SOLVED1139
Case 1 CC: JJ is a 66 yoM presenting with abdominal bloating and constipation. HPI: JJ endorses not having a bowel movement for 3 days. He states that this issue occurs every couple weeks and has been ongoing for the past 6 months or so. He denies fever, rectal bleeding, recent weight loss, and vomiting. PMH: HTN, atrial fibrillation, OA (s/p R TKA 10/2017), chronic knee pain 2/2 OA, obesity Medications: • Enalapril 5mg PO BID • HCTZ 25mg PO daily • Verapamil 80mg PO TID • Apixaban 5mg PO BID • Acetaminophen 325mg PO q6h prn mild-moderate pain • Oxycodone 5mg PO q6h prn severe pain • Ondansetron 4mg PO q8h prn nausea 2. JJ is desperate for relief of his symptoms today. Is there anything he can take that will work within a few hours? Please provide a recommendation in the form of a prescription (even if it is an OTC product). 3. JJ feels as if he has enough medications to take every day and does not want to add an additional daily medication for constipation. He wants to know if there is anything, he can do with his lifestyle to minimize the risk of constipation happening
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