The survival time of patients with advanced esophageal cancer who have stopped eating and drinking is usually short, perhaps only one to two weeks, which is closely related to the patient's physical condition, treatment measures and nursing conditions. Strengthening palliative care and psychological support can improve the patient's quality of life and alleviate pain. 1 Reasons for not eating or drinking in the late stage of esophageal cancer Patients with advanced esophageal cancer may have difficulty eating or be completely unable to swallow due to tumor obstruction. As the tumor spreads and the disease worsens, the patient's appetite decreases or even completely disappears. The body's metabolic needs still exist, and when the patient cannot obtain nutrition through oral feeding, physical energy is quickly depleted, causing vital signs to deteriorate rapidly. 2 The impact of not eating or drinking on life Without food or drink, the human body mainly relies on existing reserves for energy, such as glycogen, fat, and protein. However, cancer patients are often already in a state of severe exhaustion, and their body's ability to bear is very limited. In this case, the body's organ functions quickly fail, and the supporting capacity of important organs such as the heart and lungs is weakened, so the patient's survival time usually does not exceed two weeks. 3 Ways to care and improve quality of life Although a cure is not possible, there are several ways to relieve pain and prolong survival: Short-term nutritional support: Liquid nutrition can be provided through a nasogastric tube or gastrostomy to help patients maintain energy and reduce the burden on the body. Pain relief: Patients often have severe pain and may be given morphine or other pain-relieving drugs to make them more comfortable. Psychological support: Family companionship, psychological counseling and religious spiritual comfort are very important for patients, which can reduce anxiety and fear and improve the quality of life. Even in the advanced stage, patients and their families should not give up the pursuit of quality of life. Appropriate care and support can provide patients with a more peaceful last moment of life. When treatment is no longer possible, the family and medical team need to work together to provide the most humane palliative care and psychological support for the patient. |
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