Pathways to Healing Lung cancer starts in the lungs but can spread to other regions of the body. While there is no single cure, there are different treatment options that can be used. In this article, we will look at treatment options, as well as symptoms of lung cancer Roughly 1 in 16 Americans will be diagnosed with lung cancer. While smoking can increase the likelihood of getting a diagnosis, non-smokers are not exempt from this condition. There are many different causes of lung cancer, and people of all ages can be diagnosed. Unfortunately, there is no specific cure for lung cancer. Beating cancer is a little more complicated than taking a few pills or going to a doctor’s office. The disease is more serious and requires more intense intervention techniques. Different Lung Cancer Treatment Options Depending on the progression of the cancer and the patient's general health, a physician may recommend several treatment options. Know that with all treatment options, there is a risk of harsh side effects and a chance that the treatment does not work. Still, these are the best options when it comes to defeating lung cancer, with increased chances of success in cases of early detection. Treatments can be used in combination with one another, or as a standalone option depending on the particular case. Chemotherapy Chemotherapy has been one of the most common treatment options for a long time. It works by using strong chemicals that target rapidly dividing cells. When introduced into your body, chemotherapy drugs will attack all rapidly dividing cells. Unfortunately, these drugs cannot differentiate between cancer cells and healthy cells that just happen to be dividing. The side effects of such treatments can be unpleasant, but most reverse when the treatment ends or can be reduced during the treatment. Common side effects include: Nausea/vomiting. Hair loss. Mouth sores. Pain. Bowel disturbances (diarrhea/ constipation). Loss of appetite. Bruising easily. [youmaylike] Harsher and potentially permanent side effects include: Organ damage (heart, lung, kidneys). Nerve damage. Infertility. Heightened risk of a second cancer. Side effects will also vary depending on the type of drug that is used in your treatment and the way you “take in” the drug. The most common chemotherapy drugs for lung cancer include the following: Afatinib. Bevacizumab. Ceritinib. Crizotinib. Erlotinib. Chemotherapy for lung cancer can be done in the following ways: Injected: Most often this is administered through infusions (IV) but can be given through shots. Implanted: Thin wafers containing the drug can be inserted directly into the site of a tumor or surgery. Pills: Pills and capsules containing the drug are sometimes available. Radiation Radiation is another treatment method. Radiation therapy uses beams of energy to damage cells in targeted regions of the body. The intense energy beams aim at precise locations in the body and damage the cells in that region. While this, unfortunately, means that healthy cells will also be attacked, they are often able to “bounce back” from the damage where cancer cells will be killed. As it is a targeted treatment, side effects are often limited to the region in which the treatment was applied. This means that patients can expect skin problems in the area of application as well as fatigue; these are mostly short-term side effects. Specific side effects characterized by treatments aimed at the chest include: Breast soreness. Stiff shoulders. Difficulties swallowing. Respiratory problems. Radiation fibrosis (permanent lung scarring). There is a low chance of developing long-term side effects, such as the development of a second cancer, as an effect of radiation exposure. Surgery If the cancer is caught early enough, then it can be treated by removing the cancerous tissue at the initial site. The operation can only be successful if the cancer has not yet spread to other regions of the body. The side effects of this treatment will depend on the depth of the removal, the nature of the removed tissue, and its size. For example, removing a tiny bit of the lung will not be as hard to recover from as removing a large piece. Other Lung Cancer Treatment Options Other treatments are being developed that aim to keep the effectiveness of chemotherapy and radiation treatments without the harsh side effects. While some remain experimental, recently emerging treatments, such as immunotherapy, offer the potential to battle lung cancer. Talk to a licensed care physician to get the most valuable recommendations on which cancer treatment is right for you. Everybody has a different experience and treatments are decided on a case-by-case basis.
What is Exocrine Pancreatic Insufficiency?
Eating is a vital activity for all living things, including humans. Everything we ingest breaks down into important nutrients and energy to keep us active and healthy. Unfortunately, behaviors as instinctual as eating do not come easy to everyone. So, what is exocrine pancreatic insufficiency? Let's find out.
There are some individuals that suffer from conditions that interfere with their ability to properly digest food. While these diseases are rather rare, there are individuals who have exocrine pancreatic insufficiency (EPI).
What is EPI?
EPI is a medical condition that causes digestive problems. EPI disrupts an individual’s natural ability to obtain nutrition from the food they eat. While the disease is not uncommon in dogs and cats, it is rather rare in humans.
What Causes Exocrine Pancreatic Insufficiency?
EPI is the result of pancreas malfunction. The pancreas is the organ responsible for producing chemicals, called enzymes, which are responsible for helping the body break down food. If your body produces too little of these chemicals, it cannot properly extract nutrients from the food you eat.
There are several different ways in which your pancreas can incur damage that results in EPI. Some more common explanations include the following:
- Chronic pancreatitis: When those enzymes start activating while they are still inside the pancreas, it can cause inflammation. When this happens too often, your pancreas is vulnerable to permanent damage. Some risk factors for chronic pancreatitis include having an immune system disorder or being a heavy drinker.
- Surgery: Some individuals experience EPI following surgical procedures on their pancreas, stomach, or intestines.
- Cystic Fibrosis: This condition forces the body to create large amounts of sticky mucus. Sometimes, this unusually thick substance can trap the enzymes in the pancreas, resulting in the enzymes activating inside of the pancreas.
- Schwachman-diamond syndrome: Those who suffer from Schwachman-diamond syndrome may not have the appropriate cells in their pancreas. Missing these vital cells means your pancreas simply can’t produce the enzymes at all.
- Diseases of the digestive system: Other diseases that may cause EPI are those which directly impact the digestive system. Although not everyone suffering from celiac disease or Crohn’s disease has EPI, these diseases may lead to EPI.
What are the Symptoms of Exocrine Pancreatic Insufficiency?
Initially, individuals suffering from EPI may not notice anything out of the ordinary. It is only when the pancreas damage advances to a certain level that individuals may start exhibiting symptoms. These may be a direct result of pancreas damage or indirect effects of the inability to absorb certain vitamins.
Symptoms may include (but are not limited to):
- Stomach pain
- Foul-smelling stools
- Diarrhea
- Constant gas
- Feeling full
- Bone pain
- Weight loss
- Bleeding disorders
Treatment for Exocrine Pancreatic Insufficiency
A major component of EPI treatment includes lifestyle changes. Everyone can stand to benefit from a balanced diet and an overall healthy lifestyle. Avoiding substances, like alcohol, is a must. Alcohol adds extra stress on your body and can further damage the pancreas.
Changes in eating behavior are also recommended. Try to replace the “tradition” three large meals with six smaller ones. Those with EPI may struggle with having large meals.
Another main treatment includes pancreatic enzyme replacement therapy (PERT). The goal of PERT is to replenish missing enzymes that your own pancreas no longer makes. These products are ingested orally, often in combination with an antacid, to prevent your stomach acid from breaking them down too early. Additional vitamins are also recommended to supplement vitamin deficiencies.
The FDA approved six prescription drugs for PERT treatment: Creon, Pancreaze, Pertzye, Ultresa, Viokace, and Zenpep.
Doctors may prescribe additional medications to treat pain. Often, over-the-counter pain killers are effective.
When to See a Doctor
Try to remember that exocrine pancreatic insufficiency is a very rare disease and troubling symptoms are likely due to another underlying condition. There are several tests that are conducted to diagnose an individual with EPI:
- Blood tests are performed to measure the levels of vitamins and enzymes in your body. These tests can also test for other diseases that put you at risk for EPI.
- Fecal tests are used to calculate levels of fat in bowel movements as well as the concentration of enzymes your pancreas is producing.
- Imaging tests, such as CT scans, MRIs, and endoscopic ultrasounds, may be performed to determine whether or not the pancreas is inflamed.
If diagnosed, your doctor will work with you to create a treatment plan which works best for you.
It’s important that you discuss any worry symptoms with your primary care physician. Only they can offer the expert observation and testing needed to receive a concrete diagnosis.