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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Release Trapped Gas From Abdomen

Hi, I am currently sitting with my grandfather at a hospital in China. He has terminal late stage pancreatic cancer. He currently has a large amount of gas trapped in his small intestines which has inflated his abdomen to that of a second trimester pregnant woman. His stomach and intestines are pushing up against his lungs and reducing his lung capacity. It looks like he is suffocating. They have tried to pump gas out from his stomach and anus but both are unable to reach his intestines. They have also tried to give him medication but to no avail. They have run out of ideas. Was wondering if you have any other ideas as he is clearly suffering.
Tue, 2 Jul 2024
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General & Family Physician 's  Response
Hello,

Trapped gas causing severe distension and discomfort in a terminally ill patient is indeed challenging to manage, especially when conventional methods have failed. Managing severe gas distension in a terminally ill patient is complex and requires a multifaceted approach. While mechanical and medicinal methods are typical first steps, considering all potential interventions with the medical team can provide the best chance for relief.

Comfort-focused care remains paramount in these situations. Please ensure these suggestions are discussed with the treating doctors to tailor the approach to your grandfather’s specific medical condition and overall health status.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Heang Chan Raksmey, General & Family Physician
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Suggest Treatment To Release Trapped Gas From Abdomen

Hello, Trapped gas causing severe distension and discomfort in a terminally ill patient is indeed challenging to manage, especially when conventional methods have failed. Managing severe gas distension in a terminally ill patient is complex and requires a multifaceted approach. While mechanical and medicinal methods are typical first steps, considering all potential interventions with the medical team can provide the best chance for relief. Comfort-focused care remains paramount in these situations. Please ensure these suggestions are discussed with the treating doctors to tailor the approach to your grandfather’s specific medical condition and overall health status. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Heang Chan Raksmey, General & Family Physician