Carcinoid Syndrome, A Simple Guide To The Condition, Treatment And Related Diseases

By Kenneth Kee

Carcinoid syndrome is a group of symptoms associated with carcinoid tumors
Tumors of the small intestine, colon, appendix, and bronchial tubes
Carcinoid tumors produce the vasoactive substance, serotonin
Vasodilation of the blood vessels causes flushing

The flushing results from secretion of kallikrein
By converting of kininogen to lysyl-bradykinin.
Other components of the carcinoid syndrome are diarrhea
Diversion of large amounts of niacin causes pellagra

There are symptoms of intermittent pain in the abdomen
There are also breathing difficulty and heart palpitations
The most useful diagnostic test 5-HIAA levels in urine
For the end product of metabolism of the serotonin

Surgery to remove the tumor is usually the first treatment.
In severe cases there is surgical debulking management
Where surgery will not work Octreotide (Sandostatin) injections
Are given to the patients to prevent tumor progression

-An original poem by Kenneth Kee

Interesting Tips about the Carcinoid Syndrome

A Healthy Lifestyle

1. Take a well Balanced Diet

2. Treatment of Carcinoid Syndrome:
a. Surgery to remove the tumor is usually the first treatment.
It can permanently cure the condition if the tumor is completely removed.

If the tumor has spread to the liver, treatment involves destroying the local blood supply of the tumor or giving chemotherapy directly into the liver.
When the entire tumor cannot be removed, removing large portions of the tumor ("debulking") can help relieve the symptoms.

b. Octreotide (Sandostatin) injections are sometimes given to people with advanced carcinoid tumors that cannot be removed with surgery.

c. Interferon is often given with octreotide to help stop tumor growth.
Patients whose carcinoid tumor secretes histamine will benefit from treatment with antihistamine drugs.
People with carcinoid syndrome should avoid alcohol, large meals, and foods high in tyramine (aged cheeses, avocado, many processed foods) because they may trigger symptoms.

3. Keep bones and body strong

Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

Eat food rich in Vitamins B and C such as green vegetables and fruits

Zinc and other minerals are important to the body

4. Get enough rest and Sleep

Avoid stress and tension

5. Rest your eyes and close your eyes every half hourly

Look far in the distance or look at green trees
Sit comfortably in an armchair or on a settee and relax with your eyes closed.

6. Exercise and stay active.

It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.

One way to do this is to be active 30 minutes a day at least 5 days a week.

Begin slowly especially if a person has not been active.

7. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

People who drink more than this may have a higher chance for developing osteoporosis.

Alcohol use also increases the chance of falling and breaking a bone.

8. Stop or do not begin smoking.

It also interferes with blood supply and healing.

Chapter 1

Carcinoid syndrome

What is Carcinoid syndrome?

Carcinoid syndrome is a group of symptoms associated with carcinoid tumors - tumors of the small intestine, colon, appendix, and bronchial tubes in the lungs.

The carcinoid syndrome occurs in approximately 5% of carcinoid tumors and becomes manifest when vasoactive substances from the tumors enter the systemic circulation escaping hepatic degradation.

TABLE OF CONTENT
Introduction
Chapter 1 Carcinoid Syndrome
Chapter 2 More Facts about Carcinoid Syndrome
Chapter 3 Treatment of Car

• Language: English
• Publisher: Kenneth Kee
• Release date: Feb 3, 2015
• ISBN: 9781311947390

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Carcinoid Syndrome,

A

Simple

Guide

To

The Condition,

Treatment

And

Related Diseases

by

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2015 Smashwords Edition

Published By Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes the Condition of Carcinoid Syndrome, Treatment and Related Diseases or in vernacular terms

What You Need to Know to Treat Carcinoid Syndrome

This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

Ode to Carcinoid Syndrome

Carcinoid syndrome is a group of symptoms associated with carcinoid tumors

Tumors of the small intestine, colon, appendix, and bronchial tubes

Carcinoid tumors produce the vasoactive substance serotonin

Vasodilation of the blood vessels causes flushing

The flushing results from secretion of kallikrein

By converting of kininogen to lysyl-bradykinin.

Other components of the carcinoid syndrome are diarrhea

Diversion of large amounts of niacin causes pellagra

There are symptoms of intermittent pain in the abdomen

There are also breathing difficulty and heart palpitations

The most useful diagnostic test 5-HIAA levels in urine

For the end product of metabolism of the serotonin

Surgery to remove the tumor is usually the first treatment.

In severe cases there is surgical debulking management

Where surgery will not work Octreotide (Sandostatin) injections

Are given to the patients to prevent tumor progression

-An original poem by Kenneth Kee

Interesting Tips about the Carcinoid Syndrome

A Healthy Lifestyle

1. Take a well Balanced Diet

2. Treatment of Carcinoid Syndrome:

a. Surgery to remove the tumor is usually the first treatment.

It can permanently cure the condition if the tumor is completely removed.

If the tumor has spread to the liver, treatment involves destroying the local blood supply of the tumor or giving chemotherapy directly into the liver.

When the entire tumor cannot be removed, removing large portions of the tumor (debulking) can help relieve the symptoms.

b. Octreotide (Sandostatin) injections are sometimes given to people with advanced carcinoid tumors that cannot be removed with surgery.

c. Interferon is often given with octreotide to help stop tumor growth.

Patients whose carcinoid tumor secretes histamine will benefit from treatment with antihistamine drugs.

People with carcinoid syndrome should avoid alcohol, large meals, and foods high in tyramine (aged cheeses, avocado, many processed foods) because they may trigger symptoms.

3. Keep bones and body strong

Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

Eat food rich in Vitamins B and C such as green vegetables and fruits

Zinc and other minerals are important to the body

4. Get enough rest and Sleep

Avoid stress and tension

5. Rest your eyes and close your eyes every half hourly

Look far in the distance or look at green trees

Sit comfortably in an armchair or on a settee and relax with your eyes closed.

6. Exercise and stay active.

It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.

One way to do this is