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Yes the Oxycontin is probably very much related to cause. You probably have fecal impaction with 20 days of no BM. You should go to ER. They will probably need to disimpact you and give a couple or few enemas.
Later you may start SENOKOT S 2 tablets twice a day as an option that may help with the pain medication induced constipation.
You would likely benefit to follow up with a gastroenterologist
You may have better bowel function of you can tolerate lower dose of your pain medication as well.
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Anthony Bray MD
Also after you get lower GI tract cleaned out a regular regimen with some Miralax every other day could be helpful as well.
I would encourage you to follow up with a gastroenterologist for this ...
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Well I have seen cases where gastroenterologist may give four high retention enemas to help clear out colon or more in few cases...
I think you need follow up with gastroenterologist as main measure going forward .
I would advise try regimen of Sennakot S 2 tablets twice a day plus Miralax one dose plus 8 ounces of fluid EVERY OTHER DAY
Reduce regimen if problem of diarrhea is developing. Regimen is only suggestion at this point but your GI specialist may indicate a different possible regimen....
I hope that this is helpful for you.Let me know if I may be of further help.Please remember to leave positive feedback.Thank You and Best Regards!