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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe constipation since treatment for diverticulitis, have severe fatigue and night sweats. Cause?

I had a a bad bout with diverticulitis a week ago. Hospitalized 24hrs, got IV flagyl amd cipro and sent home with both. Flagyl 500 mg every 8hrs cipro 500 mg every 12 hrs. As well as a low fiber diet. Since have been terribly constipated and my the night sweats . Was told to take mir a lax and Phillips 2x a day for relief but really no relief after two days. Although almost pain free very tired from night sweats and scared as to why constipated and such high meds. I think I have had episodes before of this issue but nothing flared up like this time. Have had three CT scans with contrast in one yr for pain and a kidney stone and this one showed the diverticulitisthis time in ER. So funny did not show up before.
Thu, 14 Mar 2019
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General Surgeon 's  Response
Hi,

* Severe constipation with night sweats may suggest alteration at the hepatic metabolism pathway of P450 enzyme system causing a hormonal imbalance of some type.

* It should be presented to treating physician at earliest to change the drug regimen or molecule and till that time, plenty of liquids with bulk-forming laxative will serve best tools for relief.

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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