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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do You Suggest For Not Passing Stools And Urine After A Surgery For Stomach Perforation?

hi sir,my granny is 92 yrs oid and she has recently undergone a surgery for stomach perforation,which later resulted in kidney dysfunctioning but somehow she got thru using powerful antibiotics.Now since yesterday she is not passing urine/stools. Kindly suggest some thing as we cant take her to a hospital at dis age
Thu, 10 Sep 2015
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Nephrologist,  's  Response
Hi, welcome to HCM.
Surgery for stomach perforation is high risk surgery especially in old age.
It can affect kidney function by multiple ways - low BP, blood loss, medications/pain killers/antibiotics.
As per your history, she has not passed urine since yesterday.
It is very critical to evaluate for kidney function if patient has not passed urine for more than 6 hours especially after major surgery.
Check her S. creatinine, BP and do sonography of abdomen.
Maintain adequate hydration. Get you surgeon's opinion.
Then consult nephrologist or you can communicate with me also with reports.
I think this would be helpful to you.
Best wishes. TC.
Dr Jay Patel.
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What Do You Suggest For Not Passing Stools And Urine After A Surgery For Stomach Perforation?

Hi, welcome to HCM. Surgery for stomach perforation is high risk surgery especially in old age. It can affect kidney function by multiple ways - low BP, blood loss, medications/pain killers/antibiotics. As per your history, she has not passed urine since yesterday. It is very critical to evaluate for kidney function if patient has not passed urine for more than 6 hours especially after major surgery. Check her S. creatinine, BP and do sonography of abdomen. Maintain adequate hydration. Get you surgeon s opinion. Then consult nephrologist or you can communicate with me also with reports. I think this would be helpful to you. Best wishes. TC. Dr Jay Patel.