Doctor insights on:
Vancomycin Retention Enema Protocol
Why would bowel preps not work? Poor prep with colyte (polyethylene glycol). Now on 2 day prep starting w/ mag. Citrate. No bm after 9 hours. Followed directions exactly!
Is golytely (polyethylene glycol) fatal to pts with partial obstruction with colon perforation? (Stage 4 CRC with mets to lung)
No: Golytely (polyethylene glycol) is a bowel diuretic drawing fluid into the colon. If there is a patient with partial obstruction and with possible colonic performation, why would a bowel diuretic be employed that could cause a greater leak of GI fluid into the periotoneal cavaity, especially in the face of lung mets.? Laparoscopic evaluation of a possible leak may be necessary if not proven by radiologic evaluation ...Read more
Fleet enema: It will not hurt to do that this time, but it is not a good idea to become dependent on needing enemas regularly. Basic bowel care such as getting lots of fiber and lots of fluids is the initial step. If you have chronic problems with constipation, see your doctor or consider a consult here. Good luck. ...Read more
Scheduled for colonoscopy but afraid magnesium citrate won't clear my colon. Docqulace and bisacodyl failed to evacuate colon. Will the citrate work?
AlwaysAGuess; agent,: dose & response relationships with all the usual complex individual variables. A full bottle of citrate of magnesia will likely be far more effective than the other agents, especially if one stays physically active, fasts, take 2 days prior & chase with another bottle 1 day prior. Just keep up clear liquids. Awareness of heart beats both a focus & a self-distraction (from other greater) issues. ...Read more
Severe llq pain vomiting CT inflammation ti/rectum.Large volume mucous diarrhea. 2 day northwestern stay. Colonoscopy ok pending biopsy.Exam ugi?Cd?
94yo /c obstruction d/t impaction. Not a surgical candidate. Receiving oral laxatives, enemas. Now with copious copremesis. Prognosis?
11 y.o w/ fecal impaction, verified via x-ray, and repeated vomiting for 7 wks. Tried oral laxatives, otc enemas, and enema in ER. Any other options?
Gastroenterologist: This serious problem is best handled by a gastroenterologist for diagnosis, treatment and a maintenance dietary and bowel management program providing there is not a structural or mechanical abnormality causing severe constipation and bowel impaction. Perhaps adding a daily medication like senokotS in addition to proper daily water and fiber foods and supplements like psyllium would help. ...Read moreSee 2 more doctor answers
There may be: Some discomfort from holding in a large bolus of fluid in the rectum - as it reflexively causes the urge to defecate. ...Read more
Antibioticinduced pancolitis from amoxicillin treated w IV cipro (ciprofloxacin) 1 dose Flagyl q8 4d vanco po q6 4d 3 neg stool cultures home w vanco 11d should take?
Diagnosis accurate?: Colitis induce by Amoxicillin is usually due to clostridium difficile (not identified by culture). The course of therapy you are receiving is questionable, but then again you have not given a good deal of necessary information. If your diarrhea returns when finished with the vancomycin you should see an infectious diseases expert. Hope this clears soon. ...Read moreSee 2 more doctor answers
Have ulcerative colitis in sigmoid and ascending colon/cecum (just confirmed by colonoscopy). Will enema treat this (allergic to NSAIDs)?
Consider allergy ref: Thanks for your question. Depending on the NSAID allergy, sometimes it can be desensitized through introduction of small amounts initially, then gradual increase in dose under supervision by an allergy specialist. However, would discuss the side effects/risks/benefits with a specialist. ...Read more
Yes: To be expected.Get a more detailed answer ›
Why do fleet enemas (sodium bisphosphate) put stress on the kidneys? Are glycerin suppositories safer for heart patients?
Redundant colon,candidate for elective colon resection. Linzess, miralax no help. Milk of mag or Sennokot 2-3x week helps.Use instead of surgery?
Chronic constipation: Most often, surgery is only considered as a last resort. For some people, having a bowel movement 2 to 3 times per week is normal. If you are able to achieve this using milk of magnesia, then I would not consider surgery at this time. It is always possible to have complications of surgery, and in your situation, it doesn't sound absolutely necessary. Fiber and hydration are key. Good luck. ...Read moreSee 1 more doctor answer
Took Cipro (ciprofloxacin) for GI infection. Stopped cause of side effects. Had fecal impaction(needed enema). Switched to Flagyl, w/colace. Will hard stools stop?
5yo has chronic constipation.Doc said colons completely full of stool.In 3 days had 4 100mg collace, 4 fiber gummies, 2 caps miralax (polyethylene glycol) & no bm.Wat causes?
Relatively common: Stool retention is relatively common. Successful treatment requires a plan of scheduled emptying, long term use of stool softeners or wetting agents (like miralax), & work by the kid & parents for as much as a year or two. A skilled pediatrician or pedi GI doc can help. Good luck. ...Read more
Yes: Would anticipate that.Get a more detailed answer ›