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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Morbid Obese Suffer From Constipation. Normal Liver Function Test, Thyroid Levels. Next Step?

Female 50 morbid obesity complain of relative constipation as she pass flatus for 30 days , no vomiting
not resolved by all types of laxatives
Examination lax abdomen , no resonance on percussion PR:no obstruction or stool
laps : normal CBC, liver function tests , thyroid function , FBS , CA -ve
what is next management
Wed, 29 May 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Every person over the age of 50 should have colonoscopy every 10 years done even if there is no symptoms. As you have symptoms which is constipation, this test should be the next step. Obesity and your age are known risk factors of colon cancer. That is why it is very important to rule the cancer out.
If nothing will be found, you should also have stool tests done for chronic infection.
You should also increase fiber rich products, mineral water intake and physical activity. Avoid fatty foods and soft drinks.

Hope this will help.
Regards.
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Morbid Obese Suffer From Constipation. Normal Liver Function Test, Thyroid Levels. Next Step?

Hello! Thank you for the query. Every person over the age of 50 should have colonoscopy every 10 years done even if there is no symptoms. As you have symptoms which is constipation, this test should be the next step. Obesity and your age are known risk factors of colon cancer. That is why it is very important to rule the cancer out. If nothing will be found, you should also have stool tests done for chronic infection. You should also increase fiber rich products, mineral water intake and physical activity. Avoid fatty foods and soft drinks. Hope this will help. Regards.