B
Home Watch
BSN · prephase · at home

New check

Do this every ~4 hours while awake, and any time something changes.

Belly & painMOST IMPORTANT
Urine & fluidsKIDNEY / TLS
ml
ml
Vitals
°C
mg/dL
kg
bpm

Log

Everything recorded. Show this to the doctor — it saves you reconstructing from memory.

Red flags

If any of these appear, go to hospital. Do not wait for morning.

🚨 Go to emergency now

  • Severe belly pain, or pain getting worse
  • Hard, rigid, or swollen belly
  • Not passing gas or stool · vomiting
  • Sudden relief after severe pain — can mean rupture
  • Fever over 38°C / 100.4°F
  • Chest pain or breathlessness — never assume it's the tumour
  • Dizzy, faint, pale, sweaty, racing heart
  • Black or bloody stool, or vomiting blood
  • Almost no urine for several hours
WHAT TO SAY WHEN YOU CALL “63-year-old man, diffuse large B-cell lymphoma, tumour in the bowel wall, on clopidogrel (blood thinner), has a coronary stent and prior heart attack. He is 2–3 days into pre-phase chemotherapy at Tata Memorial. He now has [symptom].”
BEFORE YOU GO 1. Stop all food and water if belly pain / vomiting
2. Take his medicine list and Tata papers
3. No laxative, no enema, no ibuprofen/aspirin
4. Note when the pain started and last gas/stool
📞 Emergency — 112 📞 Tata Memorial — 022 2417 7000
Add your own numbers
Write the oncologist's and local hospital numbers on paper by the bed tonight. Don't rely on finding them in a phone at 3am.

Tonight's guide

What to do, and what "normal" looks like.

Priorities tonight
1 · Urine
The single most important thing. Measure it in a jug, don't guess. A sharp drop, or several hours with almost none, means call.
2 · Belly check every 4 hrs
Pain score, is the belly soft or tight, has he passed gas. Log it — a trend is easier to see written down.
3 · Temperature
Tonight, morning, and again in the day. Over 38°C = call.
4 · Weight — same scale, same time each morning. More than ~1 kg gain in a day suggests fluid building up, which matters for his heart.
Medicines — do not change
✓ Continue febuxostat, sevelamer, digene
✓ Continue his heart / stent and thyroid medicines
✓ Do not stop clopidogrel without cardiology
✗ No ibuprofen or aspirin-type painkillers — bleeding risk. Paracetamol only if the team approved it
✗ No sleeping tablets without asking
Expect this — it's normal
• Awake at night. The steroid (dexamethasone) usually causes restlessness and insomnia. It settles a day or two after the steroid stops.

• Drowsy in the afternoon. The anti-nausea drug and chemo fatigue.

• Blood sugar up. The steroid pushes it up even in non-diabetics. Report extremes; don't self-adjust.
If he can't eat solids
Soft & allowed: very soft khichdi (rice + moong dal, mushy), thin strained dal water, rice kanji, strained clear veg soup (lauki/tori/carrot), savoury suji porridge made with water, jeera or ajwain water.

Small amounts, often. Warm, freshly made, strained smooth.

Still avoid this week: fruit, juice, milk, curd, paneer, eggs, coconut water, anything raw.

Stop food and call if eating brings vomiting, or the belly swells or hardens.
Not a medical device. A caregiver log built from the Tata Memorial pre-phase instructions. It does not diagnose. If in doubt, call the doctor. Saved on this device only.