Page 1 of 1: OSCe-Buster: Pain Relief in Ca prostate - Discuss Options

sepplabber · Credits: 9520 My Scrapbook

a patient with Ca prostate (explain to the patient or to the daughter of the patient). Discuss options of pain relief.
Introduction, then you may say: “I would like to have few words with you about your condition.
As you know you have growth in your prostate and this might cause you some pain. Fortunately, we have a wide range of medications for pain relief. First, you can use Paracetamol 2 tablets, repeated every 4-6 hrs. It has no important side effects at usual dose, but in higher doses, it may affect the liver. Secondly, we can use what we call NSAIDs as Aspirin, and Indomethacin. They are also effective given by mouth and should be taken with food to reduce their gastric irritation effect. They might cause some tummy pain, blood in stool or change of stool colour into black. Those medications can be combined with weak opioids, as Dextropropoxyhen, to become more effective. And if we need we can use opioids as Morphine, which can be given as slow release tablets twice daily. They are very effective but have side effects such as: feeling sick, being sick, constipation, sleepiness and depression. However, we can deal with these side effects by adjusting the medication dose or by giving laxatives.
Another option that we have, is to use radiotherapy, which is especially useful for bone pain; however it may have some side effects such as going frequently to toilet to pass water, feeling the urge to pass water suddenly, redness of SKIN and you need to come to hospital daily for 4-6 weeks to have the treatment.
Another method is to decrease the male hormone that is testosteron. And this can be brought down, either by giving some medications or by removal of both testicles. But this may affect sexual performance. Is everything clear, are there any questions

sajida · Credits: 105407 My Scrapbook My Reading List 6 Books

thanks

dr999 · Credits: 2065 My Scrapbook

thank you very much

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