Your patient is Mr Johns. Mr Johns underwent an emergency appendectomy 5 days ago. Post operatively Mr Johns did not experience any complications and was discharged day 2. His wound was clean and dry, there was minimal pain controlled by endone 5mgs 6hourly PRN and panadiene forte 6 hourly PRN. Mr Johns is due for review by his surgeon, Dr Doolittle, 1 week post discharge. Mr Johns presented today to the emergency department suffering from constipation, abdominal distension, guarding of the lower abdominal area, nausea and today he has started vomiting. He admits to not passing any flatus since the operation and has been on a normal diet since discharge
provide a rationale from the information that has been provided for the diagnosis of constpation
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