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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Suggest treatment for pancreatitis

Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2349 Questions

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Posted on Mon, 3 Jul 2017 in Digestion and Bowels
Question: I am a patient with a Pseudocyst at the points of Santorini and Wirsung in the Pancreatic Duct thus I suffer from Pancreatic Pain etc. Unfortunately I have to take MS-Contin and now I have Chronic Constipation-I know I need to see a G.I. but in the meantime I am taking metamucil and am putting 1 Tablespoon of Oil into it. This is Helping but When I have the severe Blockage I feel terrible!!! I am I believe eventually digesting toxins from the "Stuck Stool". Feel tired listless not like my normal self (very Active due to R.A. Fibromyalgia, Lupus related disorders all Congenital) I must stay active to stay as Healthy as I can any other suggestions in the interim and am I right about the toxins
?

--t
doctor
Answered by Dr. Ramesh Kumar 2 hours later
Brief Answer:
Morphine causes severe constipation.

Detailed Answer:
Hello,
Thanks for choosing HealthcareMagic for your query.
Have gone through your query and i appreciate your concerns.
As per your query answers are-
Severe constipation is one of the most common side effect of morphine.
Start taking Lactulose( laxative) 10 to 30ml once daily before going to bed as per the response of your body. It will induce bowel movements and loosen your stool.
Fleet enemas can be taken as and when required.

-Linseed: is extremely useful in difficult cases of constipation. One teaspoon of linseed with warm water should be taken at night for bulk and lubrication.
-Taking a short walk is a good way to get some light exercise. Walking time should be gradually increased until it reaches 20 minutes.
-You should drink at least eight glasses of water daily. Water helps push the food through the intestines and also helps lubricate intestinal tissues. When the body is dehydrated, the intestines absorb the fluids from the food waste, which in turn leads to hardened stools.
- Avoiding alcohol and caffeine is also important as these substances contribute to dehydration.
-Use fish oil and castor oil-Fish oil is believed to encourage healthy digestion and castor oil produces a laxative effect when ingested
-Fruits and vegetables, which contain high amounts of fiber, aid in alleviating symptoms of constipation,Whole-grain bread, XXXXXXX oatmeal, beans and lentils can also relieve the problem so use it Instead of highly processed rice, eat brown rice, millet or bulgur.
-Eat 2 cups of fruit 3 cups of vegetables and about 35 grams of fiber per day
fruits: Generally all fruits, except banana and XXXXXXX fruit, are beneficial in the treatment of constipation.
Pears are beneficial in the treatment of constipation.
Guava fruit when eaten with seeds, gives roughage to the diet and helps in the normal evacuation of the bowels.
Grapes: have also proved highly beneficial in overcoming constipation. The grapes have the cellulose; natural sugar and organic acid make them a natural laxative fruit. Not only they clean the bowel, but also tones up the stomach and intestines to relieve the chronic constipation.
-While sitting on the toilet, support the feet on a small stool in order to achieve a normal position that aids in bowel movement.


As per your query regarding toxins-

The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel.The intestinal flora is capable of fermenting indigestible carbohydrates (dietary fiber) to short-chain fatty acids such as acetate, propionate, and butyrate. The major source of such fermentable carbohydrate in the human colon is plant cell wall polysaccharides such as pectins, cellulose, and hemicellulose. The acids produced from these fiber substrates by bacteria can be an important energy source for the host.
The gut flora helps to neutralise some of the toxic by-products of digestion, reduce harmful substances (such as toxins and carcinogens), and discourage 'bad' bacteria and yeasts. It also helps to stimulate the digestive process and aid the absorption of nutrients, as well as producing vitamins including B and K.
So any problem with this flora causes symptoms like gastric pain,burping,poor digestion etc.
I would suggest you to take probiotics for few weeks.Probiotics will help to restrore the depleted intestinal flora,Along with probiotics B complex are to be taken.Once the flora is replenished all problems related to digestion will improve

-Make Metamucil two tea spoon (or one big spoon) isphagula husk with 200 to 300 mL XXXXXXX warm water.Soak it for 30 minutes and take it after that.
- increase warm water( atleast 8 glass/day) intake
- do not drink water during and after meals
- eat small meals (rich in fiber)
- eat plentiful "fresh oranges" and "pear "
- avoid COLD milk and and AVOID junk food(NO burger , pizza-even if its veg.) altogether
- mix few drops of "lemon juice" in warm water. Drink on empty stomach, early in the morning, to aid in bowel movement
- avoid beverages / alcohol/ soft drinks
- do some exercise (push-ups / squats etc) early in the morning
- avoid carbonated drinks
- take 2-3 spoon edible virgin olive oil in the morning

Some food plans are=
-Whole grains are very beneficial to consume.These can be in the form of XXXXXXX whole wheat bread or cereal, brown rice, whole grain pasta,grains such as whole oats, wild rice, rye, oatmeal and corn are also beneficial and can be taken if suits your fooding pattern.
-Fruits and vegetables should be a significant part of any diet . They are full of essential nutrients and are easy to digest.Fat contents of diet should be very low.However Olive oil, canola oil and flaxseed oil are all healthy fats that are recommended as part of a diet for patients .


Hope i provided you with enough information.
In case you need any other professional advice feel free to revert back.

Thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh Kumar 21 hours later
Thank you you were very helpful and I truly appreciate your input I only wish that you were closer to the area where I live. I come from a Family of Physicians so I can appreciate the detail in which you answered me. Thank you again and I will use your suggestions. I especially noted the Pears, Lemon Juice and Virgin Olive oil.
Thank You again.
Martha Fanning
doctor
Answered by Dr. Ramesh Kumar 21 minutes later
Brief Answer:
Thank you.

Detailed Answer:
Thank you so much XXXXXXX and i wish you a great luck and early recovery.
Get well soon!
Above answer was peer-reviewed by : Dr. Prasad
doctor
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