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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Esophageal Cancer. Finished Chemotherapy. Pain In The Abdomen, Swollen Abdomen. Not Responding To Morphine. Any Other Options?

My freind has stage 4 cancer of esophogus he has finished his chemo last september but in last few weeks things have got bad he can still swallow but does not want to eat he is in so much pain in abdomen area his abdomen is really swollen he had doctor in at him early this morning. The doctor said it is fluid inside his abdomen he gave him a injection of morphine as his pain killers were not helping him and a script for oromorph is he in final stages of life
Wed, 13 Mar 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Abdominal fluid (ascites) is usually an indication of generalized cancer. Therefore he seems to be in the final stages of his life. Usually it takes about 6 months from advanced esophagus cancer diagnosis.
The most important for him is to make it as easy and painless as possible. He should receive from his doctor Morphine or Fentanyl patches so he wont suffer pain.
For the appetite he should receive steroids (Megace for example).
If the esophagus will become narrow so he wont be able to eat, endoscopic prosthesis implantation should be helpful.

Hope this will help.
Regards.
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Suffering From Esophageal Cancer. Finished Chemotherapy. Pain In The Abdomen, Swollen Abdomen. Not Responding To Morphine. Any Other Options?

Hello! Thank you for the query. Abdominal fluid (ascites) is usually an indication of generalized cancer. Therefore he seems to be in the final stages of his life. Usually it takes about 6 months from advanced esophagus cancer diagnosis. The most important for him is to make it as easy and painless as possible. He should receive from his doctor Morphine or Fentanyl patches so he wont suffer pain. For the appetite he should receive steroids (Megace for example). If the esophagus will become narrow so he wont be able to eat, endoscopic prosthesis implantation should be helpful. Hope this will help. Regards.