My husband is in stage 4 bowel cancer which has spread to his liver and peritoneal area. In the last couple of weeks my has become a lot more tired and he hardly eats anything. He doesn't fancy anything, feels sick when eating etc. His oncologist discharged him in February so we now only see the GP once a month an last time we saw her a couple of weeks ago she said as long as he doesn't lose weight he should continue to eat lots of calories to maintain the weight. But I have realised that actually I don't think it's calories that are making him look ok as he really isn't eating hardly anything and i think it's a build up of fluids as his stomach looks quite big and "hard" to the touch? I think it's called ascites?

I don't know what to do though as my husband won't see doctors or speak to nurses (he only goes to the GP as she just chats to him, no checks or anything). He doesn't think it's ascites, he says he's fine, won't talk about how he feels, if he's in pain, what steps we should take etc. Today he's only had a handful of crunchy nuts in the morning and very little soup in the evening. He is having a lot of acid reflux and feels like he wants to be sick but can't.

I am so worried that his health is now starting to seriously deteriorate and that if we do nothing now it's going to go really quickly and too late to get any help. Is the lack of appetite, the swollen abdomen and tireness signs that we are reaching final stages? How long can he stay with ascites without anything done about it?

Thanks for any advice.