[58M] Post-Prostatectomy Complications and Persistent Symptoms

Patient Description

A 58-year-old male reports persistent diarrhea, low-grade fever, bloating, lightheadedness, and pain near a surgical incision site following a prostatectomy in November. The diarrhea has been almost daily with urgency, and the patient has not noticed any specific food triggers. The low-grade fever has been present since the surgery. Bloating and lightheadedness have been occurring for several days, with the latter being more pronounced in the mornings and potentially when standing. The patient has a history of multiple sclerosis, diabetes, ITP, hypogonadism, erectile dysfunction, and incontinence (post-prostatectomy). The patient tested negative for COVID, flu, and RSV but was diagnosed with bacterial pneumonia and is on a second course of antibiotics. Allergies include Betaseron, aspartame, and medical adhesive tape. Medications include Atorvastatin, B-12 Compliance Kit, Botox, Continuous Glucose Monitor, D3, Diclofenac, Levemir FlexTouch, Lisinopril, Metformin, Modafinil, Morphine, Nasonex, NovoLog, Nurtec ODT, Ocrevus, Pregabalin, Protonix, Slow-Mag, Tizanidine, Trimix, Trulicity, Zolpidem, Albuterol, Breo, and LevoFLOXacin.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Postoperative Complications: Following your prostatectomy, you've been experiencing diarrhea, low-grade fever, and pain near the incision site. These could be signs of postoperative complications such as infection or surgical site complications.

    • Treatment typically involves addressing the specific complication. Infections are usually treated with antibiotics, while surgical site complications may require additional procedures or treatments.
  • Side Effects of Medication: Some of the medications you're taking, such as antibiotics, can cause diarrhea and bloating. Additionally, lightheadedness can be a side effect of many medications.

    • Treatment involves managing the side effects and, in some cases, adjusting the medication regimen.
  • Gastrointestinal Issues: Diarrhea and bloating can also be symptoms of gastrointestinal issues such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD).

    • Treatment typically involves dietary changes, medication, and in some cases, therapy or surgery.

What you can do

  1. Consult your doctor: Given your recent surgery and the number of medications you're taking, it's important to discuss your symptoms with your healthcare provider. They can provide a formal assessment and order relevant tests if necessary.

  2. Monitor your symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers. This information can help your doctor determine the cause of your symptoms.

  3. Stay hydrated: Diarrhea can lead to dehydration, so make sure to drink plenty of fluids. Avoid alcohol and caffeine, as they can worsen dehydration.

  4. Eat a bland diet: While you're experiencing diarrhea, you might find it helpful to eat a bland diet. This includes foods like rice, bananas, and toast.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Blood in your stool
  • A high fever (over 101°F)
  • Persistent vomiting
  • Signs of dehydration, such as extreme thirst, dry mouth, little to no urination, or dizziness

Please remember that while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are common postoperative complications after a prostatectomy?

Common postoperative complications after a prostatectomy can include infection, bleeding, urinary incontinence, erectile dysfunction, and pain at the surgical site. It's important to monitor symptoms and consult with a healthcare provider if complications are suspected.


Can antibiotics cause diarrhea and other gastrointestinal symptoms?

Yes, antibiotics can disrupt the normal balance of bacteria in the gut, leading to diarrhea and other gastrointestinal symptoms. If these symptoms are severe or persistent, it's important to discuss them with a healthcare provider.


How can I manage lightheadedness that occurs in the morning or when standing?

To manage lightheadedness, especially in the morning or when standing, try rising slowly from a sitting or lying position, stay hydrated, and ensure adequate salt intake. If symptoms persist, consult a healthcare provider as it may be related to medication or other underlying conditions.


What dietary changes can help manage persistent diarrhea?

To help manage persistent diarrhea, consider a bland diet that includes foods like bananas, rice, applesauce, and toast (the BRAT diet). Avoid dairy, fatty foods, and caffeine, which can exacerbate symptoms. It's also important to stay hydrated.


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