What could be causing severe abdominal and back pain, nausea, along with abdominal distention in a patient with breast cancer with mets to the liver. Pain and distention worse after eating any type of food. Pain and distention does subside, but never goes away completely. MD Thought was possible constipation, and treated with miralax and stool softeners, as well as glycerin suppository, which only resulted in diarrhea. This has been going on for days, MD suggested that pt, just keep normal appointment next Monday tho patient seems to be getting progressively worse followed by brief periods of improvement. Pt currently not on chemo, not taking opioids, PET of 2 weeks ago showed no other abdominal mets, with only mild ascites. Thoughts??? (other than mine which was that her oncology team (which is new to her as she is enrolled in a clinical trial using a hormone type treatment method) isn t being very responsive