Hi My mother of aged 69 years suffering from final stage stomach metastatic adeno carcinoma Ascites fluid collecting in abdomen very quickly We thrice removed of fluid by paracentesis in month about 2 to 3 liter each time. As per oncology advise we are not gone for chemotherapy treatment because of age factor. How often paracentesis can be done and how much water can remove each time?
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Hi lybrate-user, I appreciate you seeking help for your mother. Well, paracentesis needs to be attempted now as and when required to lessen the fluid overload and also to avert the risk of other complications. You need to ensure that paracentesis is done under aseptic conditions and she be supplemented with albumin, preferably i.v, should there be a drop in serum albumin levels. Its better to not tap out more than 2 litres of ascitis fluid each time unless its imperative to do so. Nevertheless, her consulting oncologist can best decide on the risk mitigation/ palliative care measures here, as would deem appropriate contextually. Again, subject to your oncologist's concurrence, an integrative treatment with alternative medicines may also help improve treatment outcomes. Do take care and all the very best.
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Yes, definitely elderly do very bad with chemotherapy and should be given only in patients having good performance status and nutrition status. In those who has both of these on lower side should have some other options which does not have much side effects. If you don't treat primary disease then frequency to collect fluid in abdomen will start increasing may be you need to take it out so often like 3 to 4 days.
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