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Post surgical depression ?

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My mother had a colon/rectal surgery with a coloplasty and temporary illeostomy 30 days ago, she is 67. She appears to be suffering from severe post surgical depression. We are 5 days into a Prozac prescription. She has complained of nausea since the surgery but now it is not nausea but gagging and dry heaves. She barely eats or drinks and when she does she says she is going puke before she eats or drinks. She has not thrown up anything since this started. She has lost 25 lbs since surgery. We now are giving her TPN (nutrition via pic line) every night at home this is our 3rd night of that. All CT scans show she is healing well no complications. During surgery they accidentally cut a uterer and had to insert a stint which is still in place. Could this stint cause nausea, gagging, dry heaves or this all related to depression? How long should it be before prozac show signs of improvement? Is there anything else we can for her?

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replied January 11th, 2010
Depression Answer A9039

Post surgery depression would not manifest with severe nausea, gagging, etc. These symptoms are most likely due to the irritation of the ureter. Prozac should start showing its effect by the second week. But clinically significant effect is usually seen after 3-6 weeks or initiation.

Try to keep the surgery related pain to the minimum. Good nutrition is the key to her recovery.


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