Information was received from a patient who was implanted with an implantable neurostimulator (ins) for urinary/bowel dysfunction and urge incontinence.It was reported that the patient called to inquire about their therapy and if it could cause constipation because they'd been having constipation on and off but it gotten more severe and they were having extreme unstoppable diarrhea, vomiting and nausea (the patient stated they currently had nausea) and their doctor told them they had a form of diverticulitis.The patient stated their managing health care provider (hcp) just saw them last month and they adjusted their therapy settings but the patient had no change and they still couldn't go.The patient stated they had been vomiting and spewing diarrhea everywhere and that they almost died and that they were completely dehydrated and they went to the hospital.The patient stated their gastro doctor gave them medicine that was like a spray they could put up their nose and which helped with the vomiting and pain and their family doctor had been giving them hydration.The patient stated their doctor did a colonoscopy and the patient had to drink that "crazy stuff" you have to take before a colonoscopy but they couldn't go after taking it.The patient stated they were miserable and they had pain in their stomach and it was like they were pregnant.The patient stated the first bowel movement they had after the colonoscopy: the stool as "normal" but it was "all solid" and it was black so their doctor did a cdc and they told the patient the cdc was absolutely normal and told the patient that they thought the patient's issues were related to the stimulation.The patient stated they haven't had a bowel movement since then.Patient services reviewed information with the patient and redirected the patient to follow up with their managing health care provider (hcp) about their concerns.Patient services reviewed with the patient they could turn the therapy off to isolate if the issue was being caused by the device/therapy or try a different setting and the patient stated they were afraid to "do anything" to make a change because when they made an adjustment in the past it had been "so painful" in their vagina, that they'd had "painful vibrations." the patient stated they were at their wits end and that they were going to continue working with their managing health care provider (hcp) about the issue and noted they might turn the therapy off for now though they knew without the therapy their bladder symptoms would be back.
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