### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Doctor, I need advice regarding my mom s condition, My mom(61 years) is diagnosed with Stage 4 Liver/Lung Cancer. She did not go for chemotherapy or radiation. We have started her on Ayurvedic medicines. Recently, we heard about Cannabis Oil & looked around for it. Unfortunately, we did not find Rick Simpson oil but found Homeopathy Cannabis tincture (Cannabis Indica). She has started taking it since a week now. She did not get too drowsy except for first 2 days. She started complaining about leg/arms pain & started getting fever. Now she is diagnosed with jaundice. She initially had jaundice too due to obstruction & now we are suspecting the same. She will be going for an Ultrasound tomorrow to check the stunt inside her liver for removing obstruction & may replace the stunt with a new one. I am wondering if this was caused by Cannabis tinture? Can she continue taking Cannabis or stop it? The Cannabis tincture she is taking is made with Ethanol using cold pressed method. Any help regarding this will be greatly appreciated. We have no doctors offer any advice when it comes to Cannabis oil. Your advice is very precious.

### output:

Hi, Thanks for writing in. Sorry to hear about your mother having stage 4 cancer of lung and with liver involvement. It is not clear if her liver functions were compromised at the time of giving cannabis oil to her. Cannabis can also by itself lead to liver toxicity and jaundice when given in significant amounts. However since she already had cancer lesions in the liver therefore the possibility of a preexisting liver damage is more likely causing jaundice. In that case her jaundice is due to the deteriorating liver function and a result of biliary obstruction. It is best to wait for a day and check the shunt function in liver and if there is any primary cause of jaundice due to the shunt malfunction. If there is shunt problem then cannabis is unlikely to have caused the jaundice. Please give her adequate supportive care. Please do not worry.