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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had A Vasovagal Response After A Strong Laxative Bowel Movement. Why Now Is There Bloating And Cramping?

I had a vasovagal response after a strong laxative bowel movement released a single stool with a blood spot after an 8 day long constipation . Since urgent care on Monday morning (it is Wed night) and many meals and snacks I have not had another bowel movement. I have bloating , cramping in the left lower quadrant and left lower back pain now. I am having mucus when I try to go to the bathroom and the mucus is pink or has blood within it. Today at lunch I tried a supposotory which only induced a mucus discharge and a small amount of thin stool. Tonight around 7pm I tried an enema which produced only mucus discharge and blood. I am always starving lately but it doesn t seem to leave my body. I went back to the urgent care tonight and they said I would need to go to the ER for a CT scan. I also have a colonoscopy scheduled for Oct 4. I feel horrible today but yesterday ran 4 miles in the 80+ degree heat. I do not smoke, casually drink (1-2 per week) and am 42 years old. I have chosen not to go to ER and wait for the urgent care to open in the morning due to the cost of the ER. Do you think I will perforate in the night? What would those symptoms be so I can be aware in case I have to go to the ER in the middle of the night?
Wed, 3 Apr 2019
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General Surgeon 's  Response
Hello,

* Severe constipation induced perforation of the intestine is a rare entity.

* My guidelines at present

- do not keep pressuring bowels to evacuate, which exacerbate the intestine insult
- drink more liquids in sessions
- if available nearby, keeping 2 glycerine suppositories inside anus will help to relieve some flatus for sure till you reach consultant tomorrow morning.

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

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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Had A Vasovagal Response After A Strong Laxative Bowel Movement. Why Now Is There Bloating And Cramping?

Hello, * Severe constipation induced perforation of the intestine is a rare entity. * My guidelines at present - do not keep pressuring bowels to evacuate, which exacerbate the intestine insult - drink more liquids in sessions - if available nearby, keeping 2 glycerine suppositories inside anus will help to relieve some flatus for sure till you reach consultant tomorrow morning. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon