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Constipation after brain surgery medications - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   hi i am on pain meds from brain surgery last week and it gave me constipation and the stools are larger and hard and i cannot pass them. i used vasilin and with my finger have been removing them but yesterday this one i could only get half now the other half is just sitting there and i cant break it up what else can i do my anus is very sore
Doctor :   Hi,
User :   hi
User :   have you read the above
Doctor :   Yes, i have read now
User :   is there anything else i can do
User :   to break this up
Doctor :   Do not finger the anus, since its a soft mucosal part you may cause abrasions leading to pain and burning sensation
User :   yes i have that already
User :   ive heard that is what they do in the er they finger and break it up
Doctor :   its ok, i would advice you to apply LIGNOCAIN 2 % gelly which wil give relief from the pain
Doctor :   yes, it will work , but has to be performed by a G P using glow adn lignocain gelly
Doctor :   and*
Doctor :   sometimes a colonoscope may be needed
User :   can i get that over counter
Doctor :   yes, you can take 2 tea spoons of castor oil it will purge it out
User :   by mouth
Doctor :   yes,also applying around the inner anus will fasten the process
Doctor :   also you can use CREMAFFIN syrup along with it
User :   what about a suppository
Doctor :   i do not think the suppository will work as it needs empty rectum to be absorbed by the rectal mucosa
User :   ok so this should take care of the pain how do i break it up because it to big to pass the anus
Doctor :   the castor oil and cremaffin will push it , and the impacted stool will slip off , anus is one opening which can stretch open wide
Doctor :   but you can stil aid it by using glows and lignocain gelly
User :   but i have cuts on the anus from passing stools the last few days
Doctor :   the lignocain gelly will help
Doctor :   its a local anesthesia
Doctor :   I see you have moved out of the chat . please login back to continue the chat
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