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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Total Blockage Bowel Construction, Vomiting. On IV Dilaudid. Will I Be Okay?

My sister is in the end stage of ovca- total blockage bowel obstruction - no more chemo- at home-with a DNR , tpn and 24 hour care. She hasn t swallowed anything for a month- lots of vomiting- this morning she has excruciating pain for the first time and began vomiting copious amounts of blackis stuff. She is now on IV dilaudid through her pic line whenever she needs it. We are trying to understand what time she may have left, as her family is scattered and we have been coming in alternately to care for her. If you have any advice we would appreciate it.
Tue, 10 Sep 2013
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General Surgeon 's  Response
Hello!

Thank you for the query.

According to yours description her ovarian cancer is very advanced. She probably has metastases all over the abdominal cavity what gives bowels obstruction. Unfortunately not much can be done. Pain management (morphine or pentanyl) is the main aim right now. It is always very hard to tell how long will the patient live.
Well, it might be from week to month.

Hope this will help.
Regards.
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Have Total Blockage Bowel Construction, Vomiting. On IV Dilaudid. Will I Be Okay?

Hello! Thank you for the query. According to yours description her ovarian cancer is very advanced. She probably has metastases all over the abdominal cavity what gives bowels obstruction. Unfortunately not much can be done. Pain management (morphine or pentanyl) is the main aim right now. It is always very hard to tell how long will the patient live. Well, it might be from week to month. Hope this will help. Regards.