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Suggest Treatment For Severe Constipation While On Pain Medication
Question: My boyfriend has stage 4 colon cancer.. he has a problem with constipation becuz of the pain meds.. he has not aged a bowel movement in two weeks..they have prescribe.diffént meds.they don't work.I came hm tonight.he won't leave the to let he's in alot of pain..i think he's impacted..what should I I I don't need a family Dr..I need a cancer dr
Brief Answer:
COLONIC CANCER
Detailed Answer:
DEAR XXXXX,
THANK YOU FOR PUTTING YOUR QUERY.
FIRSTLY THE HISTORY OF YOUR BOY FRIENDS CANCER COLON IS NOT CLEAR. IT IS NOT ALSO CLEAR WHETHER YOUR BOY FRIEND HAS COLOSTOMY OR NORMAL PASSAGE. THERE CAN BE TWO REASONS FOR HAVING NO BOWEL MOVEMENT. EITHER THERE IS LOCAL RECURRENCE OF THE DISEASE OR IF HE WAS EARLIER DISEASE FREE IT CAN BE DUE TO IMPACTED STOOL. SOMETIMES IT IS ALSO DUE TO LOSS OF PERISTALTIC ACTIVITY CALLED PARALYTIC ILEUS CAUSED BY ELECTROLYTE DISTURBANCE. AFTER PHYSICAL CLINICAL EXAMINATION AND PLAIN X-RAY OF ABDOMEN OR ULTRASOUND IT MAY BE POSSIBLE TO DETERMINE THE CAUSE.
IF HE IS NOT HAVING DISTENSION OF ABDOMEN AND IS GETTING RECURRENT COLICS, THE POSSIBILITY IS THAT HE HAS IMPACTED STOOL. AVOID ANTI SPASMODIC PAIN KILLERS, HARD FECAL MATTER CAN BE REMOVED WITH FINGER, YOU HAVE TO GIVE ADEQUATE FLUID AND STOOL SOFTENER OR EVEN A GLYSERINE ENEMA TO COME OVER THE PROBLEM IF AVAILABLE ON COUNTER.
THE BEST THING TO DO WILL BE GET A PHYSICIANS CONSULTATION AND EXAMINATION DONE, DETERMINE THE CAUSE AND GET APPROPRIATE TREATMENT.
I HOPE YOU GOT MY POINT.
TRULY.
DR. J. TICKU
COLONIC CANCER
Detailed Answer:
DEAR XXXXX,
THANK YOU FOR PUTTING YOUR QUERY.
FIRSTLY THE HISTORY OF YOUR BOY FRIENDS CANCER COLON IS NOT CLEAR. IT IS NOT ALSO CLEAR WHETHER YOUR BOY FRIEND HAS COLOSTOMY OR NORMAL PASSAGE. THERE CAN BE TWO REASONS FOR HAVING NO BOWEL MOVEMENT. EITHER THERE IS LOCAL RECURRENCE OF THE DISEASE OR IF HE WAS EARLIER DISEASE FREE IT CAN BE DUE TO IMPACTED STOOL. SOMETIMES IT IS ALSO DUE TO LOSS OF PERISTALTIC ACTIVITY CALLED PARALYTIC ILEUS CAUSED BY ELECTROLYTE DISTURBANCE. AFTER PHYSICAL CLINICAL EXAMINATION AND PLAIN X-RAY OF ABDOMEN OR ULTRASOUND IT MAY BE POSSIBLE TO DETERMINE THE CAUSE.
IF HE IS NOT HAVING DISTENSION OF ABDOMEN AND IS GETTING RECURRENT COLICS, THE POSSIBILITY IS THAT HE HAS IMPACTED STOOL. AVOID ANTI SPASMODIC PAIN KILLERS, HARD FECAL MATTER CAN BE REMOVED WITH FINGER, YOU HAVE TO GIVE ADEQUATE FLUID AND STOOL SOFTENER OR EVEN A GLYSERINE ENEMA TO COME OVER THE PROBLEM IF AVAILABLE ON COUNTER.
THE BEST THING TO DO WILL BE GET A PHYSICIANS CONSULTATION AND EXAMINATION DONE, DETERMINE THE CAUSE AND GET APPROPRIATE TREATMENT.
I HOPE YOU GOT MY POINT.
TRULY.
DR. J. TICKU
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Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Answered by
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