### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hellow,im from Maldives, my father inlaw, is suffering from pancreatic cancer, we tried to remove his tumer four month back from one of the indian special hospital, but unfortunately, as his 71 years old, and his health conditions were not well, they were unable to remove it, so, they put a plastic temporary stent to, to reduce his jaundice level, which is better now and did a bypass surgery, some where near, to pass food, incase of spreading the cancer, after that we came back to our country, and for almost 3 months he was fine, other than stomach pain, and less eating, but it has been now more than a month which he is in a pretty serious condition, he has back pain, stomach pain, cannot sleep well, cannot eat, fever, hickups,stomach pain, and for most urin problems, which he cannot pass his urin well and now a urine bag has been connected, we removed it twice, but both the time also he was unable to pass. so1- what do you think his stage is.?2-what are the symtoms of the final stage?3-what do you think we should do? 4-how much time would he servive for.thankswaiting for a sooon reply

### output:

Hi, Thanks for writing in to us.1. It is clear from your description that during the first attempt the tumor was inoperable due to his general condition. In 3 months time, it is believed that the cancer has spread to nearby organs and therefore there might be stage 4 cancer.2. Jaundice is the first symptom noticed in most patients of cancer pancreas. He had the symptom for longer than 3 months. The later symptoms include severe pain in abdomen, indigestion and severe jaundice due to obstruction to biliary flow.3. Right now you should consult the oncologist and pain relief doctor and provide solutions to reduce his pain and discomfort. Nutrition should also be given, and he should get adequate amount of fluids to avoid deny Chat Doctor. 4. Though advanced cancer has a survival up to 2 years, in case of cancer pancreas survival is difficult for more than 6 months. Please do not worry.