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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ascites And Constipation

My father is suffering from :
1. Ascites due to Liver Cirrhosis
2. Surgical pain as his gall bladder was removed surgically due to gall stone in last 48 hours. Doctor suggested him TRAMADOL ( opioid) for pain management.
3. He is suffering from constipation for almost 48 hours.
Is it an sign of impending attack of Hepatic Encephalopathy ?
His cognitive functions are all ok.
Mon, 22 Sep 2014
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Gastroenterologist 's  Response
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Constipation is not a sign of impending attack of encephalopathy. But it is a risk factor for it.
Tramadol he has taken could have caused it.
Give him lactulose or lactitol to relieve constipation and to prevent hepatic encephalopathy.
I hope that answers your question.
Regards.
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Suggest Treatment For Ascites And Constipation

Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. Constipation is not a sign of impending attack of encephalopathy. But it is a risk factor for it. Tramadol he has taken could have caused it. Give him lactulose or lactitol to relieve constipation and to prevent hepatic encephalopathy. I hope that answers your question. Regards.