From the Research
When you're asked to return to the Accident and Emergency department in 3 days for further testing regarding your bowel problems, it means the medical team needs additional information to properly diagnose your condition. Your initial blood tests and X-ray provided some information, but weren't sufficient for a complete diagnosis. The follow-up appointment will likely involve additional tests such as more specialized blood work, stool samples, or possibly more advanced imaging like a CT scan or ultrasound. This waiting period also allows doctors to see if your symptoms change or if any treatments they may have prescribed are working. Constipation or difficulty with bowel movements can have many causes ranging from dietary issues to more serious intestinal blockages, so a thorough investigation is necessary. During this waiting period, stay hydrated, maintain a diet with adequate fiber if recommended by your doctor, and take any medications they prescribed exactly as directed. If your symptoms worsen significantly before your follow-up appointment, such as severe pain, vomiting, or inability to pass gas or stool, you should return to the emergency department immediately rather than waiting.
Some key points to consider during this period include:
- Staying hydrated by drinking plenty of water
- Eating a balanced diet that includes foods high in fiber, as fiber can help soften stool and make it easier to pass, as seen in studies on psyllium fiber 1
- Avoiding foods that can exacerbate constipation, such as dairy products or processed foods
- Engaging in regular physical activity to help stimulate bowel movements
- Managing stress through techniques like meditation or deep breathing, as stress can exacerbate bowel problems
It's also important to note that psyllium fiber has been shown to have a positive effect on intestinal microbiota in constipated patients and healthy controls, increasing the levels of certain beneficial bacteria and improving symptoms of constipation 2. However, the most recent and highest quality study on this topic is from 2023, which found that psyllium fiber protects against colitis via activation of the bile acid sensor farnesoid X receptor 1. Therefore, it is recommended to follow the advice of your healthcare provider and take any prescribed medications or supplements, including psyllium fiber, exactly as directed. If you have any further questions or concerns, be sure to discuss them with your healthcare provider during your follow-up appointment.