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What Causes Diarrhea And Bowel Incontinence After An Angiogram?

Posted on Thu, 14 Jan 2016

Question: Hi there, my mum just had a angiogram and had a stent put in, that was the day before yesterday, they let her go yesterday and she has been staying with me, last night, all night she has had ad Dirreah, most of the time she can't control it, should we be worried

Answered by Dr. Ilir Sharka (3 hours later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that these symptoms may be related to a gastrointestinal infection, a food allergy or even clopidogrel adverse effects (taken during and after the procedure).

I recommend you to consult with her attending physician for a careful physical examination, a stool analysis and bacterial culture, and some blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes, kidney and liver function tests, fasting glucose).

Meanwhile I recommend taking plenty of water and electrolytes to stay well hydrated and avoid possible dehydration and low blood pressure or electrolytes imbalances, which could aggravate her clinical situation.

Hope you will find this answer helpful!

Feel free to ask any other questions whenever you need!

Greetings!

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (15 minutes later)

Thankyou for replying to my question dr, mum has just informe me as she was leaving she told the doctor there that she had bad constipation and he has given mum some sort of laxitive ( she doesn't no what it was) anyway it's done its job but it's out of control, it's starting to be very painful in the bottom, she literally has been up all night cause when she falls asleep it the poor thing has no control, it's Christmas Day and I'm a bit worried as its been 12 hours now, what's also strange is that I picked her up at hospital around lunch time, but she didn't have any issues till she went to sleep about half past nine last night which makes me think that her burning anus and constant uncontrollable Dirreah is not related to whatever the doctor gave her for her constipation, should I try and seek out a chemist ( probably none open in Adelaide today) or should I try and contact the Ccu ward to see what they think.

Answered by Dr. Ilir Sharka (26 minutes later)

Brief Answer:
I recommend taking her to the ER for a complete check up.

Detailed Answer:
Hello again!

Thank you for the additional information!

This situation may be related to the laxative she is taking. But, as I explained before it is important to exclude other causes before coming to this conclusion.

From the other hand, you should know that dehydration from uncontrolled diarrhea can lead to low blood pressure and electrolytes imbalances, which can be life threatening especially in elderly patients (causing possible cardiac arrhythmia and even stroke).

That is why it is important bringing her to the ER for some tests.
Meanwhile, try to give her plenty of fluids to avoid dehydration.

Hope to have been of help!

Wishing all the best,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (4 minutes later)

Thankyou doctor, the poor thing is in tears, she dosnt want to go up there, and to be perfectly honest I wasn't going to, until I read your messages, we are heading there now, Thankyou once again

Answered by Dr. Ilir Sharka (15 minutes later)

Brief Answer:
Hope everything will be OK again!

Detailed Answer:
Hello again!

I am sorry for the concern, but as I explained this situation can lead to serious complications, taking into consideration her age and medical history.

Hope everything will be fine again!

Let me know about her medical situation!

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (9 hours later)

Just want to thankyou again for your help doctor, we went to the er and they had her on a drip for dehydration, and her blood tests came back positive, they gave her two tablets to stop the diarreah, thankyou once again have a great new year mate. : )

Answered by Dr. Ilir Sharka (3 minutes later)

Brief Answer:
You are welcome!

Detailed Answer:
I am glad to have been helpful!

Merry Christmas and a Happy New Year!

Wishing all the best,

Dr. Iliri

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar