Cancer Archive

Chronic Lymphocytic Leukemia (CLL)

Questions to Discuss with Your Doctor:

• Have you had fevers, chills, fatigue, or weight loss?
• Have you had any recent infections?
• Do you have a cough?
• Do you have sinus congestion?
• Do you know when to seek medical attention for infections?
• Do your gums bleed when you brush your teeth?
• Have you had nosebleeds or easy bruising?
• Do you get short of breath with minimal exertion?
• Are you lightheaded?
• Have you been unusually tired?
• Have you had abdominal pain or swelling?
• Have you noticed swollen lymph nodes?

Your Doctor Might Examine the Following Body Structures or Functions:

• Lymph nodes (neck, axilla, groin)
• Heart
• Lungs
• Abdomen (for enlargement or tenderness of the liver or spleen)

Your Doctor Might Order the Following Lab Tests or Studies:

• Complete blood count
• Routine blood chemistries
• Immunoglobulin levels
• Blood test for flow cytometry
• Bone marrow biopsy.

Colonic Polyps

Questions to Discuss with Your Doctor:

• Do you have a family history of colonic polyps?
• Do you have bleeding from the rectum or bloody stools?
• Do you frequently have rectal pain or the sensation of needing to have a bowel movement?
• Do you have anemia (low blood count)?
• Do you have a family history of colon cancer?

Your Doctor Might Examine the Following Body Structures or Functions:

• Abdominal exam
• Rectal exam

Your Doctor Might Order the Following Lab Tests or Studies:

• Stool testing for blood
• Complete blood count
• Sigmoidoscopy or colonoscopy, possibly with a biopsy or removal of a polyp (if one is found)

Gallstones

Questions to Discuss with Your Doctor:

• Do you have pain in the mid- or upper-right portion of your abdomen?
• Do fatty meals worsen the pain?
• Does the pain occur after eating?
• Do you have nausea, vomiting, or bloating?
• Does the pain ever go through to your back?
• Is the pain steady or intermittent?
• Have you had fevers?
• How long does it take for the pain to go away?
• Do you take any medications (for example, birth-control pills or hormone therapy)?
• Have you had any rapid weight loss?
• Have you noticed darkening of your urine or yellowing of the eyes?

Your Doctor Might Examine the Following Body Structures or Functions:

• Abdominal exam

Your Doctor Might Order the Following Lab Tests or Studies:

• Blood tests of liver function
• Complete blood count
• Abdominal ultrasound
• Cholescintigraphy (HIDA scan)

Gastroesophageal Reflux Disease (GERD)

Questions to Discuss with Your Doctor:

• Do you get a burning sensation in your chest or throat after eating?
• Do you ever have a bitter or sour taste in your mouth?
• Do you ever have bloating or nausea after you eat?
• How often do you get these symptoms?
• What do you do to relieve the symptoms?
• Are the symptoms related to physical exertion?
• Are the symptoms worse when you are lying down or sitting up?
• Have you noticed any black stools?
• Do you have a persistent cough?
• Do you have a history of ulcer disease?
• Are you taking any medications, especially ones that can irritate the esophagus or stomach, such as aspirin, ibuprofen, naproxen or tetracycline?
• Do you drink alcohol or smoke?
• How soon after you eat at night do you go to bed?
• Have you tried any over-the-counter medications? If so, do they help?

Your Doctor Might Examine the Following Body Structures or Functions:

• Chest and lung exam
• Abdominal exam

Your Doctor Might Order the Following Lab Tests or Studies:

• Upper endoscopy (internal examination of the esophagus and stomach)
• pH probe (to assess the acid level in the esophagus and stomach)
• Manometry (to measure the pressure of the sphincter between the esophagus and the stomach)
• Stool testing for blood
• Complete blood cell count

Hodgkin's Disease (after the disease has been treated)

Questions to Discuss with Your Doctor:

• Have you had fevers, heavy sweating at night, weight loss, itchy skin, or swollen lymph nodes?
• Do you have pain in any of your bones?
• Do you have a cough?
• Are you fatigued?
• Do you get lightheaded?
• Do you bruise easily or have nosebleeds?
• Do your gums bleed when you brush your teeth?
• Have you had any recent infections?
• Do you have a cough?
• Do you have sinus congestion?
• Do you have nasal discharge?
• Do you know when to seek medical attention for signs of infection?
• Do you know that you still need to practice birth control (both men and women)?
• Infertility is uncommon with newer chemotherapy regimens. If you are a woman and have undergone early menopause, have you considered hormone replacement therapy?
• Are you short of breath at rest or with minimal exertion?
• Do you get chest pain or pressure with exertion?
• Do you have swelling in your legs?
• Do you know that chemotherapy and radiation can increase your risk of developing certain other cancers?
• Are you up-to-date on all of your cancer screening tests?
• If you are a woman, have you discussed the need for regular mammograms and breast examinations with your doctor?
• Are you gaining weight?
• Are you constipated?
• Are you always cold?
• Do you have dry skin?

Your Doctor Might Examine the Following Body Structures or Functions:

• Neck veins
• Heart
• Lungs
• Abdomen (for enlargement or tenderness of the liver or spleen)
• Bones and spine (looking for areas of tenderness)
• Skin (looking for skin cancers)
• Lymph Nodes (neck, axilla, elbow, groin)

Your Doctor Might Order the Following Lab Tests or Studies:

• Blood tests for complete blood counts, kidney and liver function tests
• CT scans of the chest and abdomen

Peptic Ulcer Disease

Questions to Discuss with Your Doctor:

• Do you have diffuse or localized abdominal pain?
• Does the pain ever travel to the back or chest?
• Do you have nausea associated with the pain?
• Does eating make the pain better or worse?
• Do you have black or bloody stools?
• Do you ever vomit blood or material that looks like coffee grounds?
• Do you take any medications (for example, pain relievers)?
• Do you smoke cigarettes or drink alcohol?
• Do you drink caffeine-containing beverages?
• Have you ever been tested or treated for a bacteria called H. pylori that can infect the stomach lining?
• Do you have a family history of peptic ulcer disease?

Your Doctor Might Examine the Following Body Structures or Functions:

• Careful abdominal exam
• Rectal exam

Your Doctor Might Order the Following Lab Tests or Studies:

• Stool testing for blood
• Blood or breath test for the presence of H. pylori
• Upper endoscopy (internal examination of esophagus, stomach, and duodenum)
• Upper GI series

Irritable Bowel Syndrome (IBS)

Questions to Discuss with Your Doctor:

• Do you have pain or cramping in the lower stomach?
• How often do you get the pain?
• Is the pain related to meals?
• Do you suffer from constipation and small bowel movements?
• Do you have diarrhea that alternates with constipation?
• Do you have frequent bloating and gas?
• Do you have a feeling of fullness in the rectum?
• Is there a family history of inflammatory bowel disease?
• Do you have a history of mental illness or depression?
• Are there any things causing unusual stress in your life?
• Please describe your diet in detail.

Your Doctor Might Examine the Following Body Structures or Functions:

• Careful abdominal exam
• Rectal exam

Your Doctor Might Order the Following Lab Tests or Studies:

• Stool testing for blood and cultures
• Conventional abdominal X-rays
• Endoscopy or sigmoidoscopy
• Barium enema
• Complete blood count and other blood tests

Multiple Myeloma

Questions to Discuss with Your Doctor:

• Have you had any recent infections?
• Do you know when to call your doctor with symptoms of infection?
• Do you have pain in any of your bones? If so, is it constant, or does it occur only when you move?
• Have you had any recent fractures?
• Do you have pain in your spine? Does it radiate to another part of your body?
• Have you noticed a decrease in sensation or strength in your hands or feet?
• Have you had loss of bladder or bowel control?
• Do you know when to seek medical attention for back pain?
• Have you been fatigued?
• Have you been lightheaded?
• Have you been short of breath with minimal exertion?
• Do your gums bleed when you brush your teeth?
• Do you bruise easily, or get nosebleeds?
• Have you been weak, nauseated, constipated, or confused?
• Have you had a headache or a change in your vision?
• Can you feel any lumps or masses under your skin?
• Are you aware of the possible complications that can develop from multiple myeloma?
• Do you know which symptoms should cause you to call your doctor?

Your Doctor Might Examine the Following Body Structures or Functions:

• Skin
• Heart
• Lungs
• Arms and legs
• Spine
• Neurology examination (to check for strength and sensation in your hands and feet)
• Lymph nodes (neck, axilla, and groin)

Your Doctor Might Order the Following Lab Tests or Studies:

• Blood tests for complete blood count, electrolytes, kidney function, uric acid, calcium, and beta-2 microglobulin
• Serum protein electrophoresis or SPEP
• Urine protein electrophoresis or UPEP
• Quantitative immunoglobulin levels in the urine and blood
• Immunoelectrophoresis
• 24-hour urine collection for protein
• Bone marrow biopsy
• Skeletal radiographs
• CT scan
• MRI scan

Studies show smoking high-tar unfiltered cigarettes, as opposed to medium-tar filtered cigarettes, greatly increases your risk of lung cancer. So, cigarettes labeled as low-tar or ultra light are an even safer choice, right? Wrong. A study comparing the lung cancer risks of different types of cigarettes found this seemingly logical assumption is false.

The study six years and involved over 900,000 Americans over the age of 30. The researchers compared the risk of death from lung cancer among men and women who were smokers, former smokers, or had never smoked. When analyzed according to the tar rating of cigarette smoked, the results of the study showed the risk of lung cancer death was greatest for smokers of high-tar unfiltered cigarettes. The risk of lung cancer death was no different among smokers of medium-, low-, and very low-tar cigarettes.