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How Can Bloating, Gas And Constipation Post A Prostatectomy Be Treated?

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Posted on Fri, 28 Apr 2023
Question: Hi

I just had a prostatectomy for prostate cancer - they also removed the pelvic lymph nodes.
I have about 100 ml of fluid coming out of a drain in my side every 1.5 - 2 hrs.

They tested for creatine (sp?) to see if urine was leaking around the catheter - test was negative. Fluid was reddish but is now a pale yellow pink.

I feel very bloated - I pass small amounts of gas but have not have a bowel movement since Wed morning before the operation.

Do I need to be concerned and what should I do to relieve bloating. I took a laxitive in the morning at the hospital ( I am now home) and also had some prune juice.

thank you
XXXXXXX

doctor
Answered by Dr. Ramesh Kumar (2 hours later)
Brief Answer:
Continue laxative and take activated charcoal. Need not to be concerned at all once you would start ambulating things would be fine.

Detailed Answer:

Hello XXXXXXX,

Feeling bloated belching gas and constipation is something seen with almost every patient postoperatively.

I would suggest you not to worry at all once you would be stable and start ambulating your gut would start functioning normally again.

Till then all you need is to continue taking a laxative for proper motions and for bloating and belching take Nexium (esomeprazole) with activated charcoal.

As you would start ambulating things would be fine.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ramesh Kumar, Gastroenterologist
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar (3 hours later)
Hi

Thank you for advice - would you recommend I take probiotics - you recommended them before and they helped (cured) abdominal pains as a result of taking antibiotics.
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Follow up.

Detailed Answer:

Hello,

Off course a yes you can take VSL#3.

Apart from that take lots of fermented natural probiotic food like kefir curd yoghurt kimchi.

Hope I have answered your query.

Regards,
Dr. Ramesh Kumar, Gastroenterologist
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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How Can Bloating, Gas And Constipation Post A Prostatectomy Be Treated?

Brief Answer: Continue laxative and take activated charcoal. Need not to be concerned at all once you would start ambulating things would be fine. Detailed Answer: Hello XXXXXXX, Feeling bloated belching gas and constipation is something seen with almost every patient postoperatively. I would suggest you not to worry at all once you would be stable and start ambulating your gut would start functioning normally again. Till then all you need is to continue taking a laxative for proper motions and for bloating and belching take Nexium (esomeprazole) with activated charcoal. As you would start ambulating things would be fine. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ramesh Kumar, Gastroenterologist