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Hello, seeking answers regarding a pancreatic cancer patient with ERCP Stent that cannot eat and suffer with nausea. Not eating is making her weaker. I would like to her get better if we could only eat this would help us go in the right direction. please help. thanks

Dealing with pancreatic cancer can be incredibly challenging, and the issues you're describing with nausea and difficulty eating are unfortunately common complications, especially if an ERCP stent is in place to relieve bile duct obstruction.

When a patient is unable to eat and is experiencing significant nausea, medical intervention is often required.

Nausea can often be managed with antiemetic medications. If the current regimen isn't working, the healthcare team may need to try different medications or combinations.

If oral intake is not sufficient, a dietician or a doctor might suggest alternative feeding methods such as enteral nutrition (via a feeding tube) or parenteral nutrition (via an intravenous line). This can help maintain nutritional status and improve strength.

If the stent is contributing to the nausea or if there's a concern about its placement, the patient's doctor may need to assess whether the stent is functioning properly or if it requires adjustment.

A palliative care team specializes in symptom management and improving quality of life for patients with serious illnesses. They can provide an extra layer of support and may have additional strategies for managing symptoms like nausea and poor appetite.

Some patients find relief with complementary therapies such as acupuncture, ginger supplements, or medical cannabis where it's legal and recommended by a doctor. However, it's important to discuss these options with the healthcare team before starting them.

It's essential for the patient to remain in close contact with their healthcare team to address these issues promptly. The healthcare team can help devise a plan that’s tailored to the patient's specific situation, considering the stage of cancer, the patient's overall health, and any other treatments they're receiving.

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