How to manage this case?
A 9 yr old girl came with complaints of not passing stools for 3 days and not passing urine for one day
? CONSTIPATION .. WITH .. OLIGURIA .. NEED'S.. URINE ROUTINE.. USG..ABDOMEN..PELVIC.. MEANWHILE TREAT .. SYMPTOMATICALLY.. WITH.. HYDRATION .. SOAP WATER ENEMAS.. LACTULOSE..
Constipation with oliguria Urine rt Usg abdomen If passes gases No guarding Sy cremaffin 5ml hs Increase roughage Water intake
Constipation causes hard stool formation Hard stool computers on urethra and causes difficulty in passing urine Simple enema with help passage of stool and urine both It needs to be followed by laxative
Proctoclysis enema I V fluids according to dehydration USG Abdomen Blood gas Analysis Serum electrolytes
agree with @Pushker Bhomia need Other reports, adv to Ufologists opinion Rx Punarnavashtak qwath Bd Galo ghan tab 1bd for 7 days then, Abhaydi qwath BD galo ghan tab 1bd panchsakar powder HS for 1 to 2 weeks.
Constipation with anuria Get x ray abdomen erect done to r/o perforation.and if possible admit pt for further management
See her TFT RFT LFT Electrolytes. USG abdomen to see CMD. Hydration Electrolytes correction.
bladder and bowel dysfunction? Change d eating habits of child,drink plenty of water and avipathikara choorn with lukewarm water at bed time is enough.
Not passage of urine may be due to ac.constipation.suppository for passage of stool.PEG 12.5 ml with 50 mlof water at HS.USG WA urine CD rE mE
Cases that would interest you
- Login to View the image
16/M- Patient Severe Abdomen pain , Vomiting 13 to 15 time , and constipation plzzz suggestion
Dr. Aqib Siddiqui0 Like8 Answers - Login to View the image
37/f C/o- constipation with abdominal pain. USG suggestive of faecolith. For the same complaint patient took tablet bisacodyl 10 mg of for 2 days. Please suggest line of treatment??
Nazrulhuda Momin0 Like6 Answers - Login to View the image
A female aged 45 years *Chief Complaints* Inability to pass flatus and faeces Pain Abdomen (x 4 hrs) *Physical Examination* P/A- Distended, BS(-) *Investigations* Xray Abdomen
Dr. Hardik Ahuja0 Like4 Answers - Login to View the image
Fch.1yr Abdominal distention. No passage of stool 2days. Vomiting.
Dr. Syam Sundar Patro4 Likes20 Answers - Login to View the image
Pt was rushed into the E/R on account of generalized abdominal pain which he graded 10/10. He had 1 episode of vomiting yesterday, constipation for 4days, fever, postprandial pain and anorexic. On examination, middle aged male who acute on chronically ill, not in any obvious respiratory distress, apallor, anicteric, hydration fair, no clubbing, no bilateral pedal oedema, no palpable nodes. There was Left inguino-scrotal hernia repair surgical scar which was done last month, tenderness in the epigastrium, left hypochondriac, left lumbar, left iliac fossa and umbilical region. Bowel sounds present but diminished. Your comment on abdominal X-ray (erect & supine) and further evaluations.
Dr. Ninyol Bright2 Likes22 Answers
2 Likes