After not eating in the late stage of esophageal cancer, the patient's survival time varies depending on individual circumstances, physical conditions and care methods, and may usually be a few days to two weeks. If the patient can receive nutritional support or analgesic care, the survival time may be appropriately extended and the quality of life may be improved. 1 Reasons for not eating in the late stage of esophageal cancer The main reason for not eating in the late stage of esophageal cancer is that the tumor causes problems such as difficulty swallowing, severe pain, digestive failure, and general weakness. The tumor compresses or blocks the esophagus, making it difficult for the patient to swallow normally even if he wants to eat; at the same time, late-stage patients are often accompanied by cancer pain, nausea, and even anorexia, which further aggravates the difficulty of nutrient intake. The extreme deterioration of the digestive system's function will reduce the body's absorption and metabolic capacity, resulting in the body's inability to maintain energy. 2How to provide support and palliative care Although people may have difficulty eating normally, they can still survive longer and be more comfortable by doing the following: ① Transvenous nutritional support (TPN): Since patients cannot take food orally, they can be supplemented with basic protein, glucose and vitamins through infusion to maintain the body's minimum needs. ② Gastrostomy or jejunostomy: For some patients, doctors can establish an artificial pathway through surgery to deliver liquid nutrition directly to the stomach or intestines for absorption, thereby alleviating malnutrition. ③ Nursing to relieve symptoms: Cancer pain management can relieve pain through analgesics such as morphine, helping patients achieve a relatively comfortable state; at the same time, cooperate with nursing staff to assist in the use of esophageal dilators or tracheal stents to improve swallowing function. 3. The importance of psychological rehabilitation and humanistic care Late-stage patients often experience anxiety, depression or despair, and their mental state directly affects their physical condition and quality of life. Family members need to pay attention to the patient's emotions and seek help from professional psychologists; the hospice team can provide patients with all-round humanistic comfort, allowing them to face the disease as calmly as possible. In the late stage of esophageal cancer, helping patients live the rest of their lives comfortably is the core goal. Maintaining nutritional support and active pain management can prolong survival to a certain extent. If patients and their families face specific difficulties, it is recommended to consult an oncologist or a dedicated hospice care team in a timely manner to obtain more professional guidance to ensure that patients have a relatively peaceful life in the final stage. |
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