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Suggest treatment for constipation and sore stomach after following a brat diet and self medication post a laparoscopic Nissen fundoplication

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Posted on Fri, 5 Jun 2020
Question: Symptoms: constipation followed by very explosive diarrhea (mixed with normal bowl movements) and excessive gas from mouth and rectum as well as intermittent stomach ache below sternum. Time period: Monday, constipation followed by explosive diarrhea in sleep. Tuesday and Wednesday morning, fairly normal BM plus persistent gas and some diarrhea. Self medication: 3 doses of donnatal -1 every 12 hrs. Prior history: diverticulosis and gr'litis and had lap nissen fundoplication in January so cannort vomit. Today, through a nurse, a general prac MD friend recommend gas-x plus a brat diet and loperamide after diarrhea if it persists. Gas-x was about 50% successful. I took one dose of loperamide (unused 2yr old Rx) around 4 pm but wonder if this is the source of stomach pain if what's in stomach cannot vomit or exit through BM. I'm not a physician but I would think that donnatal would be better because right now, after overeating brat food, I'm unpleasantly, temporarily constipated with a sore stomach. What would be your call on this for relief.
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Answered by Dr. Ajit Naniksingh Kukreja (2 hours later)
Brief Answer:
Avoid self medications

Detailed Answer:
Hi
Thanks for writing in

I would advise you do not go for self medications
Considering the fact that you have been operated for Nissen I would suggest you go for a proton pump inhibitors like Rabeprazole and domperidone twice a day

Avoid loperamide and instead take a probiotic twice a day

Go for stool report to rule out Gastrointestinal infection

Also if you can upload your colonoscopy and biopsy report

Hope this helps
Do write back in case of concern
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Ajit Naniksingh Kukreja

Gastroenterologist, Surgical

Practicing since :1984

Answered : 923 Questions

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Suggest treatment for constipation and sore stomach after following a brat diet and self medication post a laparoscopic Nissen fundoplication

Brief Answer: Avoid self medications Detailed Answer: Hi Thanks for writing in I would advise you do not go for self medications Considering the fact that you have been operated for Nissen I would suggest you go for a proton pump inhibitors like Rabeprazole and domperidone twice a day Avoid loperamide and instead take a probiotic twice a day Go for stool report to rule out Gastrointestinal infection Also if you can upload your colonoscopy and biopsy report Hope this helps Do write back in case of concern