Seeking Expert Guidance for Pancreatic Cancer Symptoms?

Seeking Expert Guidance for Pancreatic Cancer Symptoms?
Published on, 04 June, 2024. Answered by Dr. Mohamad Husni Jrikh and Verified by Dr.Galen Team
Patient Question

Hello Doctor,


I have a pressing concern regarding the treatment of a pancreatic cancer patient who is experiencing a multitude of distressing symptoms. This patient is grappling with pain, fatigue, vomiting, nausea, and is also unable to walk. Furthermore, they are experiencing edema, abdominal pain, and a mass-like feeling with hardness. Could you please provide guidance on how to address these complex symptoms?



Thank you for reaching out to Dr. Galen. Please find the below response to your query.


To begin with, managing nausea and vomiting in pancreatic cancer patients requires a multifaceted approach. Domperidone can be a valuable medication in alleviating these symptoms, provided that bowel obstruction is ruled out as a contributing factor. In cases where the pancreatic mass exerts severe compression on the stomach, a comprehensive assessment is warranted. This entails collaboration between a surgeon and a radiation oncologist to determine the most effective palliative care strategy. Additionally, the expertise of a dietitian is indispensable in devising a suitable dietary plan tailored to the patient's needs.


When it comes to managing pain, Morphine administered as intermittent subcutaneous injections emerges as a viable option. However, it is imperative to note that the administration of Morphine should be done under the guidance of a healthcare professional, considering its potential side effects and the need for individualized dosing. In certain scenarios, consultation with an anesthesia doctor may be necessary to explore alternative pain management interventions suited to the patient's specific circumstances.


In summary, the treatment of a pancreatic cancer patient experiencing such distressing symptoms necessitates a collaborative and holistic approach. By addressing each symptom comprehensively and tailoring the treatment plan to the individual needs of the patient, we endeavor to improve their quality of life and provide them with the support they require during this challenging time.



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