wondering if he's on any type of anti-depressant, I truly feel that attitude and determination is a big part of the feeling good factor. I don't mean to read between the lines, and please forgive me if I'm over-stepping boundries, but it seems like David is feeling really sorry for himself and not really trying to feel better...Cancer is a head game, but it can be beat as many on here have shown. I sincerely wish you an easier time as the caregiver., and strength for David to kick some Cancer A$$!!
  • phrannie51
    phrannie51 Member Posts: 4,716

    Ensure
    He was on Ensure plus, but they just put an order in for Boost VHC. It is 560 calories per 8 ounces. We hope this helps him. He has thrown up multiple times today and hasn't taken any calories in. I am worried about him. He just sits around or sleeps.

    I used the VHC the whole time...
    It is thicker, tho....so I used thin it out with whole milk to get it down the tube easier. Sleeping is good, so is resting...but like Grandma mentioned...is he doing this because he's depressed? I took anti-depressents during treatment, and I've never been a depressed person...BUT, all of a sudden I was just too tired to want to fight. The anti-depessents gave me the boost I needed to get in there and truly do some kick ****.

    Somebody also mentioned staying on his nausea meds...that just because he feels fine now, doesn't mean it's because he IS fine. He needs to take them on schedule, to keep feeling fine (this was one of my mess ups, too...I kept quitting taking them when I felt good...and them boom...nausea would rear it's ugly head).

    p
  • Greend
    Greend Member Posts: 678
    constipation
    If/when he goes on an "Ensure" diet please watch for constipation. It was/is a constant issue for me and he certainly doesn't need that right now. My solution was adding powdered Miralax to my Ensure at least once a day.

    Prayng that things work out for David.

    Denny
  • VivianLee5689
    VivianLee5689 Member Posts: 546

    So sorry!
    I am so sorry David is going thru this and you too. I was on Jevity for my tube feeding and never had any problem with it. When I had the mucous at the worse, I slept with a wedge pillow so my head was elevated and it seemed to make me not get as nauseated. You might try that too. When nothing else was helping my nausea, they gave me a presciption for BDR Suppositories which was a special compound the pharmacy made but they really helped. I hope things start looking up for you. I will be praying for you

    early morning ER visit
    At 3:30 this morning I had to take David to the ER. Severely dehydrated and they are ruling out a bowel obstruction, pneumonia and bacterial infections. He had a chest xray already and the will CT his abdomen and kidneys in a few minutes. He is finally resting thanks to the phenegren through the IV. They are talking like the may admit him. He really got the dr.s attention when he said I can't stop vomiting and then proceeded to vomit. They are really taking care of him. We didn't even have to sit in the waiting room. Straight to triage and then a room. Only thing I found that has been good about this cancer is they really respond quickly when you say the C word.
  • phrannie51
    phrannie51 Member Posts: 4,716
    Greend said:

    constipation
    If/when he goes on an "Ensure" diet please watch for constipation. It was/is a constant issue for me and he certainly doesn't need that right now. My solution was adding powdered Miralax to my Ensure at least once a day.

    Prayng that things work out for David.

    Denny

    Denny is so right about the constipation.....
    painful constipation....VHC really put the plug in me. I ended up taking 3 100 mg capsules of stool softener per day...and it was still painful, there was a few times I thought I was going to have to go to the hospital for help.

    I'm glad he's in the hospital, and they are paying attention to this vomiting...dehydration is no joke. A person feels so miserable in every way, sick...weak...dizzy...but never feel thirsty. He's safe now, and you can start to breathe easier.

    p
  • katenorwood
    katenorwood Member Posts: 1,912

    early morning ER visit
    At 3:30 this morning I had to take David to the ER. Severely dehydrated and they are ruling out a bowel obstruction, pneumonia and bacterial infections. He had a chest xray already and the will CT his abdomen and kidneys in a few minutes. He is finally resting thanks to the phenegren through the IV. They are talking like the may admit him. He really got the dr.s attention when he said I can't stop vomiting and then proceeded to vomit. They are really taking care of him. We didn't even have to sit in the waiting room. Straight to triage and then a room. Only thing I found that has been good about this cancer is they really respond quickly when you say the C word.

    Prayers are sent for David
    Vivian,
    He's in the place he needs to be. The fluids will help...and hopefully they'll find out whats up. Both of you are in my prayers please keep us posted. Katie
  • VivianLee5689
    VivianLee5689 Member Posts: 546

    Denny is so right about the constipation.....
    painful constipation....VHC really put the plug in me. I ended up taking 3 100 mg capsules of stool softener per day...and it was still painful, there was a few times I thought I was going to have to go to the hospital for help.

    I'm glad he's in the hospital, and they are paying attention to this vomiting...dehydration is no joke. A person feels so miserable in every way, sick...weak...dizzy...but never feel thirsty. He's safe now, and you can start to breathe easier.

    p

    bowel obstruction?
    Ok they have listened to his bowels and said they are hypoactive. The suspect a bowel obstruction. They have pumped him up with phenegren so they can put the contrast through his PEG. Even then he feels it going up his esophagus. I don't know why he is having such a hard time. I had hoped since chemo and radiation starts next week and he had surgery 5 weeks ago that we would have been able to have a nice weekend together, but his body had other plans. he takes a liquid stool softener three times a day, but hasn't had a bowel movement since Tuesday morning. Thanks for the prayers. He needs strength and hope right now.