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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Constipation And Abdominal Pain Be Treated?

My wife has had back surgery,for spinal stenosis .she is on oxycodene5-325. she is also on fentenal patch 25mg.she has not been able to have a bowel movement for a week. I called our reg. Doctor and she had me get her myralax 1 tbls. every 8 hrs. this we just started. she is in a lot of discomfort and pain.what would you suggest?
Mon, 23 Jul 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I would recommend you to use myralax (polyethylene glycol) regualuary as the doctor has recommended.
Also taking extra fiber with food like fruit and vegetable (pears and plums have a lot of fiber) and taking small amounts of bread (bread makes constipation worse) and pasta and avoiding fast food or junk food.
Drinking plenty might be of help and also trying to be active as much as she can.
Lactulose syrup can be added if these do not help enough, she can take 1 table spoon twice a day, it softens the stools and helps with bowel movement.
If no better with these bisacodyl can be started but it is generally a doctor that should prescribe it and should not be used for long time as it causes dependence (meaning you will feel the need to use it regularly and depend on it).

Hope I have answered your query. Let me know if I can assist you further.

Kind regards,
Antoneta Zotaj, MD
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How Can Constipation And Abdominal Pain Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would recommend you to use myralax (polyethylene glycol) regualuary as the doctor has recommended. Also taking extra fiber with food like fruit and vegetable (pears and plums have a lot of fiber) and taking small amounts of bread (bread makes constipation worse) and pasta and avoiding fast food or junk food. Drinking plenty might be of help and also trying to be active as much as she can. Lactulose syrup can be added if these do not help enough, she can take 1 table spoon twice a day, it softens the stools and helps with bowel movement. If no better with these bisacodyl can be started but it is generally a doctor that should prescribe it and should not be used for long time as it causes dependence (meaning you will feel the need to use it regularly and depend on it). Hope I have answered your query. Let me know if I can assist you further. Kind regards, Antoneta Zotaj, MD