What will liver cancer patients experience before they die? I have worked in the oncology department for more than 10 years. As the doctor in charge or the doctor on duty, I have witnessed the death pain of countless terminal cancer patients and the "straight line" at the moment of the end of life. Liver cancer patients suffer from many pains at the end of life. Below I will write down the common ones I have seen and share them with you: First, pain, mainly abdominal pain and pain in the liver area. Pain is what 95% of liver cancer patients have to face at the end of their lives. The liver is rich in blood vessels and nerves. The liver tissue is eroded by cancer cells and the visceral blood vessels and nerves are damaged. The pain is naturally very severe. Fortunately, in recent years, the national health management department has increasingly paid attention to the living conditions of cancer patients and relaxed the control of morphine drugs. Second, abdominal distension, belly as big as a drum, and skinny as a stick are often used to describe liver cancer patients! In the terminal stage of liver cancer patients, there is a large amount of ascites. Tens of thousands of milliliters of peritoneal effusion are produced every day, which accumulates in the stomach with a limited volume. The patient is naturally extremely bloated and is forced to artificially drain water. However, if 1,000 is drained, the increase is 2,000. Early protein supplementation will It’s useless to make up for it in the end. Third, jaundice. Yellow eyes and whole body are mostly symptoms of the end-of-life stage, liver cell damage or intrahepatic obstruction, bilirubin 100, 200, 300, 400, 500. The most painful jaundice is unbearable itching, anorexia, and not wanting to eat. , nausea and vomiting. Fourth, melena and vomiting blood. Gastrointestinal bleeding is the most common complication of end-stage liver cancer. Fifth, hepatic coma. Being comatose and unable to wake up is not a bad state and the patient will not feel too much pain. In short, China is a major liver cancer country, and more than half of the world's liver cancers are in China. The main reason is that the prevention, diagnosis and treatment of hepatitis B virus were not adequate in the past and the people's health knowledge was lacking. The high incidence of liver cancer has led to the establishment of the Oriental Hepatobiliary Hospital, which is also very famous in the world, and has the highly respected academicians Tang Zhaoyou and Wu Mengchao. These two people who have made great achievements in the field of liver cancer mainly contributed to the surgical treatment of liver cancer. However, everyone knows that only early-stage liver cancer has the opportunity to undergo surgery. Surgery for late-stage liver cancer is of little significance and is basically conservative treatment based on interventional therapy. At present, there is not much progress in drug treatment of advanced liver cancer. Therefore, many advanced patients have to face the attack of cancer and retreat step by step until they finally give up their lives.
My dad has late-stage liver cancer. He was in a car accident 20 years ago and was infected with hepatitis C during a blood transfusion. He didn’t know it until he suddenly had pain in the liver area and went to the hospital for a checkup. He was told that he had late-stage liver cancer. It lasted for three years, and I didn't have much pain during the period. I could eat and sleep, but I was very bad-tempered. My dad ended up with liver and ascites. After the ascites was removed, he became very thin and emaciated. The doctor said that he couldn't do it and let us go home. The second One night, I suddenly had stomach bleeding after eating some porridge. On the way to the hospital, my dad vomited more than 5 pounds of blood and kept crying. I kept using a basin to catch it. At that time, my brain was blurred. My dad said, Ting ah I couldn't survive the night. After saying these few words, I fell into a coma. My mother came to the hospital at 2 o'clock in the middle of the night. The doctor injected him with epinephrine, woke him up, and asked him to see my mother for the last time. On the one hand, he told my mother that their fate was over in this life, and then he began to suffer severe pain. He held my hand tightly and kept asking for painkillers. The doctor said that if he took painkillers, his organs would fail and he would never wake up again. He stopped coming. I didn’t want to see him in so much pain and finally chose painkilling injections. I watched my dad slowly stop breathing. This process was too painful. It’s been a year and I still can’t forget the way he looked when he left. I really can’t forget the look of him coming out of the funeral home. I often wonder if he would have lived a few more months if I hadn’t chosen to give him painkillers...
My mother died at the age of 33 I was diagnosed with liver cancer. Two months after I left the hospital, I started to feel constant pain in the liver area. I went to a small hospital and was diagnosed with liver cancer. My dad was afraid that he would be diagnosed with liver cancer by mistake and went to a large hospital. When he went there, he also had late-stage liver cancer. There was an acquaintance in the hospital, so the doctor I told my dad directly that it couldn’t be cured, and that it would be a waste of time and money. It was better to go home and eat and drink. I never told my mom that it was cancer. During the pain, my mom hit her head against the wall, scratched with her hands, and pulled me Dad’s face was scratched with scars all over. He got up and hung his neck while we were asleep at night. It was an old house at that time, and it was so painful that he had no strength to swing the rope up. I woke up in the middle of the night and found out. I was so miserable. My mother couldn't bear it for two months. Finally, the blood gushed out of her mouth, her belly became bulging, and she was as thin as a human. I hope my mother will have no pain in heaven.
My father also has advanced liver cancer. Been gone for more than two years. I clearly remember the day my father called me to tell me that he had a stomachache. He went for a B-ultrasound and saw an 11-centimeter black shadow in the liver area. When I heard this, I was completely stunned. I put down everything on hand and rushed home immediately. The moment my father saw me, tears flowed out. I knew how helpless he was at that moment. Next, I underwent resection surgery. I was not willing to accept it. At that time, I always held the mentality of being able to heal. Our life was just a little better, and my father had not enjoyed a few days of happiness. I wanted to take him and his beloved granddaughter to see the great things of the motherland. Rivers and mountains. After the operation, I brought him to me and he was in good spirits. Seeing him and my granddaughter happily together, I silently begged God to give my father more time. After the surgery, I went back for check-ups every two months, and the results were all good. About a year after the operation, during the examination, it was detected that there had been recurrence and thrombosis had formed. I consulted the director in detail and he said that there was still a chance for surgery. After checking, all physical functions were very good. It would be best to Surgical removal, but can my father withstand two major surgeries within one year? My wife and mother told me not to have surgery and to take my father on a trip to improve his quality of life. But I am not willing to give in. I also want my father to spend more time with us. The operation went on as scheduled, and the eight-hour operation finally ended. The surgeon said the situation was good and the operation was successful.
We all breathed a sigh of relief, thinking that nothing would happen if the operation was successful. My father was in good spirits two days after the operation. He could already drink some porridge and water, and could get out of bed and walk a few steps. On the fourth day, my father was a little irritable. I was restless, always having to get up, and kept sneezing. Even though there was no snot, I still had to squirt. I had to get up every ten minutes. We ran to ask the attending doctor, and the doctor reported the situation to the director. The director came over and said It's okay. We are relieved. My brother and I have been with my father inseparable since the operation. We didn't get a good rest at night and were under a lot of pressure, so we were not in a good mood. My father kept getting up and spraying for the past two days. I had runny nose, and after squinting for a while in the middle of the night, he started to get up again. I even told him loudly that he was having trouble in his mind, but the doctor said he was fine. Every time I think about this scene, I slap myself hard and want to die. In fact, this is a precursor to liver failure. On the fifth day, my father started to fall asleep. The doctor realized that something was wrong and gathered several doctors. The chief doctor initially judged that it was a sign of liver failure and started rescue treatment. They told me that if this happened, it would be difficult to rescue him. The situation was getting worse and worse. My father started to fall into a coma. I was trying my best to save him every moment. I put my father's palms on my face. I knew that my father was about to leave us. I would never be able to hold my father's warm hands again. I kept calling for my father, hoping that he would open his eyes. Open your eyes. My father left like this, because of my own selfishness. Every time I think about these things, my heart clenches tightly. If he didn't have the subsequent surgery, he should still have at least a few months. The only thing that can alleviate the guilt in my heart is that my father passed away without pain. Late-stage liver cancer is very painful. Maybe this is the virtue accumulated by my father. It’s been almost three years since my father passed away. Every time I go to my father’s grave, I can’t help but cry when I think of my beloved father lying under this cold land, and he’s not yet sixty years old. Hey! I just hope you will have a good time in another world! I would also like to advise the wanderers outside to go home and spend more time with their old parents, and don’t let the situation arise where the children want to be taken care of but cannot be cared for! Now I am also a hepatitis B virus carrier and I am taking medicine. I am afraid that I am like my father. I don’t think so much anymore and cherish the moment and the people in front of me!
My father died of liver cancer in 1964! According to the doctor who took care of him, my mother said it was extremely painful! The doctor was worried that the patient could not bear the severe pain of liver cancer before death and committed suicide by jumping off the building, so he moved my father's hospital bed from the window to the door. But as a retired military officer, my father never complained of pain or pain during the whole process, which was admired by the medical staff who cared for him! It’s not that people who have served in the military are particularly strong, but my dad is particularly strong and patient! The long needle puncture hurts! My dad passed away at night without any relatives around him! Therefore, we really don’t know what he went through before he died! When my father passed away, I was more than one year old and I was in Zigong. My father died at the Provincial People's Hospital in Chengdu, Sichuan. That Provincial People's Hospital over there at Qingyang Palace! Therefore, I never believed in any religion. But I agree with many of what the founder of Taoism said. Just like Tao gives birth to one, gives birth to two, two gives birth to three, and three gives birth to all things! This Tao refers to the Tao of life. If it were not for the way of life, it would not be possible to achieve qualitative change. No matter how much RMB is accumulated, there will be no machine to create RMB! .
People with liver cancer will have many symptoms during their illness, especially those in the late stages will suffer more pain.
Liver cancer is also a cancer in the liver. Its most direct impact on people is liver function damage and failure. The human body will suffer from the following pain:
Severe loss of appetite: It may be caused by cancer, pain, constipation, stress, depression, gastrointestinal problems, etc. The patient has poor food, hiccups due to tumor stimulation in the stomach and lower esophagus, and is mentally and nutritionally deficient.
Severe vomiting: Late-stage patients often experience nausea and vomiting, which may be related to side effects of treatment or caused by cancer invading the digestive system and nerves. This symptom is even more torturous than pain.
Liver pain occurs: In the late stage, normal tissue is infiltrated by the tumor, causing compression and destruction of adjacent nerve roots, local ischemia and necrosis, obstruction of blood return, and pain in the bones and periosteum due to infiltration.
Abdominal bloating: Caused by ascites, the liver can produce albumin. After liver failure, it can no longer produce albumin, and the water in the blood enters the abdominal cavity. Most liver cancer is accompanied by cirrhosis. The blood return flow is hindered, and the pressure in the blood vessels increases, causing water in the blood to seep into the abdominal cavity and increase water accumulation.
Symptoms of hepatic coma: coma caused by advanced liver cancer, gastrointestinal bleeding, infection, diuretics, electrolyte imbalance, etc.
Tumor rupture and bleeding: Severe abdominal pain and hypotensive shock will occur, accounting for 10% of the direct mortality of liver cancer patients.
My mother died of liver cancer. Learn about the process of examination, treatment and critical illness.
A person who is usually in good physical condition felt pain in his chest and back. He went to a general hospital for a check-up and a B-ultrasound showed that it was a mass. I didn’t understand it at the time. Later, my mother asked a friend who was a doctor. A blood test showed high alpha-fetoprotein, and her friend said it might be a tumor.
We went to the cancer hospital and had a comprehensive examination and was diagnosed with late-stage liver cancer. The doctor told me that I could live for three months to half a year at most. I burst into tears and stayed in the doctor's office for ten minutes. I forced myself to calm down, forced a smile, and went out to tell my mother that I suspected it was a tumor. If it was discovered early, it could be cured.
My mother has studied Chinese medicine by herself and has read through the Compendium of Materia Medica, so she understands the condition. So she decided on her own not to undergo surgery and to treat conservatively!
The so-called treatment starts from three aspects:
1. Diet: regularly eat asparagus, dandelion, mushrooms, carrots, tofu, eggs, ribs, drink red bean barley porridge, wolfberry water, etc. .
2. Mentality: Treat every day as the last day, and live every day well. In the summer, I moved to a bungalow in the countryside. I planted vegetables, flowers, and birds in the yard, and was busy taking care of it every day. I installed speakers and microphones at home, and I sang every day to try my best to forget about my illness.
3. Drugs: There are no suitable drugs. She often drinks tea made from astragalus and salvia. She checked the Compendium of Materia Medica to find some traditional Chinese medicines with the function of removing blood stasis, which can be used as tea drinks. I can’t remember clearly. .
My mother was so busy every day, waiting for the arrival of death. I think my mother, who knew that she would not be alive soon, must have been in great pain at that time. She was a dead person who could still breathe, but she couldn't. Show it up and still let us see a smiling, strong mom every day!
Mom’s illness is getting worse day by day, and she is experiencing pain every day!
First of all, his face became more and more ugly, black and yellow, and his eyes even turned yellow.
Then he became increasingly thinner, weighing more than 120 kilograms, and slowly lost weight to more than 80 kilograms. His eyes were particularly prominent, and his face was just a layer of skin covering the bones.
A few months later, the skin began to ulcerate, similar to boils, and there was nothing that could be done. She washed it with mugwort soaked in water and applied some Yunnan Baiyao, but there was nothing that could be done. Effective.
By this time, the tumor cells had spread throughout the body. The pain was unbearable and worsened at night. I could not sleep at all. I often sat until dawn and squinted a little during the day. Occasionally I use a tube of Demerol or take a piece of painkiller, the imported kind, which costs more than 100 per bottle.
She was able to eat at first, maybe because of the ascites, but then she ate less and had no appetite. We drank some nutritional powder and rice cereal, and tried to let her eat fish, meat, and eggs. We I feel that cancer diseases are particularly draining on the human body, and I think that eating more can combat the drain.
In the next year, my mother always felt internal heat. She said she felt like her chest was burning. She had to eat cold things every day, such as ice cream and ice cubes. After eating, she would feel better for a while.
Maybe my mother is stronger. She has never been in bed or in a coma. Until about 2:00 in the morning one day, she felt uncomfortable and vomited. She vomited a lot of dark blood and foam, which was uncontrollable. , after being sent to the hospital, the doctor said that this kind of disease can't be cured by seeing blood, and he stayed in the observation room for observation and asked us to prepare for the funeral.
Until this moment, she was still awake, lying on the hospital bed and occasionally opening her eyes to look at the people around her, but she was speechless and had no strength to move. All we could do was cry silently. Don't disturb her, let her stay in this world for a few more minutes.
At 7:00 in the morning, doctors came over to take a look and told us that he was gone.
Thanks to her perseverance, she survived for 22 months after the diagnosis, which the doctor said was a record.
I never told my mother. I cried in the doctor's office for more than ten minutes, and then I forced myself to come out and pretended to be relaxed. Fortunately, I was discovered early. Years later, I always think of this scene, wondering if my mother would think I was so heartless.
When I saw this topic, I really wanted to write about my mother’s experience. I hope everyone can be strong and perseverant when encountering difficulties. Although my mother did not defeat the disease in the end, she still worked hard to live every day in her last days and created her own miracle!
My father also suffered from liver disease. He passed away in 2009, not just a few days after New Year's Day in 2010. He should have been 60 years old. In the summer of 2009, my father helped me repair my house. He was a good person. On my father’s birthday, I bought him a table full of vegetables. It was just after the Mid-Autumn Festival, and he was a little thin at that time. She said she had a stomachache and didn't like to eat. At that time, my whole family didn't pay much attention to it. They all thought it was a stomach problem, so they bought various stomach medicines, food, and infusions. However, more than a month later, it still hasn't improved because my dad He is usually in good health and can't even catch a cold. This time he was sick and took so many medicines but it didn't work. I persuaded my father to go to the hospital for a check-up, but my father was very stubborn and wouldn't say anything at first. I went, and then I coaxed my father, and he finally agreed. At first, he was diagnosed with a stomach problem at the rural hospital, and then went to a big hospital for a gastroscopy. The doctor said there was nothing wrong with his stomach. When he came back, I said no, so I took him to the town again. I went to the hospital for a checkup, and they said it was cirrhosis of the liver. I was confused at that time, and my father was also weak. I told my dad that it was okay, but his check might not be accurate. Let’s go to the city hospital for a checkup. When we got back to my house at noon, I made a meal. Dad refused to eat and wanted to go home. I finally persuaded him to eat some. The next day we went to the city hospital for a checkup. It was still cirrhosis of the liver and he had started to develop ascites. I was completely confused because there was a disease in our village. People who suffer from this disease will be very painful when they die, but my father has worked hard all his life and has not enjoyed any blessings. Why did he get this disease? I don’t believe it, but the test report is right in front of me. I don’t know what to do? I begged the doctor to save my dad and let him give me the best medicine. He was hospitalized for medication and observation, but his belly was getting bigger day by day. I couldn't do punctures and pumps every day. My dad was losing weight day by day. He had been tired all his life. , I was used to the provincial quality inspection, and asked how much it would cost every day, so I had to go home for infusion, and I was no longer in the hospital. In the end, the doctor said that if there was nothing I could do, just prescribe some medicine and take it at home. Later, he stayed in the hospital for a few days and then returned home. After struggling for more than two months, my father had a bad temper every day. He always quarreled with my mother and always found faults. I persuaded my mother to let him go. Something hit my mother, and she always burst into tears when she talked about this. I remember a few days after New Year's Day, my father always vomited some liquid that was the color of boiled blood every day. It was not blood, and his stool was black. That day, My father told me that he was dying. I couldn't stop crying at that time, as if the sky was falling, because my father has always loved me and loved me since I was a child. I can't live without my father. Even now that I'm so old, I can't live without my own family. I can't live without my father. I have to see my father at least three or four times a week. But now he says he is dying. What should I do? My father saw me crying and tried to persuade me, saying that everyone has to leave one day. Why cry? I want to I'm going to find my mother. I'm going to enjoy my life. .
I cried even harder. That night, my uncles and cousins ??were watching over me, and I kept holding my father’s hand. But that night, my father didn’t show any pain at all. He looked at me first, and then no one else. I stopped looking and looked at the wall. Just like that, I stood on my father's bedside and never let go. I prayed in my heart that my father would stay for me. But the time passed by minute by minute. At about eleven o'clock in the evening, my father swallowed I took my last breath and passed away peacefully. I hope my father will be free from illness and happy in heaven, and my daughter will pray for you! My daughter will always love you
Dr. Cui is a doctor of hepatobiliary surgery. He has seen the life and death moments of many liver cancer patients. The pain of liver cancer patients in the dying period is diverse, because the situation of each liver cancer patient is also different. of. Especially liver cancer patients who have been treated in hospitals have different causes of death, so their end-of-life symptoms are also different.
1. Liver cancer patients suffer from massive gastrointestinal bleeding and die acutely. This is not uncommon in hospitals, but is also very common at home, because most liver cancer patients have a history of cirrhosis, and the history of cirrhosis is long and severe. Esophageal and gastric varices are caused by the progression of cirrhosis. It is very easy to combine diseases. When varicose blood vessels are damaged by food or gastric acid, massive bleeding in the digestive tract will occur. Most of the bleeding can be saved, but some patients may lose it because of frequent bleeding or heavy bleeding. Life, hemorrhage is a very scary thing for patients. The patient will hold the hands of the people around him tightly and want to cover his mouth with his hands. He is also very afraid of the people around him.
2. Liver cancer rupture and bleeding are different from gastrointestinal bleeding. Many of them are discovered after sudden fainting or sudden disturbance of consciousness at home and being rushed to the hospital. And this may also be the first symptom. Our department encounters such liver cancer patients several times every year. Most of them can save their lives through emergency surgery, but some liver cancer patients do die when they are sent to the hospital. Liver cancer rupture and bleeding mostly occur when the liver cancer grows larger and is located closer to the edge of the liver.
3. Liver failure. Regardless of whether they have undergone formal treatment or not, liver cancer patients may suffer from liver failure. Liver failure can rarely be reversed, especially if it is caused by this malignant tumor. In the end stage, the body's tolerance is poor, and liver cancer patients who have undergone surgery, chemotherapy, etc. are no exception, because these treatments may also cause the deterioration of liver function, and the liver cancer itself is in the process of increasing and spreading. All will lead to deterioration of liver function.
4. Liver cancer is a consumption disease, and malignant tumors are all wasting diseases. Moreover, liver cancer is a malignant tumor of the digestive organs, which will cause poor appetite. Difficulty eating, abdominal distension and vomiting, etc., greatly affect the body's energy intake, and the consumption of malignant tumors gradually increases, so cancer patients in the late stage may be very thin, skinny, and have a very weak constitution, which is called cachexia. This is the most uncomfortable result for patients and their families, and it looks very pitiful.
Only some liver cancers at an early stage can be treated by surgery, and most of them are already in the middle and late stages when discovered, or have distant metastasis.
I met a patient with liver cancer, a 70-year-old woman. She accidentally touched the right liver area. After that, she always felt uncomfortable and painful in the liver area. She thought it might be caused by the touch. Due to the reason, I finally felt uneasy and went for a check-up. The check-up found out that it was liver cancer. Her family and I were thinking about what kind of treatment to do, so we asked for her opinion and decided to have surgery. In fact, there was little point in having surgery because the doctor said her condition was not fully disclosed to her family, and she only lived 14 months after the operation. moon. Before the operation, her symptoms were loss of appetite, bloating, nausea, and frequent nightmares. After the operation, my appetite improved slightly, but within a short time I still didn't eat much and was still constipated. The liver and ascites were removed once a day at first, and then multiple times a day, so in the end I had no appetite at all, and was very skinny and pitiful. In the end, I vomited blood and died.
Therefore, we must develop good living habits. It is best to go to bed before 11 pm, because the Gallbladder meridian is in season from 11 pm to 1 pm, and the Liver meridian is in season from 1 pm to 3 pm. , the most golden sleep time, you must have deep sleep. At this time, because the liver is detoxifying, and you have good sleep at this time, it will work hard for you. In terms of emotions, you should manage your emotions well. The Huangdi Neijing says, "Be calm and nihilistic, keep your true energy, keep your spirit internally, and your illness will always be at ease."
Thank you