carcinoid syndrome…

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serotonin uptake, carcinoid syndrome, group of symptoms associated, carcinoid tumor, bronchial adenoma, carcinoid syndrome, pattern of symptoms exhibited by people, carcinoid tumors, tumors, in the small intestine, colon, bronchial tubes, appendix, carcinoid tumors secrete, excessive amounts, the hormone serotonin, chemicals that cause the blood vessels to dilate, open, tumors, cause diarrhea, wheezing, asthma, wide variations, in the chemicals secreted by these tumors, symptoms depend on the mix of chemicals made by the particular tumor, an amino acid, tryptophan is used by the body to manufacture niacin, certain proteins, in carcinoid syndrome, gets diverted to form serotonin, most serotonin is converted by the body to 5-hydroxy indole acetic acid, 5-hiaa, most bothersome symptoms include bright red facial flushing, diarrhea, explosive, severe, occasionally wheezing, a specific type of heart valve damage, cardiac problems, in children, carcinoid tumors, appendix, removal, the appendix, complete cure, abdominal pain, intermittent, flushing, diarrhea, wheezing, heart palpitations, low blood pressure, 5-hiaa levels in urine, elevated in 75% of cases, certain foods, medicines must be avoided, couple of days, on the day the urine is collected, bananas, pineapple, its juice, red plums, avocado, walnuts, kiwi fruit, tomatoes, various cough medicines, muscle-relaxing medicines, acetaminophen, tylenol, caffeine, fluorouacil, iodine solutions, phenacetin, mao inhibitors, certain anti-depressant drugs, isoniazid, phenothiazine drugs, compazine, thorazine, serotonin levels in blood elevated, chromogranin a in blood elevated, tryptophan in blood decreased, octreoscan, a radio-isotope scanning test, has been approved by the, food, drug administration, identify most carcinoids, neuroendocrine tumors, a ct, mri scan done, the octreoscan to monitor the progress of treatment, the carcinoid tumor, less frequent tests, histamine, bradykinin, neurone-specific enolase, calcitonin, substance-p, neurokinin-a, pancreatic polypeptide, an examination, indicate heart valve lesions, signs of niacin-deficiency disease, pellagra, signs of pellagra develop, the available tryptophan is used by the tumor to produce serotonin, prevents the body from manufacturing niacin, surgery, complete removal, the tumor tissue, the first line treatment, result in permanent cure, to remove the tumor entirely, entire tumor cannot be removed, removing large portions, the tumor, debulking, effectively relieve the symptoms by decreasing the amount, harmful hormones produced, flooding the circulation, new procedures, treating tumors, spread, metastasized, liver, mainstay of treatment, advanced carcinoid tumors that cannot be removed surgically is sandostatin, octreotide, injections, in many cases, anti-hormone drug inhibits, reverses the growth, the tumors, sandostatin is given by injection 2-3 times a day at, after a 2- to 4-week period, injection changed to once a month using a long-acting release, lar, dosage, often improves symptoms, the carcinoid syndrome, decreases tumor progression, interferon is another drug often given, octreotide, an immuno-modulator, its effect, suppress, stop the growth, the tumor, one of several combinations of chemotherapy given by intravenous injection, by mouth, carcinoid syndrome, one combination, does not work, another combination effective, one-third of patients benefit from chemotherapy, increased protein, a low-fat diet, multivitamin mineral, low-dose nicotinic acid, niacin, supplements, items sometimes recommended, fish oil capsules, electrolyte supplements, large portions of nutmeg, patients, advised to ingestion of alcohol, large meals, foods high in tyramine, provoke symptoms, a serotonin antagonist, prescribed to control diarrhea, inadequate absorption of nutrients, intestines, malabsorption, sandostatin, similar medications effective in reducing the episodes of flushing, diarrhea, in reversing the blood pressure changes, medications that, common medicines, selective serotonin reuptake inhibitors, ssris, paxil, serzone, prozac, make symptoms worse by increasing levels of serotonin, medicines, discontinued only on the advice of a doctor, stopping them abruptly, withdrawal symptoms, the depression they treat, health problems, learn more, carcinoid syndrome, get support from carcinoid cancer foundation, course, the illness in patients, carcinoid syndrome is different than those patients, carcinoid tumors, the syndrome, outlook is more favorable, the addition of new treatment methods, sandostatin, survival rate is variable, hypotension increases the risk of falls, subsequent injury, gastrointestinal bleeding, bowel obstruction from tumor mass, right-sided heart failure, symptoms occur, suggestive of carcinoid syndrome, the associated tumor reduces the risk of carcinoid syndrome.