Help my dad had liver CA and has lots of edema

Nurses General Nursing

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My dad was diagnosed with advanced liver CA in January and he has recently become quite edematous. His scrotum is HUGE, his legs are full of fluid and constantly weeping. His abdomen is large. They refused to do a tap b/c they didn't think he had enough fluid to extract-----apparently his liver is huge and is making his andomen distended. He is on 20mg lasix---they won't increase b/c they don't think it will be beneficial. Can somebody explain to me what might be going on and what can I do to help him? All your responses are greatly welcome and appreciated.:heartbeat

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He has advanced liver CA----not had (wishful thinking)

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Take him to another facility, to the ER, to get a second opinion. He's got advanced ascites, that's why the swelling isn't just in his abdomen.

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Specializes in being a Credible Source.

Is your dad in hospice care? If not, has that been discussed with you? Does your dad have an advanced directive and health care power of attorney put in place?

Be aware that the abdominal ascites may make it harder for him to breath and he may be more comfortable with the head of the bed elevated or propped up on pillows. He may also be more comfortable in a sitting position though you'd probably want to elevate his feet.

I'm really sorry for your dad, you, and your family. The last three years have seen both my parents succumb to cancer at relatively young ages.

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scrotal support for the swelling of his scotum?

Semi-Fowler's or Fowler's position if he has dyspnea with the ascites.

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Specializes in Advanced Practice, surgery.

I am so sorry that you are going through such a traumatic and distressing time. It is never easy to watch a loved one going through such a disease process.

It would be inappropriate for anyone here to offer you any medical advice or make judgements about what is happening with your father. Really this is something that you should discuss with your fathers healthcare providers in an environment where you can be offered the support and information that you need.

I hope you are able to find the information you need from the doctors who are caring for you father.

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