16th February 2025

A 98-year-old woman presents with abdominal pain and vomiting. She has a past medical history of coeliac disease

A 98-year-old woman presents with abdominal pain and vomiting. She has a past medical history of coeliac disease, heart failure with reduced ejection fraction, osteoarthritis, and a clinical frailty score of 7.

She has not opened her bowels or passed flatus for 3 days. On examination, there is a palpable large abdominal mass in the left lower quadrant.

She is very clear that she would like to remain at home and does not wish to go to hospital for further tests or treatment but would like medications to make her feel better. From the options below which would be the most appropriate anti-sickness to commence?

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