5th January 2024

A 52-year-old woman with advanced ovarian cancer has established good pain control

A 52-year-old woman with advanced ovarian cancer has established good pain control after commencing oxycodone two weeks ago. However, she has experienced constipation since starting the oxycodone that has not been relieved with senna, docusate sodium, macrogol or lactulose. On PR examination, she has an empty rectum. Her observations are stable, and there are no signs of bowel obstruction. What is the next best option in management of her constipation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.