Management of pain associated with bowel obstruction in palliative care

Manage pain associated with bowel obstruction in patients with palliative care needs by using an opioid analgesic with or without an antispasmodic. Use parenteral drug administration as oral absorption may not be reliable, even when patients have long intervals between vomiting—see Acute pain in palliative care for further information. Withdraw stimulant laxatives (eg senna, bisacodyl) as they may cause pain and worsen other symptoms (eg vomiting).

For management of cramping pain (colic) associated with bowel obstruction in patients with palliative care needs, use: