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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hospice Care. Had Stomach Cancer. Did It Spread To Liver? Why Did He Vomit Black Liquid?

Hi, my uncle is currently in hospice care. He was diagnosed with stomach cancer two years ago. Last week he was told the cancer had spread to his liver . He is now completly incontinent. He is unable to eat and drinks very little, however is vomiting a lot of black liquid regularly. Can you tell me, is this the final stage of the cancer? When will the doctors start the morphine to put him out of his misery? Thanks.
Fri, 28 Jun 2013
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Oncologist, Radiation 's  Response
Hi there, Vomiting black liquid seems most likely as altered blood though bile may be brownish sometimes as well. It looks like he is in final stage of cancer. Morphine is a pain killer and if he is not in pain he is unlikely to be started on it. The perception that morphine is given to put someone out of misery, is rather for pain really. Many patients morphine is given short time and is stopped when pain is relieved. Do speak to your hospice nurse and get a clear picture and usually they explain the situation on day to day basis. Regards
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Hospice Care. Had Stomach Cancer. Did It Spread To Liver? Why Did He Vomit Black Liquid?

Hi there, Vomiting black liquid seems most likely as altered blood though bile may be brownish sometimes as well. It looks like he is in final stage of cancer. Morphine is a pain killer and if he is not in pain he is unlikely to be started on it. The perception that morphine is given to put someone out of misery, is rather for pain really. Many patients morphine is given short time and is stopped when pain is relieved. Do speak to your hospice nurse and get a clear picture and usually they explain the situation on day to day basis. Regards