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Pancreas Cancer

Pain was posted 01/29/2013 05:14 pm by Lyn
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I am so sorry to hear about her struggles.

Which pain is bothering her the most? In her stomach/abdomen? Or in the leg?

First, continue to increase the methadone/morphine dose. Every day or two they should be looking at how many extra morphine pills she took the day before, and adjusting her long acting methadone dose. Make sure she is on something like Miralax for constipation.

If her pain is primarily in the belly, I agree with the others that she should ask about getting a palliative nerve block. I worry that some hospice companies do not want to pay for any procedures so they might discourage this. It doesn't hurt to ask and if the Hospice team is NOT sufficient improving her suffering I would absolutely demand that you be allowed to consult with a pain specialist in the cancer center.

If the pain is primarily in the stomach after eating, ask about the gastroparesis medicine reglan, which is taken before meals.

Also, the leg pain sounds like a nerve related pain, and the cancer itself can cause the abdominal pain by pressing on nerves near the pancreas (see nerve block above). These nerve pains can sometimes be helped by a nerve pain medicine like neurontin. The nice thing about neurontin is that it doesn't make you as sleep as the morphine medicines do. The combination of nerve pain medicines, morphine, and sometimes even anti-inflammatories can be good to try.

Sometimes topicals can help the leg pain. Ask about topical pain patches that you put on the painful area (anti-inflammatory medicines), creams like capsacin (follow the application directions carefully), and even a hot pad or cold compress.

Hoping you will get help with this soon.

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*DISCLAIMER: This page is an unmoderated forum, and the opinions expressed herein do not necessarily reflect the viewpoint of The Johns Hopkins Medical Institutions. Patients are advised to consult their personal physicians before making any medical decisions.
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