The duration of no: Bm and degree of back up influence discomfort during relief. Patients taking narcotics need to take biscodyl at dinner time, and have a bm at least every other day. If no bm for >3-4 days, citrate of magnesia, lactulose may save enema use, but clearing and rectal discomfort get worse the longer one waits.
Answered 9/22/2016
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