Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
183 Doctors are Online

Osteoarthritic pain has escalated after hip replacement. Having constipation, bowel polyps removed, pain in rectum. Suggest?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2012
Answered : 1019 Questions
This query is in regard to my elderly mother, 87 years of age. She has been very healthy all her life but since having a hip replacement 3 years ago her health has deteriorated. Osteoarthritic pain has escalated over the years for which she was prescribed Endone. This played havic with her bowel causing constant & severe constipation. Bowel polyps were diagnosed and surgically removed. Since the colonoscopy she has suffered from intense, continual pain in her rectum. She finds that she can't sit down or lie for any length of time. She paces the floor to relieve the pain which is physically exhausting for her. The pain she is experiencing is severe enough to make her faint on a number of occasions. One doctor called it "proctalgia", others have said it is the arthritis and she needs to deal with her pain management herself. I feel that, because of her age, help is not out there. The pain has reduced her quality of life so much so that she is giving up. Where do you suggest we seek help?
Posted Thu, 23 May 2013 in General Health
Answered by Dr. Achuo Ascensius 2 hours later
Thanks for the query,

Given the series of event that have occurred and given her age as well, it is more likely that the pain she feels is largely psychological. What someone understands of pain, disease and disability plays an important part in the presentation of the problem and the effectiveness of treatment.
For patients with chronic pain, these beliefs form part of the psychosocial context, known to be the largest influence in predicting the extent of painā€associated disability.

Age and female gender are predisposing factors to depression in a setting of chronic pain and are also thought to be related to exaggeration of pain intensity either to gain company/attention or other reasons.

What she needs is more psychological support, someone to be there and to talk with her and keep her company.
Also, her pain drugs should be reviewed with her doctor if need be should be augmented or associated with other drugs.

Hope this answers your query. If you have more query, i will be ready to help.
Best regards
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor