You consider the possible causes for his worsening pain:
- Progression of pancreatic cancer - unlikely in such a short time
- Constipation - unlikely - normal rectal exam and bowel movement this morning
- New process in the abdomen - unlikely with reassuring exam of the abdomen, but certainly worth considering
- Problem with analgesic administration - you confirm meds were properly administered and IV is functional
- Emotional distress - Probably.