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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should 80% Of The Intestines Be Removed For Severe Constipation?

I have fought all my life to go to the rest room. I am 45 now and even a stomach surgery and the removal of over 2 feet of intestines and many so very many medication I am still having trouble with constipation. Now a new doctor wants to remove 80% of my intestines. He feels this is the last resort and the only to start having a more norm life. Should I go through with it?
Wed, 17 Aug 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of constipation for life long, surgery to remove 2 feet of intestine and another Doctor suggested to get removed the 80 per cent of the intestine.
I can understand that you have constipation and must have non-innervated large bowel the part of which must have been removed.
I would advise you the following:
Get a fresh colonoscopy, large bowel manometry to know the cause if there large bowel is not working properly, it is better removed so that you start getting proper motions.
This is a standard procedure.
You may get a second of a Proctologist.
There are medicines for such a disease yet the newer medications and manipulation with laxatives, enema and diet full of fibers can help you and worth taking for a few months before you go for the surgery.
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Should 80% Of The Intestines Be Removed For Severe Constipation?

Hi. Thanks for your query. Noted the history of constipation for life long, surgery to remove 2 feet of intestine and another Doctor suggested to get removed the 80 per cent of the intestine. I can understand that you have constipation and must have non-innervated large bowel the part of which must have been removed. I would advise you the following: Get a fresh colonoscopy, large bowel manometry to know the cause if there large bowel is not working properly, it is better removed so that you start getting proper motions. This is a standard procedure. You may get a second of a Proctologist. There are medicines for such a disease yet the newer medications and manipulation with laxatives, enema and diet full of fibers can help you and worth taking for a few months before you go for the surgery.