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What Causes Tightness Around Stomach Along With Bowel Incontinence?
Question: My mother is 85 and had a stroke 7 years ago, it affected her somewhat on he left side but she is mobil. She says she feels like a tight band is around her stomach. She has been going to th restroom too much. When she stands up it starts to come and she cant control it. Now for the past week she hasn't voided right only an ounce at a time. why all of a sudden has this happened?
Brief Answer:
obstruction and peritonitis needs to be ruled out
Detailed Answer:
Hello and Welcome
I appreciate your concern
By " IT " I hope you mean stool. Kindly correct me , if not then please specify that its urine or stool.
Constipation can be a common complaint in the elderly patient, especially if they are on multiple drugs like Calcium channel blockers that have constipation as a side effect. It can occur in association with long term diabetes as well. The irregular bowels is a sign of concern. A stool R/E if possible should be obtained to look for any occult blood. A physical exam to look for signs of obstruction and peritonitis would be required. A colonoscopy could be done if the findings are confusing and the symptoms persist.
Please consult your doctor before deciding on any further course of action.
wishing you best of health
Dr. M.S. Khalil
obstruction and peritonitis needs to be ruled out
Detailed Answer:
Hello and Welcome
I appreciate your concern
By " IT " I hope you mean stool. Kindly correct me , if not then please specify that its urine or stool.
Constipation can be a common complaint in the elderly patient, especially if they are on multiple drugs like Calcium channel blockers that have constipation as a side effect. It can occur in association with long term diabetes as well. The irregular bowels is a sign of concern. A stool R/E if possible should be obtained to look for any occult blood. A physical exam to look for signs of obstruction and peritonitis would be required. A colonoscopy could be done if the findings are confusing and the symptoms persist.
Please consult your doctor before deciding on any further course of action.
wishing you best of health
Dr. M.S. Khalil
Above answer was peer-reviewed by :
Dr. Prasad
No not stool urine
Brief Answer:
Renal function tests should be done urgently
Detailed Answer:
Hello again,
Thanks for the clarification.
Renal function tests including Urea and creatinine need to be done to rule out any acute insult to the kidneys. The oliguria ( less than normal urine) needs to be investigated further to find the exact cause. A urine R/E (routine exam) and an ultrasound abdomen and pelvis would also be required to have a better idea. She would be required to keep track of her 24 hour urine output for a few days. If that would not be possible, depending on her illness she may need to be catheterized.
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
Dr. M.S. Khalil
Renal function tests should be done urgently
Detailed Answer:
Hello again,
Thanks for the clarification.
Renal function tests including Urea and creatinine need to be done to rule out any acute insult to the kidneys. The oliguria ( less than normal urine) needs to be investigated further to find the exact cause. A urine R/E (routine exam) and an ultrasound abdomen and pelvis would also be required to have a better idea. She would be required to keep track of her 24 hour urine output for a few days. If that would not be possible, depending on her illness she may need to be catheterized.
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
Dr. M.S. Khalil
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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