
Suggest Treatment For Pain In Lower Left Quadrant Of Abdomen And Nausea In An Elderly Person

HELP!!
Thanx,
XXXXXXX
Let us stop/reduce unnecessary medicines.
Detailed Answer:
Hi.
Very nice to meet a person taking so much care of an ailing elderly Father.
Read and re-read the history you have provided.
I think you have been taking proper care and the medicines He is taking are optimal.
Yes, first of all stop Flagyl if one week is over.
you ma continue Cipro for a longer duration (the only precaution is to drink more water with Cipro).
He should receive Probiotics daily.
Since he is a known case of operated Ca colon and fish mouth diverticuli, some or the complications can occur anytime. It is good that there is no bleeding, peritonitis, fever or high WBC- SUDD is always a possibility.
It is natural for him to be gomer.
Noted the Medicines:
Bentyl - Dicyclomin can be given on SOS basis (if pains in abdomen as it slows the bowel movements too)
Asacol - Mesalamine Thisis an anti-inflammatory working on intestines, mainly6 taken in cases of ulerative colitis.
Pepcid -Continue if required.
Zofran -ondansetron centrally acting for nausea and vomiting
Benemid - probenecid - Why is this given ?
Exelon Patch (rivastigmine transdermal system) contains rivastigmine for
Also noted other history you have provided.
Shingles at this age,; it is really troublesome as far as the pains go.
I think we should keep him on the least possible medicines so that he can have better life.
Too many medicines do cause drug interactions, adverse effects, that all are not listed or noted anywhere.
I hope this answer helps you.
Please feel free to ask relevant queries if you need to or if you feel that there is a gap-of-communication (we are in the virtual world)


I give the Bentyl only BID prn-It probably also increases the confusion. Dad repeats himself a LOT, especially when he does not feel good. That makes life hard for Me as the sole caretaker. He does have a Geriatrician. He was on Adderall for alertness also, but the Geriatrician had me Discontinue this, as he is somewhat underweight at 5"9" and 150 lbs (he used to be 190 lbs two years ago.) The Geriatrician prescribed namenda, but I have kept him off this, at least until he feels better. A Neurologist we stopped going to believes in Exelon, so I put him back on the 4.6mg, and am contemplating increasing to 9.8 tomorrow, unless you think that will ruin his digestion more. I know all to well these meds have limited effectiveness. I make him fried eggbeaters for dinner when he is feeling unwell. I could fry it in coconut oil and a bit of cumin-seriously-those things may Help or at least prevent mental deterioration in some folks. I just gave him a small piece of "medicated" cake with marijuana. I think I saved his Life with hash brownies a year ago when the Diverticulosis symptoms became difficult to manage. Other than tylenol, I guess we are limited in what to do for the pain. Narcotics constipate, steroids and NSAIDs could burst the diveriticulae. Any advice you have about that would be most welcome, as he is holding his llq and saying "it hurts!" I have used a heating blanket on the area in the daytime. Don't know if I mentioned that.The Benemid is for the usual reason of a remote (40+ years ago) attack of gout in the Great toe. If he were off the med and this were to happen again, he would be fit to be Tied! I also have made chia seed gel to put in his jello and yogurt. He doesn't currently Like the all liquid broth jello etc diet. He was eating mashed potato flakes in chicken broth and drinking hot tea when I first came to take care of him a year and a half ago. Poor appetite at the time, but did not have the classic type belly pain then.
Again, Thank you for your advice.
Please continue.
Detailed Answer:
Thanks for your splendid feedback, impressed with the care you are taking, the medications and all.
The old person needs the least medicines; personal care works far far better than any known medicines.
Yes, this diverticulosis/diverticulitis keep everyone on the toes, Do not worry, it may not trouble as the body also has its own ways of healing and talking the problems.
Please carry on as it is.


His GI last year who did the colonoscopy (and endoscopy) had him on lactulose syrup. I still have some, but the Benefiber AM and Miralax PM seems to control the constipation. If I could only find liquid Beano around here I could give him broccoli, etc. The GI warned about foods that provoke Gas.
as discussed
Detailed Answer:
The character of the laxatives:
One should go on changing one by one so that the patinet does not become dependent one a single one.
Secondly, the requirement of all the laxatives is totally person dependent, meaning everyone's response, the dose and effectiveness is different.
Thirdly, about the foods: Again a particular food may be very suitable for one and cause a problem to another. What suits your Father will be either told by him or is going to be your observation. Hence this is going to be a permutation and combination.
I hope this answer helps you.

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