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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Constipation With Colostomy?

Hi I am 61 female and cannot find Help in my area with my colostomy .I had Surgery in January have been doing very well until now I am constipated I Have tried to find some one in my area to help no luck . I take 3 tablespoons of bene Fiber a day and 48_72 oz of water a day. My stomach is very small,about the size of a pencil eraser. I live in York pa thank for any help you can provide .Alma
Wed, 20 Jun 2018
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.

I have reviewed your query and here are my thoughts.
Colostomy care in itself is a specialized ob and I am sure you must have been taught everything about colostomy care.
Constipation or altered stools are known to occur after any intestinal surgery and particularly after colostomy.
Since you have not mentioned other details about the cause of colostomy and others I can suggest you the following:
Continue Bene Fiber, 3 tablespoons is a large dose hence you may need another or additional stool softener as well as laxative. Give a trial with all o find out the most suitable and most effective one for you.
Also identify the foods and beverages that cause constipation and stop these altogether. Stress and anxiety too have a role to play in proper evacuation hence keep these under control.
You may need enema through the colostomy if the X-ray shows fecolith formation.


I hope this answer helps you.

Let me know if I can assist you further.
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How To Treat Constipation With Colostomy?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here are my thoughts. Colostomy care in itself is a specialized ob and I am sure you must have been taught everything about colostomy care. Constipation or altered stools are known to occur after any intestinal surgery and particularly after colostomy. Since you have not mentioned other details about the cause of colostomy and others I can suggest you the following: Continue Bene Fiber, 3 tablespoons is a large dose hence you may need another or additional stool softener as well as laxative. Give a trial with all o find out the most suitable and most effective one for you. Also identify the foods and beverages that cause constipation and stop these altogether. Stress and anxiety too have a role to play in proper evacuation hence keep these under control. You may need enema through the colostomy if the X-ray shows fecolith formation. I hope this answer helps you. Let me know if I can assist you further.