Have Medical Questions? Ask a Doctor Online!
Hello and welcome to JustAnswer.com
This is Dr. John and I will be helping you today.
I will be reviewing your question and will respond shortly.
I may need to ask a few more questions in order to best serve you.
Thank you for your patience.
Answers here are for education and information only.
I have a few more questions to ask, is that ok?
how bad is your pain?Are you having a fever with your pain?
The lactulose should help with the constipation. If the pain does not improve, or if you develop a fever, then would recommend that you do go to the ER as you mentioned.
once you are no longer constipated, its important to eat a healthy diet so you don't have more episodes of constipation. A high fiber diet can help to keep your bowel movements regular.
does that answer your question?
you will have some loose stool or diarrhea with the lactulose and that should mean that your constipation is resolving. But if the pain is getting worse, or you develop nausea and vomiting, I would recommend going back to the ER.Does that make sense?
If so, I would like to thank you for your question and I hope you found my answer informative and helpful.
Please remember to leave a rating by clicking the series of 5 stars at the top of the screen.
The experts here at JustAnswer only get credit for the answer once you leave a rating for us.
You can also add a bonus if you were extremely happy with our service today.
You can always return and ask follow up questions if needed.
- Dr John.
as your constipation improves, you'll have less and less stool/diarrhea (usually over 24 hours).Slowly add back solid foods over the 24 hours and focus on foods higher in fiber (salads, vegetables, etc)
As far as determining if you are impacted, that typically requires a rectal exam to see if there is hard stool in the rectum blocking stool from coming out.
does that answer your questions?
Often times they will do either a fleets enema, and if that fails, they will try to manually disimpact the stool that is blocking the colon. In very rare cases would surgery ever be needed.
I appreciate your responses. Constipation is usually not serious and I think its very good that you have seen several doctors for this problem. I would expect that you start to feel better by tomorrow. If you don't (or have worsening pain), you can go the ER.Does that help?
if your symptoms are 100 percent worse, I would recommend that you go to the ER then so they can re-evaluate you.
I would recommend going to the ER if your symptoms are that much worse.
a liquid diet can be helpful when you are constipated. I think its very wise that you plan to go to the ER.
yes, I agree that you should go to the ER if your pain gets worse.
you are welcome and I hope you feel better soon