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What causes difficulty in urination and defecation after pessary insertion for prolapse?

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Posted on Fri, 13 Nov 2015
Question: My elderly aunt (mid 80's) has just rung me, she had a ring fitted on friday (yesterday) to hold her bladder in place. Since then she has been unable to pass either urine or stools. She doesnt drink a lot or eat enough, but she says she is in pain at the moment, i can not go see her as i am myself ill with a very bad chest infection and can not go near her. she point blank refuses to go to hospital or have the paramedics, i have suggested she go to her emergency doctor tomorow.
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Answered by Dr. Saddiq Ulabidin (4 hours later)
Brief Answer:
She needs emergency department care

Detailed Answer:
Hi! Welcome to health care magic!

Her issue seems to have arisen after the ring procedure. If she hasn't had urine since then, it is more arming than not having stool for a day. She needs to have urgent medical care to get catherterized in case of urinary obstruction as it may lead to kidneys damage which can be irreversible. Also that such patient may not be left alone unattended with these issue, and you can ring medical advise or paramedics to go to her to assess her issues in detail and emergency medical care and referal can be made.

As far as stools are concerned, she can try using OTC available glycerine suppositories to be kept in anal canal and if it doesn't work lactulose enema are the next possible options. Before that even castor oil can be tried, and stool softness like lactulose nay be increased upto 30ml thrice daily if current dose hasn't worked well.

Hoping her a speedy recovery. If you dont have any more questions, please close the discussion. You can also reach me directly through my profile in future, in case of any more questions. Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3551 Questions

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What causes difficulty in urination and defecation after pessary insertion for prolapse?

Brief Answer: She needs emergency department care Detailed Answer: Hi! Welcome to health care magic! Her issue seems to have arisen after the ring procedure. If she hasn't had urine since then, it is more arming than not having stool for a day. She needs to have urgent medical care to get catherterized in case of urinary obstruction as it may lead to kidneys damage which can be irreversible. Also that such patient may not be left alone unattended with these issue, and you can ring medical advise or paramedics to go to her to assess her issues in detail and emergency medical care and referal can be made. As far as stools are concerned, she can try using OTC available glycerine suppositories to be kept in anal canal and if it doesn't work lactulose enema are the next possible options. Before that even castor oil can be tried, and stool softness like lactulose nay be increased upto 30ml thrice daily if current dose hasn't worked well. Hoping her a speedy recovery. If you dont have any more questions, please close the discussion. You can also reach me directly through my profile in future, in case of any more questions. Regards.