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What Causes Constant Constipation With Recurring Inguinal Hernia In An Elderly Man?
Question: Very glad to reac this site. 72 year old male Inguinal (type ?). Hetnia recurrence -left side-surgeons recommend open w the EHS. I am diabetic type 2 with constant issues w constipation that is controlled with exercise , fiber foods, fiber supplement, linzess,?maylax.a1c around 6.3 for years. Can't find a med to help w post surgery. Even coding snd nausea med may not work. Wife says codine 1st surgery made me violently ill. My ? Is cannon us used to help. I don't use it now. And, terribly worried about impacted bowls XXXXXXX
Brief Answer:
Constipation with recurring hernia/ Under Evaluation
Detailed Answer:
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
My opinion-
IN the given situation, You seems to be having obstinate Constipation complicated by diabetes with a1c at 6.3 for long time.
More details please on your health issues and what you want exactly from this interaction-as follows-
Dear, the complaints which you submitted need more detailed information-as follows-
Since how long you have this recurrence of hernia?
when it was operated last time?
Whether constipation has increased after recurrence of hernia?
Do's Suggested-
You need to concentrate on correction of hydration with lot of fluids.
Bland high fiber / low on proteins/ more on fluid porridge diet,
Butter Milk-2 times a day x 2 weeks
Spinach Soup with butter and honey
Black tea before going to bowels
Deep breathing during bowel movements.
Reduce on bowel evacuants gradually as your bowel problem relieves.Don't depend on these evacuants.
After getting more details,I would give further suggestions on medicines to correct health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Constipation with recurring hernia/ Under Evaluation
Detailed Answer:
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
My opinion-
IN the given situation, You seems to be having obstinate Constipation complicated by diabetes with a1c at 6.3 for long time.
More details please on your health issues and what you want exactly from this interaction-as follows-
Dear, the complaints which you submitted need more detailed information-as follows-
Since how long you have this recurrence of hernia?
when it was operated last time?
Whether constipation has increased after recurrence of hernia?
Do's Suggested-
You need to concentrate on correction of hydration with lot of fluids.
Bland high fiber / low on proteins/ more on fluid porridge diet,
Butter Milk-2 times a day x 2 weeks
Spinach Soup with butter and honey
Black tea before going to bowels
Deep breathing during bowel movements.
Reduce on bowel evacuants gradually as your bowel problem relieves.Don't depend on these evacuants.
After getting more details,I would give further suggestions on medicines to correct health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
What are the benefits of your recommendation? Buttermillt and Spinich soup?? I cant find spinich soup in the store. Thanks, XXXXXXX
Brief Answer:
IBS with obstinate Constipation for treatment plan / Under Evaluation
Detailed Answer:
Brief Ans-IBS with obstinate Constipation for treatment plan / Under Evaluation
post hernia repair with chronic diabetes.
Hi Dear !! Thanks for your update query to Me.
Thanks for appreciative comments,for the relief you got with butter milk.
Benefits of My recommendations-
Dear,these recommendations would resolve the basic cause of chronic and obstinate Constipation in your case.The changed bowel bacterial flora with drug and diet induced recurring chronic undiagnosed IBS is the cause of Constipation in your case.
Comments on cause of health issues in your case-
You Seem to have IBS -C(Irritable Bowel Syndrome with Constipation)
Cause of your Constipation becoming obstinate with nausea unrelieved with nausea medicines in your case,seems to be from Codeine intake by you for relieving pains with IBS.
Use of Medicines -suggestions-
Avoid Codeine as it is the cause of nausea and Constipation in you .
You can continue gastrokinetics- like domeperidone 1 x 2 times a day till dietary changes with medicines relieve Constipation with IBS,you have.
Reduce on spicy,high non-veg ,fried / street fast food /readymade hotel diet items.
Avoid using anti-spasmodics,as it adds to your Constipation.Use only for few doses to recover from pain.
Concentrate on change of diet and increase fluid and veg dietary items.
Increase solid loads gradually to come out of this complex issues.
Add Tab Lactobacillus-Ds-1 x 2 per day x 2-4 weeks
Add Antibiotics with antiprotozoals- like Ciporfloxacin with Ornidazole.
Get all the medicine scripts from family doctor to avoid problems of non-availability and hence no trade/ brand names given here.
Dietary Refinements suggested for you-
Be on grated salads of Cucumber and beet root with yoghurt / and or Curd x 1-2 times a day, x 2 weeks- which could be uses as option to be used in place of Spinach soup-which is soup made from leafy vegetable.
Spinach soup with salt and butter-2 times made at home would be recouping energy and relieving Constipation.
Don't use store / readymade soups. If its not available, make it at home.
Dear You have not given more details about the Constipation after hernia repair.It seems that your Constipation with pains in stomach with nausea are more from IBS , diabetes and hernia operation have aggravated it, due to dietary and lifestyles you have.
Dear follow these suggestions which have been changed to resolve your health issues after reviewing your query and updates given last from you.
If you update more information/ details upon these suggestions,I would give further suggestions on medicines to correct your health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
IBS with obstinate Constipation for treatment plan / Under Evaluation
Detailed Answer:
Brief Ans-IBS with obstinate Constipation for treatment plan / Under Evaluation
post hernia repair with chronic diabetes.
Hi Dear !! Thanks for your update query to Me.
Thanks for appreciative comments,for the relief you got with butter milk.
Benefits of My recommendations-
Dear,these recommendations would resolve the basic cause of chronic and obstinate Constipation in your case.The changed bowel bacterial flora with drug and diet induced recurring chronic undiagnosed IBS is the cause of Constipation in your case.
Comments on cause of health issues in your case-
You Seem to have IBS -C(Irritable Bowel Syndrome with Constipation)
Cause of your Constipation becoming obstinate with nausea unrelieved with nausea medicines in your case,seems to be from Codeine intake by you for relieving pains with IBS.
Use of Medicines -suggestions-
Avoid Codeine as it is the cause of nausea and Constipation in you .
You can continue gastrokinetics- like domeperidone 1 x 2 times a day till dietary changes with medicines relieve Constipation with IBS,you have.
Reduce on spicy,high non-veg ,fried / street fast food /readymade hotel diet items.
Avoid using anti-spasmodics,as it adds to your Constipation.Use only for few doses to recover from pain.
Concentrate on change of diet and increase fluid and veg dietary items.
Increase solid loads gradually to come out of this complex issues.
Add Tab Lactobacillus-Ds-1 x 2 per day x 2-4 weeks
Add Antibiotics with antiprotozoals- like Ciporfloxacin with Ornidazole.
Get all the medicine scripts from family doctor to avoid problems of non-availability and hence no trade/ brand names given here.
Dietary Refinements suggested for you-
Be on grated salads of Cucumber and beet root with yoghurt / and or Curd x 1-2 times a day, x 2 weeks- which could be uses as option to be used in place of Spinach soup-which is soup made from leafy vegetable.
Spinach soup with salt and butter-2 times made at home would be recouping energy and relieving Constipation.
Don't use store / readymade soups. If its not available, make it at home.
Dear You have not given more details about the Constipation after hernia repair.It seems that your Constipation with pains in stomach with nausea are more from IBS , diabetes and hernia operation have aggravated it, due to dietary and lifestyles you have.
Dear follow these suggestions which have been changed to resolve your health issues after reviewing your query and updates given last from you.
If you update more information/ details upon these suggestions,I would give further suggestions on medicines to correct your health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Raju A.T
Dr. There is some confusion here. My hernia repair was 20 years ago. It was done with mesh by a progressive Dr. I do have an existing Hernia in the same general area [left side inguinal hernia[. So any isse iss not caused by a recent hernia repair or re-do. The information you are providing me is extremely helpful and Ishould schedule a monthly program so we can communicate during the medical procedures and tests. one IMPORTANT question is why one surgeon wants to try from the inside using robotics while another says its best to go from the outside using an Epion hernia repair double mesh connected implementation. If this should be another question let me know . I would be glad to pay additional fee to get your help. XXXXXXX
Brief Answer:
Another question would be advisable !!
Detailed Answer:
Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query updates,in context to your health issues.
Dear,I do agree with you and I am of the same opinion as you felt,as this query has totally different span of reply from the earlier one.
Next appointment-
Asap- to review treatment progress .
Hope the given earlier reply is helpful to you to plan further treatment .
Please come with a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if you to close this query with YOUR pleasing and excellent feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Another question would be advisable !!
Detailed Answer:
Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query updates,in context to your health issues.
Dear,I do agree with you and I am of the same opinion as you felt,as this query has totally different span of reply from the earlier one.
Next appointment-
Asap- to review treatment progress .
Hope the given earlier reply is helpful to you to plan further treatment .
Please come with a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if you to close this query with YOUR pleasing and excellent feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Only question on this is -- I eat a lot of fermented vegetables.. Is there a problem with eating fermented vegetables and drinking buttermilk? XXXXXXX
Brief Answer:
better to avoid fermented veg
Detailed Answer:
Dear Sorry for the belated reply due to heavy schedules today.
The beauty of treatment in your case lies not in discussing advanced treatments for your case,as you being diabetic any mesh surgery has its inbuilt risks.
Infection in post-op period / or the Violent illness after codeine after first surgery, has the roots of current recurrent hernia in your case.
About the dietary aspects:
- Any fermented food has risks of food induced infection,especially if its major allied contents are non-veg food items. Chances of food poisoning/ and food induced infections are more with such a diet. And butter milk prepared without spices, adds stability to bowel bacterial flora.
So In your case, fermented vegetables -in ready form from stores, needs to be avoided as far as possible as this could be a cause of IBS with constipation in addition to adhesive obstruction. Thereby I am suggesting to gradually change over to steamed/cooked food at home from the fermented vegetables.Gradual change over is suggested,as your diet is mainly based on fermented vegetables, which I would not want you to starve off suddenly.
-Adding butter milk in your case would strengthen bowel mucosa and would reduce IBS, which is mostly with fermented vegetable foods from Stores.
I would love to help you out with the rational approach in resolving the earlier query to last, with all details.
Hope this reply is helpful to you to plan further treatment .
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
better to avoid fermented veg
Detailed Answer:
Dear Sorry for the belated reply due to heavy schedules today.
The beauty of treatment in your case lies not in discussing advanced treatments for your case,as you being diabetic any mesh surgery has its inbuilt risks.
Infection in post-op period / or the Violent illness after codeine after first surgery, has the roots of current recurrent hernia in your case.
About the dietary aspects:
- Any fermented food has risks of food induced infection,especially if its major allied contents are non-veg food items. Chances of food poisoning/ and food induced infections are more with such a diet. And butter milk prepared without spices, adds stability to bowel bacterial flora.
So In your case, fermented vegetables -in ready form from stores, needs to be avoided as far as possible as this could be a cause of IBS with constipation in addition to adhesive obstruction. Thereby I am suggesting to gradually change over to steamed/cooked food at home from the fermented vegetables.Gradual change over is suggested,as your diet is mainly based on fermented vegetables, which I would not want you to starve off suddenly.
-Adding butter milk in your case would strengthen bowel mucosa and would reduce IBS, which is mostly with fermented vegetable foods from Stores.
I would love to help you out with the rational approach in resolving the earlier query to last, with all details.
Hope this reply is helpful to you to plan further treatment .
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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