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Culpeper, VA
A 49-year-old female asked:

I had a back surgery and was given perk 5. now i don't have a bowel movement. i've tried stool softeners and went off the pain medicine even though i'm still in pain. what shouldi do?

3 doctor answers9 doctors weighed in
Dr. Robert Killian
General Practice 30 years experience
Constipation: I am happy you are figuring this out. Your doctor may have to prescribe you a prescription strength laxative. But, try ingesting three liters of water over the next hour and then see how things progress. Do not repeat this if there is no benefit or if your stool does not come easily afterwards.
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Dr. Peter Ihle
Dr. Peter Ihle commented
Orthopedic Surgery 56 years experience
Fiber supplements, hydrate well, i would try an fleets enema to get things going mineral oil fleets works well. Get the hard stool out B4 a laxative!
Sep 7, 2013
Dr. Robert Kent
Physical & Rehabilitation Medicine 14 years experience
Constipation: Opioid induced constipation is common and sometimes difficult to treat. Even though you have stopped the medication, if you has progressed to impaction, you may have difficulty with home remedies. Mag citrate is commonly used in hospitals. If you are still in pain, discuss continuing Percocet with your physician with addition of relistor, (methylnaltrexone) a Naloxone med that does not cross blood/brain barrier.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Alvin Lin
Geriatrics 32 years experience
Opioid constipation: Opioids/narcotics are well known to cause constipation. It's the one side effect to which we can't develop tolerance. Talk to your prescribing doc about laxatives. Lubiprostone is a prescription drug approved for opioid-induced constipation. You can try MiraLAX (polyethylene glycol) & milk of magnesia which are available w/o prescription. Senna, too. Enemas are another otc option. Bottom line: develop plan w/your doc.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jun 30, 2014


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