<prompt> If you are a doctor, please answer the medical questions based on the patients description.my father is not responding to treatment and has stage 4 liver cancer he has severe constipation which has to be relieved with kleenenema also has problem in swallowing what should be the supportive treatment and what kind of drips should be given?mr. Iqbal Karachi, Pakistan  <response>: Hello dear. Difficulty in swallowing can be due to multiple reason. One is that there may be spread of cancer near his throat which is causing external compression on his food pipe, Other is that he is having inflammation of the food pipemucositis. Others can be that he might have some infectionfungalof the food pipe. You should discuss these options with your doctor and then the treatment can be planned out. Regards 