Managing MgO and Broen-C: Key Questions for Post-Surgery Recovery

MgO and Broen-C medication issues?

Hello, doctor.
Last Sunday, I experienced an acute anal fissure and started taking 250 mg of magnesium oxide (MgO) with meals at noon and in the evening, while also taking 3 to 4 tablets of Broen-C (enteric-coated bromelain and L-cysteine) daily to aid in wound healing.
Today, my stool consistency has improved.
I would like to ask the following questions:
1.
Can I stop taking 250 mg of MgO immediately, or should I first reduce the dosage to 125 mg per meal and then discontinue it completely after a few days? I'm unsure if this medication has dependency issues.

2.
The ingredients in Broen-C are bromelain and L-cysteine.
Can long-term use cause side effects or dependency? I have been taking it for several months due to muscle and joint issues, and I currently have no discomfort, but I want to inquire just in case.

3.
The pain from the anal wound has decreased, but I am experiencing itching.
Is this a sign of the wound healing?

Aguang, 20~29 year old female. Ask Date: 2022/12/13

Dr. Zhang Shuhao reply Surgery

1.
MgO can be discontinued immediately, as this medication is not habit-forming.
2.
Long-term use of Broen C does not pose significant harm, and it can be stopped when there is no discomfort.
3.
It is normal for the healing wound to itch, but if there is redness or allergic reaction in the surrounding skin, the ointment should be discontinued.

Reply Date: 2022/12/13

More Info

Managing post-surgery recovery, especially after an acute anal fissure, involves careful consideration of medications and their effects on healing. Here are answers to your questions based on medical knowledge and practices.

1. Stopping Magnesium Oxide (MgO): Magnesium oxide is often used to relieve constipation and improve bowel movements, which can be particularly beneficial after surgery for an anal fissure. If you have noticed an improvement in your bowel habits, you might consider tapering off the MgO rather than stopping it abruptly. A common approach is to reduce the dosage to 125 mg per meal for a few days before stopping completely. This gradual reduction can help your body adjust and prevent any rebound constipation. MgO is not typically associated with dependence, but it’s always wise to monitor your bowel habits closely as you reduce the dosage.

2. Long-term Use of Broen-C: Broen-C, which contains bromelain and L-cysteine, is often used for its anti-inflammatory properties and to aid in healing. Long-term use of bromelain is generally considered safe for most individuals, but it can cause gastrointestinal upset in some cases. L-cysteine is an amino acid that is also generally safe but should be monitored for any adverse effects. While neither of these components is known to cause physical dependence, it’s essential to evaluate your overall health and any potential interactions with other medications you may be taking. If you have been taking Broen-C for several months without issues, it may be safe to continue, but regular check-ins with your healthcare provider are advisable to ensure that no side effects develop.

3. Itching as a Healing Sign: The sensation of itching around the anal area can indeed be a sign of healing. As the tissue begins to repair itself, nerve endings may become more sensitive, leading to sensations of itching or tingling. However, it’s crucial to differentiate between normal healing sensations and signs of infection or irritation. If the itching is accompanied by increased pain, swelling, or discharge, it would be prudent to consult your healthcare provider to rule out any complications.

In summary, managing your recovery involves a careful balance of medication, monitoring your symptoms, and maintaining open communication with your healthcare provider. It’s essential to listen to your body and adjust your treatment plan as needed. If you have any concerns about your medications or symptoms, do not hesitate to reach out to your healthcare provider for personalized advice. They can provide guidance tailored to your specific situation and ensure that your recovery progresses smoothly.

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