How to reduce fever in late-stage liver cancer

Written by Cui Fang Bo
Oncology
Updated on January 02, 2025
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For late-stage liver cancer patients experiencing fever, antipyretic treatment should be based on different circumstances. If the fever is due to an infection, it often exceeds 39℃ and is accompanied by symptoms and signs related to the infection, such as cough and yellow sputum, abdominal pain, diarrhea, frequent urination, urgency, and painful urination. In such cases, antibiotics should be used for anti-infective treatment, along with antipyretic analgesics for fever reduction.

If the fever is due to tumor fever or interventions like liver procedures, there are no infection-related factors, usually the temperature does not exceed 38.5℃, and there are no symptoms or signs related to infection. The treatment primarily involves the use of antipyretic analgesics for fever reduction.

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Increased pulmonary markings are clinically associated with many inducing factors, but they are not directly related to liver cancer. It's important to understand that liver cancer involves the presence of cancer cells in the liver, while increased pulmonary markings are radiographic signs observed during lung imaging examinations. Clinically, there are many factors that can lead to increased pulmonary markings, but liver cancer does not cause this condition. Typically, increased pulmonary markings may be due to excessive obesity, long-term smoking, or the presence of inflammatory lesions in the lungs, all of which can cause varying degrees of increased pulmonary markings.

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What should someone with advanced liver cancer eat if they have no appetite?

In the late stages of liver cancer, loss of appetite may be related to gastrointestinal dysfunction caused by widespread metastasis of cancer cells. If loss of appetite occurs, it is first recommended to try eating orally as much as possible, and consuming rice porridge or noodle soup to increase nutrition. If there is still no appetite, nutritional support can be provided through parenteral nutrition, such as using nutritional elements and substances for intravenous treatment. If the results are not satisfactory, medication can be administered through a central venous catheter for better outcomes.

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How to rule out liver cancer when experiencing right shoulder pain?

Some liver cancer patients may experience abdominal pain that radiates to the shoulder and back, resulting in right shoulder pain. Therefore, when a patient presents with right shoulder pain, to rule out the possibility of liver cancer, some laboratory tests or radiological examinations can be conducted, and if necessary, histopathological examinations can also be performed. If hematological examination does not show an abnormal increase in AFP levels, and radiological examinations do not reveal any abnormal liver conditions such as large masses, nodular tumors, or diffuse liver lesions, and there is no history of hepatitis or cirrhosis, it is generally possible to rule out right shoulder pain caused by liver cancer. To determine the exact cause of the pain, examinations such as X-rays of the right shoulder, CT scans, and if necessary, MRI or bone scans can be conducted to exclude right shoulder pain caused by liver cancer lesions.

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Can alpha-fetoprotein confirm liver cancer?

Alpha-fetoprotein is a type of oncofetal antigen and a glycoprotein. It is used clinically as a highly specific marker for diagnosing primary liver cancer. However, elevated alpha-fetoprotein levels do not definitively indicate liver cancer, as although it is a tumor marker with diagnostic significance, elevated levels can also be seen in patients with liver cirrhosis or chronic hepatitis. Additionally, increased alpha-fetoprotein can occur in pregnant women or in the presence of other types of cancer, so further investigation is necessary to confirm the cause.

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Can pain around the belly button be liver cancer?

The tissues around the navel are primarily intestinal tissues. The outer ring is the large intestine, and close to the navel is mainly the small intestine. If there is pain around the navel that feels like pulling or bloating, and it relieves after defecation, then it is generally enteritis. The liver, on the other hand, is located in the upper right part of the abdomen, below the rib margin. If pain occurs in this area, the possibility of liver cancer is high, and the two types of pain are completely different. Pain around the navel is mainly pulling pain, and it is not very severe; whereas liver pain is primarily bloating pain, which is very severe, and general medications cannot alleviate it. Therefore, pain around the navel is unlikely to be liver cancer.