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How is the prognosis in metastatic stage 4 colon cancer?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My grandmother, 74, suffers from stage 4 colon cancer with liver metastasis. She had weakness and a cough for the past week. She was taken to the hospital, where she was diagnosed with pneumonia. She also has some memory loss and hand tremors. The fever has subsided.

Will she be able to recover from this?

Kindly help.

Answered by Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Colon cancer stage 4 with liver metastasis is advanced with a very poor prognosis but requires good palliative care. Pneumonia has certain symptoms like fever, productive cough, and wheezing. This could have happened due to metastasis to the lungs. Therefore, I would suggest the following:

1. Augmentin (Amoxycillin and Clavulanic acid) 1 g twice daily for 14 days (in case kidney functions are fine).

2. Follow-up is required to confirm the diagnosis and to exclude any serious conditions.

Consult with a doctor before taking the medicines.

Thank you.

Medically reviewed by iCliniq medical review team
Published At November 25, 2022
Reviewed At December 11, 2025

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

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