JMO, but when Lucas was diagnosed with cancer I did not believe he was in terrible pain, either, BUT.....having diarrhea almost constantly could NOT have been joyful. Thinking about how we humans often have bloating and cramps that go along with diarrhea, I just felt that Lucas must also be suffering, even if silently. With Lucas, the tumors were growing rapidly, and even though that was the majority of the basis for my decision on euthanasia, the toll the diarrhea was taking on his insides was also a consideration.

I realize Miley's problem is not that same, but I hope that my "logic" (such as it is) can help you through a difficult time.