Brief Answer:
Digital evacuation should be done.

Detailed Answer:
Hi,
Thanks for query.
Have gone through your details and i appreciate your concerns.
As per your query answers are-

Firstly stop giving dicyclomine.
As per your narration doctors say that he has a large amount of impacted stool in his intestines.When a person is constipated or has fecal impaction food starts to ferment inside intestines giving rise to large amount of gases which exerts pressure on nerves running through intestines causing inflammation and pain.
By giving dicyclomine we are trying to relax these inflammed muscles but on a serious note as muscles would relax constipation would worsen.
Acute phase treatment-
You can ask you pharmacist to give you Polyethelene Glycol.Polyethylene glycol-electrolyte solution is used to empty the colon. PEG-ES is in a class of medications called osmotic laxatives. It works by causing watery diarrhea so that -the stool can be emptied from the colon. The medication also contains electrolytes to prevent dehydration and other serious side effects that may be caused by fluid loss as the colon is emptied.Polyethylene glycol-electrolyte solution (PEG-ES) comes as a powder to mix with water and take by mouth.You have to drink one 8 ounce of PEG-ES every 10 or 15 minutes, and to continue drinking until your liquid bowel movements are clear.It will clear your bowel.It is also a osmotic diuretic with same effect as Polyethylene glycol.

In case if it also does not help go for Digital evacuation.It involves the use of fingers to aid in the removal of stool from the rectum.Stool is emptied by gently inserting a finger into the rectum and removing it.


Once stool is cleared from intestines pain would settle down on its own.

Follow what i said and he would be fine soon.

Once he is relieved proper food changes and lifestyle changes should be followed.
Long term treatment-
A drastic change in life style is required to cure constipation. Not exercising enough, not drinking enough water and delaying a bowel movement can worsen constipation symptoms.The most important factor in curing constipation is a natural and simple diet. This should consist of unrefined food such as whole grain cereals, XXXXXXX honey and lentils; green leafy vegetables, like spinach, beans, lettuce, celery, asparagus, carrot. Adding some fat to meals or increasing the size of a meal such as breakfast can help create the urge to defecate. Individuals suffering from constipation should increase the amount of plant foods they consume to get more fiber in their diet. Constipation can be treated by changing diets.
Secondly human gastrointestinal tract is colonized by 1013-14 bacteria of 400 different species and subspecies.They are responsible for proper digestion of food.Depletion of this flora due to surgery can lead to severe constipation and digestive problems.
Intestinal flora are types of microorganisms known as probiotics that live normally as part of the intestinal tract. These organisms have several functions that help the body.The most plentiful and important bacteria in the small intestine is the Lactobacillus species. Lactobacillus helps ferment indigestible carbohydrates. It also helps to stimulate the digestive process and aid the absorption of nutrients,as well as increase the motility of the gastro intestinal tract.I would suggest her to start taking probiotics regularly.Probiotics are live bacteria and yeasts that are good for digestion.As her gut flora will improve her constipation would be relieved and well formed stools will pass.

Apart from this other recommendations are-
-Linseed: is extremely useful in difficult cases of constipation. One teaspoon of linseed with warm water should be taken at night for bulk and lubrication.
-Proper chewing: The diet alone is not enough. Food should be properly chewed-each morsel for at least 20 times.
-Taking a short walk is a good way to get some light exercise. Walking time should be gradually increased until it reaches 20 minutes.
- Avoiding alcohol and caffeine is also important as these substances contribute to dehydration.
-Fruits and vegetables, which contain high amounts of fiber, aid in alleviating symptoms of constipation,Whole-grain bread, XXXXXXX oatmeal, beans and lentils can also relieve the problem so use it Instead of highly processed rice, eat brown rice, millet or bulgur.
-Eat 2 cups of fruit 3 cups of vegetables and about 35 grams of fiber per day
fruits: Generally all fruits, except banana and XXXXXXX fruit, are beneficial in the treatment of constipation.
Pears are beneficial in the treatment of constipation.
Guava fruit when eaten with seeds, gives roughage to the diet and helps in the normal evacuation of the bowels.
Grapes: have also proved highly beneficial in overcoming constipation. The grapes have the cellulose; natural sugar and organic acid make them a natural laxative fruit. Not only they clean the bowel, but also tones up the stomach and intestines to relieve the chronic constipation
All these things will increase the bulk of your stool,Will soften it and will clear your ileum of the compacted faecal material.
-While sitting on the toilet, support the feet on a small stool in order to achieve a normal position that aids in bowel movement.
Don't stop laxative,initially start following all these advices then gradually taper the doses of laxatives she is on.
Take Fybogel husk-Fybogel sachets and Fybogel Hi-Fibre sachets both contain the active ingredient ispaghula husk, which is a type of medicine called a bulk-forming laxative. Ispaghula is a type of fibre. It swells when it comes into contact with fluid in the gut and thus increases the volume of the faeces.It increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass. Psyllium, one type of bulk-forming laxative.

Thanks!

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Brief Answer:
Follow up answer.

Detailed Answer:
Hello again my dear patient,
I can very well understand your concern.

See constipation is one of the most used and mis interpreted word i have ever encountered in my life(i am 65 now).

Consider the following scenario's
In europe if a person passes bowel once in a week its not constipation.
In US its twice a week.
In Asian countries its minimum one bowel moment a day.

So my dear patients its not about number of bowel moments.Its about what you see in intestines.

"they did a CT of his abdomen that says he has a lot of stools in his system"
Ideally when a person eats food 60% part of it is converted into energy and rest is excreted.
So what i am trying to explain you is that constipation is not about passing stools its a broad term it can be anything from decreased mobility of intestines,Insesnitivity of colon receptors to stretching caused by stagnating food(which initiate defecating reflux) there are numerous possibilities and fact is that his body is ingesting more then excretion therefore food is stagnating and filling intestines.

Hope i explained you your doubt in esay way.
Feel free to follow up .

Have a good day.

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