
What Causes Severe Constipation After A Gastric Bypass?

Go to ER and stop taking anything orally till told by the Doctor.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
To recapitulate: Female/45 - Gastric Bypass 5 years ago - issues of the last year about sugar, BP, anemia - Constipation for months - increase in fibers - took 2 *laxatives last night - sudden feeling of a large ball lower abdominal - felt as if twisted - feels like bad XXXXXXX horse - afraid to go to bathroom - and so on ...
Wants to know whether this is an emergency and what should be done...
From the history this looks to be emergency unless proved otherwise. This thinking is so as this is called Acute Abdomen and must be evaluated clinically, investigated to find or rule-out the cause.
The possible cause can be due to irritation of one of the laxatives particularly if it belongs to the category that causes irritation of the bowel to instigate motion.
In acute abdomen, we try to avoid to give the anti-spasmodic as it may dampen the clinical signs and tests.
Hence I would advise you to rush to ER so that a clinical evaluation, investigations like X-ray of the abdomen in standing position, ultrasound and tests of blood, urine and stool can be conducted.
I think stop taking anything including water orally till advised by the Doctor, it is a standard practice in acute abdomen.
I hope this answer helps you to get an early diagnosis and proper treatment.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

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