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My mother is 73 years old and she has not had a bowel movement

 
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Customer Question

My mother is 73 years old and she has not had a bowel movement in 5 days and she has a bloody mucus discharge. What should she do?

 

Optional Information:
Person's Gender: Female
Person's Age: 73

Already Tried:
Drinking fluids, eating toast, banana, yogurt.

Submitted: 408 days and 22 hours ago.
Category: Medical
Value: $35
Status: CLOSED
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Expert:  Dr Mask replied408 days and 22 hours ago.

Hello,

Welcome to Justanswer

Has this happened before ?

Has she been examined for this by a doctor?

What are the medical conditions diagnosed for her and on what medication is she for them?

Customer replied408 days and 21 hours ago.

No this has not happened before and she has not seen a doctor yet. She is currently in FL and is coming home on Tuesday. She wants to wait till she gets home on Tuesday to see her doctor. Do you think it's wise for her to wait till Tuesday. She has been diagnosed with CLL, but currently her levels are good and is not receiving any treatment. She was taking high blood pressure medication and I think that's everything.

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Expert:  Dr Mask replied408 days and 21 hours ago.

Thank you for the additional information and for your patience.

I am sorry to hear that she has had to go through much.

Keeping in view age, the presentation of the symptoms and her history the differentials could be Hemorrhoids (1st degree) cause of bleed here being the constipation itself, Second possibility can be Inflammatory Bowel Disease and the third can be Carcinoma.

However nothing can be said with out a proper physical examination and investigations.

It would be best not to delay a visit to a doctor, However the need for an emergency visit would arise if the bleeding is frank and is not stopping or she starts feeling dizzy or some thing comes out of the anal area, is painful and wont go back in.

She should keep herself well hydrated with over the counter oral rehydrating salt.

Hope This Helped

Regards
Dr MASK

Customer replied408 days and 21 hours ago.

She is not feeling any pain and currently takes the following medications:

Simbastatin (20mg a day) - Cholesterol

Atenlol (25mg a day) - Heart Medication

Warfarin (7mg a day) - Blood thinner

Allegra (800mg a day) - allergies

B6 (100mg a day)

B12 (1500mcg a day)

Vitamin C (500mg a day)

Vitamin D 3 (2000iu a day)

Flax Seed Oil (2000mg a day)

Fish Oil (1200mg a day)

 

Should she eliminate any of these vitamins from her diet? Should she try taking a stool softener? Also, she just took 3 Duclox pills.

Thanks!

 

 

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Expert:  Dr Mask replied408 days and 21 hours ago.

None of these except for warfarin have the chance to play a negative role in her present condition.

Since warfarin is a blood thinner therefor it can cause the bleeding to stop over a longer time than normal.

That said however warfarin's half life is around 2 to 3 days so for its effects to decrease it would take that long.

Still if the bleeding is frank or not stopping than the doctors in the ER can giver her the antidote which is Vitamin K.

So among these medicines what may help her would be stoping Warfarin.

Hope This Helped

Regards
Dr MASK

Customer replied408 days and 21 hours ago.

Did you get my response?

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Expert:  Dr Mask replied408 days and 21 hours ago.

Yes I have sent the response back to you

Here is the same response again. Please let me know if you need further explanation

None of these except for warfarin have the chance to play a negative role in her present condition.

Since warfarin is a blood thinner therefor it can cause the bleeding to stop over a longer time than normal.

That said however warfarin's half life is around 2 to 3 days so for its effects to decrease it would take that long.

Still if the bleeding is frank or not stopping than the doctors in the ER can giver her the antidote which is Vitamin K.

So among these medicines what may help her would be stoping Warfarin.

Hope This Helped

Regards
Dr MASK

Customer replied408 days and 21 hours ago.

What about the stool softener and the Dulcolax?

Accepted Answer

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Expert:  Dr Mask replied408 days and 21 hours ago.

The Stool Softener and dulcolex may prove to be helpful however as I said before she needs a physical examination and these measures can only help a little and can not be considered as a definitive treatment.

Hope This Helps

Regards
Dr MASK

Expert TypeDoctor
Category: Medical
Pos. Feedback: 97.3 %
Accepts: 1278
Answered: 5/6/2012

Experience: MBBS with 06 years Clinical Exposure in Surgery & Internal Medicine

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