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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
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Experience:  GP in the United States
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After a bout of gastric flu, during which I have hardly eaten

Resolved Question:

After a bout of gastric flu, during which I have hardly eaten for 2 weeks, I have become constipated but when I take my doctor's prescribed laxative (which I normally take nightly but have suspended due to diarrhoea) there seems to be a solid lump of excrement which I am unable to get rid of and the more recent runny stuff seems to leak past it uncontrollably. I am 89 years old and a few years ago had a not very successful op for a rectocele. I have to wear a vaginal pessary all the time and my muscles in that area are not very strong. But I have never been incontinent and this frightens me. I have tried to contact my surgery for advice but they are too busy to answer. I live alone and at the moment, for obvious reasons, cannot get out. Will more laxatives make the matter worse, and should I just wait and hope for the best ?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 2 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Thanks for this question
you have a fecal impaction. A hard lump of stool in the rectum that won't move
2 options here
1)enema to try and get it out from below
2)see a doctor for manual (finger) disimpaction.
Either one will work most likely. You can get enemas over the counter.
don't take any from above though because this will make things worse
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 55218
Experience: GP in the United States
Dr. Phil, MD and 2 other Medical Specialists are ready to help you
Expert:  Dr. Phil, MD replied 2 years ago.
I appreciate the excellent rating.

I would be happy to help you in the future. Just ask for feedback. Thank you. :) Dr. Phil in your question opening or bookmark this page http://www.justanswer.co.uk/medical/expert-irondoc/

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Customer: replied 2 years ago.

After your advice, I was able to call out a doctor for a home visit. She examined me thoroughly, said there was no need for an enema as it seemed the small obstruction (which she could locate ) was dissolving of its own accord. A couple of hours later I had a fairly normal and painless evacuation and immediately felt much better. The "seepage" I was worried about seems to be subsiding. Many thanks for your help and reassurance,


 


Erica

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