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Problem in bowel movement post surgery, feel bloated - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I had surgery last Wednesday morning. about 4/5 hours under anesthesia. My colon "woke up" around 6am Thursday. I've eaten healthy and high fiber, and drank LOTS of water. Didn't have a bowel movement until about 6pm Saturday after using a Walgreen's enema with Saline Laxitive (4.5 oz.). Had good movement and passed gas for several hours. Kept drinking water. Everything has stopped. I feel plugged up mid-gut, like the water is just sitting on top. I tried another enema with just salt water (warned not to repeat walgreen's enema within 24 hours w/o doctors orders). Feel bloated and terrible. Do I need to go to the ER? Wait and do another enema? Do another enema w/ laxitive now? Please advise.
Doctor :   Hi
Doctor :   I'm Dr.
User :   I had surgery last Wednesday morning. about 4/5 hours under anesthesia. My colon "woke up" around 6am Thursday. I've eaten healthy and high fiber, and drank LOTS of water. Didn't have a bowel movement until about 6pm Saturday after using a Walgreen's enema with Saline Laxitive (4.5 oz.). Had good movement and passed gas for several hours. Kept drinking water. Everything has stopped. I feel plugged up mid-gut, like the water is just sitting on top. I tried another enema with just salt water (warned not to repeat walgreen's enema within 24 hours w/o doctors orders). Feel bloated and terrible. Do I need to go to the ER? Wait and do another enema? Do another enema w/ laxitive now? Please advise.
Doctor :   Let me read your query
Doctor :   What surgery was it?
User :   wolf minimaze for a-fib
Doctor :   OK
Doctor :   Please give your Age, Gender, Location, Occupation, Marital status, Height, Weight and Waist circumference.
User :   "minimally invasive" heart surgery.
User :   42 years, male, married, 5'9", 185 lbs. 34" waist. good physical shape and core strength
Doctor :   Ok
Doctor :   Was the procedure done through abdomen?
User :   no - through sides / upper ribs.
User :   arm pit area
Doctor :   Ok
Doctor :   Are you able to pass gas now?
User :   a little, but not much and not often
Doctor :   Ok
Doctor :   Do you have pain in the abomen?
User :   last enema attempt stayed in without problem. with later effort, water came back out, but with no desired results
User :   feels bloated and a little stiff. no actual pain
Doctor :   Ok
User :   any urgent danger? can i see a doc in the morning?
Doctor :   You can wait till morning?
User :   is that a question or answer? I am able to wait. Not sure I should wait.
Doctor :   Answer
User :   thank you.
Doctor :   Are you taking regular diet?
User :   yes. but lots of fiber and water
Doctor :   Ok
User :   can i try another walgreens enima, or give it more time to move?
Doctor :   Restrict to only liquid diet for now
Doctor :   Give it more time
User :   will do
User :   thanks.
Doctor :   In morning you consult your doctor and go forward
Doctor :   If there is severe pain, increase in heart rate
Doctor :   Then you can go to ER
User :   okay. thanks.
Doctor :   Is there any thing else I can help you with?
User :   no. that covers it. thanks.
Doctor :   Please fill the feedback form say done when done.
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