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A 35-year-old female asked:

Post-lar constipation, 5d no bm. anastomosis 5cm from anal verge. surgeon says nothing from rear. why? tried colace/mom/miralax. what else can i try?

2 doctor answers4 doctors weighed in
Dr. Olaf Johansen
Colon and Rectal Surgery 36 years experience
Increase MiraLax (polyethylene glycol): After low anastomosis most surgeons want to avoid any stress to the anastomosis for 6 weeks or so, personally i feels it's safe after that to use a suppository or give a gentle enema if you have difficulty evacuating (evacuating problems not uncommon after lar espiecially if colonic j pouch used)... But only your surgeons knows the exact anatomy and therefore go by his/her advice.
Dr. Jerome Zacks
Cardiology 51 years experience
Needs evaluation: 5 days without a bm merits an assessment by your treating surgeon.

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Last updated Mar 2, 2019

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