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Suggest Treatment For Severe Constipation And Abdominal Cramps
Question: Haven't made a bowel movement in12 days. Took 3 enemas 2 days ago..nothing (1 in the ER yesterday) and 1 suppository 2 days ago. Nothing. Drank Citroma. nothing. Stomach is hard and have very tight cramping. X-ray shows no blockage but colon is backed up with feces. Very uncomfortable to even stand up. What should I do?
Brief Answer:
Digital evacuation or transanal irrigation
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Xray has showed not intestinal obstruction and I presume you are able to pass flatus.
If medications and enema fail and you have not had bowel movements for 12 days, you can use other options like transanal irrigation and digital evacuation.
These are to be done by trained medical professionals only.
Once the impacted stool is evacuated, further evaluation has to be done to find the cause.
Colon transit study, balloon expulsion test, defecography and anorectal manometry have to be done.
Regards,
Dr.R.K.
Digital evacuation or transanal irrigation
Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Xray has showed not intestinal obstruction and I presume you are able to pass flatus.
If medications and enema fail and you have not had bowel movements for 12 days, you can use other options like transanal irrigation and digital evacuation.
These are to be done by trained medical professionals only.
Once the impacted stool is evacuated, further evaluation has to be done to find the cause.
Colon transit study, balloon expulsion test, defecography and anorectal manometry have to be done.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Does this need to be done immediately? It is Sunday 1/10/15 at 8:40AM. Where do I go to have this done? I am in extreme discomfort.
Brief Answer:
Go to ER
Detailed Answer:
Hi,
Since it is nearly 12 days since you had a bowel movement and also that you are having severe discomfort I would advise you to get it done immediately.
You can go to ER for this procedure.
Regards,
Dr.R.K.
Go to ER
Detailed Answer:
Hi,
Since it is nearly 12 days since you had a bowel movement and also that you are having severe discomfort I would advise you to get it done immediately.
You can go to ER for this procedure.
Regards,
Dr.R.K.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Even though I wen to ER yesterday and they said this was all they,can do? A GI DR. "won't see a patient in ER for constipation," the doctor said to me. "Follow up with your GI during the week or I can recommend one," he said. PLLLLEEEAAASE HELP!
Brief Answer:
Glycerine suppository/ Fleet enema
Detailed Answer:
Hi,
You can call GI doctor's office and fix an appointment for tomorrow morning.
Digital evacuation is done by even nurses and not just GI doctors.
So you can ask the ER team whether they can do it for you.
Alternatively you can try glycerine suppository or a Fleet enema rectal at ER if not done already.
Regards,
Dr.R.K
Glycerine suppository/ Fleet enema
Detailed Answer:
Hi,
You can call GI doctor's office and fix an appointment for tomorrow morning.
Digital evacuation is done by even nurses and not just GI doctors.
So you can ask the ER team whether they can do it for you.
Alternatively you can try glycerine suppository or a Fleet enema rectal at ER if not done already.
Regards,
Dr.R.K
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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