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Hi my husband is 50 years old: and weighs 195.

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Posted on Thu, 28 Feb 2019
Question: Hi my husband is 50 years old: and weighs 195. He is having lower left front abdominal pain. He says he can’t pass gas and can’t pooop. He does not have diarrhea, he does not feel nauseas, he is not vomiting, and he does not have a fever.
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
To know the cause first for proper management in view of heart problems

Detailed Answer:
Hi.
Thanks for your query.
Noted the history about your husband and understood the concerns.
The problem looks like that of constipation wherein the cause has to be found out for proper treatment.

In view of the medical problems it is important to have an early diagnosis and proper management to avoid strain on the heart.

Hence I would advise him the following:
X-ray of abdomen is a simple investigations that can tell whether there is fecolith formation and impaction in the left or whole colon causing pain and inability to pass gas and stool. If fecoliths are found then he may need soap water enema as more straining and pain not allowed in heart patients.
Additional Ultrasonography of abdomen, tests of blood, urine and review of the medical conditions is also necessary.
Please take him to Doctor or ER.
Stool softeners do not help more in impacted fecoliths. Please do not repeat.
Investigations will help to rule out other causes of fecal impaction.

I hope this answer helps you and your husband in early diagnosis and proper management in view of the pre-existing heart related problems.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 18117 Questions

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Hi my husband is 50 years old: and weighs 195.

Brief Answer: To know the cause first for proper management in view of heart problems Detailed Answer: Hi. Thanks for your query. Noted the history about your husband and understood the concerns. The problem looks like that of constipation wherein the cause has to be found out for proper treatment. In view of the medical problems it is important to have an early diagnosis and proper management to avoid strain on the heart. Hence I would advise him the following: X-ray of abdomen is a simple investigations that can tell whether there is fecolith formation and impaction in the left or whole colon causing pain and inability to pass gas and stool. If fecoliths are found then he may need soap water enema as more straining and pain not allowed in heart patients. Additional Ultrasonography of abdomen, tests of blood, urine and review of the medical conditions is also necessary. Please take him to Doctor or ER. Stool softeners do not help more in impacted fecoliths. Please do not repeat. Investigations will help to rule out other causes of fecal impaction. I hope this answer helps you and your husband in early diagnosis and proper management in view of the pre-existing heart related problems.