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Loose Stools, Gastric Problems And Leg Pain After Laparoscopic Spleenectomy And Cholysystectomy. How Long The Medications Have To Be Continued?

Posted on Mon, 4 Feb 2013

Question: HI, DOCTOR, MY WIFE 47 YRS OLD HAD LAPAROSCOPIC SPLEENECTOMY AND CHOLYSYSTECTOMY 3 WEEKS BEFORE. SHE IS RECOVERING NOW BUT HAD GAS PROBLEM AND OCASIONAL LOOSE MOTION. PENTIDS 400 TAKING TWICE A DAY. LYRICA75MG FOR LEG PAIN AND FOLIC ACID5MG. ONCE A DAY. FOR LOOSE MOTION AND HEART BURING LIKE UNEASINESS WHAT SHE SHOULD DO. SHE CAN CONTINUE THIS MEDICATION. IT IS GIVEN FOR 6MONTHS.
REGARDS
XXXXXXX
0000

Answered by Dr. Ajit Naniksingh Kukreja (16 minutes later)

Hi,

Thanks for posting your query.

Let us consider your case in a phase wise manner.

Why was the splenectomy done?

Cholecystectomy we can understand could have been due to cholecystitis or gallstones.

Why is she on Pentids 400mg [Because the spleen was removed?]

Lyrica is pregabalin if she has neuralgic pain she can continue for 6 months safely.

Folic acid 5mg is OK but for loose motion she should take prebiotic for 6 weeks. Does she pass mucus in stool?

For heart burning and uneasiness she should take fat free and bland diet as her gall bladder is removed, if this does not help she should take proton pump inhibitors.

Last two are because of Gall bladder removal and commonly seen in these type of patients.

Hope all clear, If there are no further queries do accept our response

Wishing your wife a speedy recovery

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Ajit Naniksingh Kukreja (3 hours later)

she had spleenectomy due hereditory spherocytosis. hb was 6.8. now 3 weeks after surgery now hb9.5. what is prebiotic medicine. pl. give the name of best type.
loose motion only sometimes now.
regards XXXXXXX

Answered by Dr. Ajit Naniksingh Kukreja (3 hours later)

Hi

Thanks for posting your followup query

Prebiotic medicine is a medicine that contains healthy bacteria which gets destroyed with regular antibiotics ,which in turn gives opportunistic infections a control over the patient

Unfortunately and ethically as we have not examined the patient we cannot prescribe medicines

If loose motion is occasional you can stop prebiotic after 2 weeks

Hope all clear
If there is no further query do accept our reply

Wishing your wife a speedy recovery

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T