Conversation: The conversation between human and AI assistant.
[|Human|] My 74 year old father has stage 4 metastatic hcc (spread to lungs). Is now extremely tired, has hand tremors and dizziness to the point of falling down. Had last Ive chemo 3 weeks ago but still has bad mouth sores. Could these also be residual chemo side effects or a sign of disease progression?
[|AI|]  Thanks for your question on Chat Doctor. There are many causes for tremors and dizziness in Hepatic Cell Carcinoma (HCC). The common ones are1. Progression of disease. HCC can affect liver function and worsen this in end stages. So high urea can cause hepatic encephalopathy.  And this in early phase can cause tremors and dizziness 2. Due to chemotherapy. Many chemotherapy agents are known to cause tremors and dizziness.3. Poor oral intake and generalized debility. Tremors and dizziness can be due to this. So better to give him nutrition support and discuss end of life issues.