I gave Lindsey a lot of information to post in a very brief phone call. It is very confusing to convey so let me try to clarify a few things. Here's how I understand the situation. Part of Pam's intestines are "paralyzed" or "lazy" at this point, causing an obstruction. Orders are to withhold the tube feeding and treat the lazy bowels with a medicine that's name I don't recall. Hopefully it will wake them up.
She has another problem with her liver. Her enzyme levels have been high for a while but are coming down. Meanwhile, the ducts in her liver are dilated (open) and at least one is obstructed. An MRI on Thursday should give more detail as to what that obstruction is. It could be a stone or sludge from her gall bladder or simply an inflammation. The "C" word is definitely a possibility but unlikely. The size of the obstruction appears to be about 1 mm. All of these things are most likely the cause of her nausea and pain. Her nausea, however, has been less severe and less often.
The leaking from her tube site is most likely caused by the "back pressure" in the intestines. Pam has been resting well today with a few periods of pain at the tube site, but mostly comfortable. The medications seem more effective and go to work much faster while administering them through an I/V versus the feeding tube, so her relief comes much quicker. Hope this info helps all to understand.