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As the patient underwent multiple complicated surgeries in the past patient is having abdominal pain due to adhesive colic.
With past history of constipation due to colon and rectal inertia she may be having problem with her small bowel also, that's why she is having constipation.
She cat take tab. Lesuride 25mg bd x5 days.
Liquid paraffin 30ml in the night.
Let her take the medicine for 5 days, and let me know if she is feeling better.
Feel free to discuss further.
Patient replied :
Patient has been taken medications to improve her constipation & it didn't help, is there any other suggestion such surgery .... That you might think of. Many Thanks.
No surgery would help. ..because already full colon and rectum has been removed. Now it looks like pouch dysfunction causing her constipation.
Removing ileal pouch may help. ..but she has to be on permanent ileostomy.
This will relieve her constipation permanently.