Analgesics should be given carefully in the post-colectomy period, since excessive amounts cause colonic spasm and possibly an increased anastomotic disruption rate.
An ileus may be present for 3-4 days.
Once flatus has passed, oral fluids can be increased.
Diarrhoea is common in the first few days and may be treated with suitable agents such as loperamide or diphenoxylate hydrochloride.
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