My Dad is 60 years old, overeats at every sitting and eats maybe up to 5 times a day, and loves bread/cheese. He is almost 300lbs and has a ZERO physical activity daily routine since he is recently retired a lil early.
Dec 19th Dad had his last full meal (today's the 22nd)
Lost his appetite since then
Dec 20th developed low right quadrant abdomen pain; bad, but not unbearable
He has no fever, no vomitting, or unbearable pain (again)
Took him to the ER 20th - 21st
Xray, Blood, Urine, Ultrasound done
Results were BS level of 188 and nothing else revealed but from the xray. The BS is a possible diabetes find and not surprising to me as he does not take his health seriously at all on a daily basis other than taking antibiotics for sinus infections which he gets often which now take him 2 to 4 months to recover from.
Xray showed a VERY large amount of impaction in the right abdomen. I would say it was about at LEAST 1 foot long and perhaps 1 - 2 inches in diameter all stopping at his lower right quadrant.
He is refusing CT scan due to an extreme case of claustrophobia even though its the machine that is NOT enclosed... he still has to go through the donut part which is about 1 foot worth of enclosing just his abdomen. He just feels trapped and like he can't breath when the reality is he can and it was the best room he could've asked for with cold air blowing around forcefully and a wide open breathing space for his face. He refuses it so much that they had to have him sign papers stating that he refused it. They will not treat him until they can do a CT scan. All they've done are tests. We have tried psychological stimulation, tricks, and they gave him meds to relax that wore off just as he was going into the CT scan. They offered more relaxation meds, but he refused it due to his claustrophobia again and it is more real than ever. I've never seen anyone panic like he did once he was on the CT scan table.
ER doc's state that its just a 10 - 15% chance it is appedix or something that severe because it likely would've surfaced with the worst signs by now and other friends in the medical field say he probably would've been dead by now. This is the ONLY saving grace I have easing worries at this point.
I am fully aware of how serious this matter is and that he could die. Last night despite the ER stating they wanted us back and not to give him anything because they wanted to evaluate him further (which basically means 12 more hours of the same tests which lead to NOTHING since he refuses the CT scan) my mother gave him 2 enema's and probably 1 of those was done the proper way (the 2nd one). After the 2nd one he let out some waste. This would mark the 3rd Diarrhea like movement since yesterday (the 21st) though after the 2nd enema he passed "some" (very little) solids about 1 to 2 inches wide at most. After the 2nd enema he went to bed and this morning (Dec 22nd) he drank a whole bottle of Magnesium Citrate. It is my understanding that it takes anywhere from 30 minutes to 6 hours to work which would put us at about 12 noon CDT time.
Also, last night (21st) he got on the treadmill for 2 sets of 10 minutes each at .7 to 1.2 mph. This almost IMMEDIATELY seemed to help, he was walking better, and the pain went away almost 90%
Is appendicitis associated with impactions/blockages? or usually not?
Are we doing everything we can to get him to pass the impaction?
Should we continue the treadmill runs? I would think so, but want to hear thoughts on it.
Should we continue to give him MORE Magnesium Citrate if by Noon CDT he hasn't had a movement?
Should we continue to give him more enema's?
Should he be eating or drinking at ALL?
What should he eat/drink?
I'm concerned about him not having eaten, though yesterday my mom gave him some beats and chicken broth and he ate/drank it all. He also has a sinus infection which he is taking amoxicillin (antibiotic) for. His impaction pains started around the same time his infection worsened and/or same time he started taking the amoxicillin, but I'd think the infection would've possibly worsened his condition rather than the antibiotic.
I would think we should continue the enemas and mag citrate continually around the clock, but I'm unaware of the duration of spacing of time we should do between them. I'm also worried about him bursting/tearing his colon inside if we give him more of the mag citrate.
The ER is covering their butt by wanting him back over there, but at the same time they did nothing for him to help pass the impaction for over 13 hours. Yes the tests are necessary, but so is action.
I have read about Colon Cleansing products and many say those are just scams, but at this point with an impaction I'm not sure even if they really did work if they'd help or make things worse anyway. Thoughts?
Thank you for anyone reading. This is very important to respond to fast. He could die soon.