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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constipation And Reflex Sympathetic Dystrophy?

My husband has been experiencing constipation for the last few weeks. First it was a extremely large section made up of smaller balls followed by the same large diameter softer stool (diameter of about 2-3 inches and about 12inches long) and now it s extremely long (12-14 inches) but flattened stool. He was drinking a lot of milk (almost a gallon a day) but in the last 2 weeks he has cut that dramatically back. He also has RSD and takes a prescribed combination of compounded hydrocodone/apap and liquid methodone.
Tue, 2 Aug 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the findings about your husband having constipation for last few weeks. Initially large section is made up of small balls followed by large diameter softer stools, extremely long bu a flatter stool.drinking a lot of milk, also has RSD and takes a prescribed combination of compounded hydrocodone/apap and liquid methodone
All this history is suggestive of a mass or a stricture or something in the rectum or so.
I would advise him the following in such a situation:
Soap-water enema to cleans the bowel.
Colonoscopy
CT scan of the abdomen
Surgical intervention for correcting the problems.
Further treatment as per the findings.
If there is nothing surgical, the enema itself may be sufficient as it cleans the fecoliths which can be a problem.
Ask him to avoid all the foods and beverages that cause such a problem and take a laxative for a few days if required.
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What Causes Constipation And Reflex Sympathetic Dystrophy?

Hi. Thanks for your query. Noted the findings about your husband having constipation for last few weeks. Initially large section is made up of small balls followed by large diameter softer stools, extremely long bu a flatter stool.drinking a lot of milk, also has RSD and takes a prescribed combination of compounded hydrocodone/apap and liquid methodone All this history is suggestive of a mass or a stricture or something in the rectum or so. I would advise him the following in such a situation: Soap-water enema to cleans the bowel. Colonoscopy CT scan of the abdomen Surgical intervention for correcting the problems. Further treatment as per the findings. If there is nothing surgical, the enema itself may be sufficient as it cleans the fecoliths which can be a problem. Ask him to avoid all the foods and beverages that cause such a problem and take a laxative for a few days if required.