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Suggest Treatment For Chronic Constipation
Question: Hello, I am suffering from acute constipation and taking Pegred (Powder for oral solution) and three times neopride 25 mg, but still sometimes constipation persist. Is there any other medicine should I use?
Brief Answer:
Acute on Chronic Constipation / Under Evaluation of treatment
Detailed Answer:
Brief Ans-Acute on Chronic Constipation / Under Evaluation of treatment
Hi,Dear,Thanks for your query to HCM.
Read your query facts and feel concerned about it.
Based from the facts,Would you please update more information- as follow-
Since how long you have this constipation?
How long you have been with these drugs?
When they were prescribed by your doctor last?
Any past pile / fissure illness with / or without anal bleeding-painful / or painless?
Any further query and update reports in this regard Please update.
I would need to study the cause of the constipation and Acid reflux,before I suggest you on further medicines for it.
Hope you are not known case of-Diabetis or IBS ?
IF yes,Please update more information.
Welcome for any further query in this regard,which I would love to help you in next session.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Acute on Chronic Constipation / Under Evaluation of treatment
Detailed Answer:
Brief Ans-Acute on Chronic Constipation / Under Evaluation of treatment
Hi,Dear,Thanks for your query to HCM.
Read your query facts and feel concerned about it.
Based from the facts,Would you please update more information- as follow-
Since how long you have this constipation?
How long you have been with these drugs?
When they were prescribed by your doctor last?
Any past pile / fissure illness with / or without anal bleeding-painful / or painless?
Any further query and update reports in this regard Please update.
I would need to study the cause of the constipation and Acid reflux,before I suggest you on further medicines for it.
Hope you are not known case of-Diabetis or IBS ?
IF yes,Please update more information.
Welcome for any further query in this regard,which I would love to help you in next session.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Prasad
I have suffering from the constipation from childhood but within two months it became so acute that I have to visit a dr. who prescribed Pegred & Neopride and I am taking these medicines from last 1.3 months.
Now a days I also suffer from acidity & gas prooblem also for this I am taking Pentium Dsr (40mg.).
I don't have any piles or diabetis etc. problems.
Now a days I also suffer from acidity & gas prooblem also for this I am taking Pentium Dsr (40mg.).
I don't have any piles or diabetis etc. problems.
Brief Answer:
Acute on Chronic Constipation with GERD/Under Evaluation
Detailed Answer:
Brief Ans-Acute on Chronic Constipation with GERD/Under Evaluation.
Hi,Dear,thanks for your updates.
Reviewed your query with your updates.
It seems that your constipation aggravated in last 2-3 mths time.
But the history of chronic Constipation since childhood indicates causal reason in your diet schedules and its contents-high fiber or high non-veg or spicy?
Or could be related with your job work and lifestyle.
Do you get burning with hard stools?
Are you on any Vitamins and Mineral Tabs regularly?
What is the color of the stool routinely?
Describe about the bloating and gases with constipation?
Any trigger foods / drinks for Constipation?
Are you under any stress /mental or physical / or work stress?
How frequently you take alcohol/tobacco / smoking / tea/ coffee/non-veg/fried and spicy food?
Any past illness with medical reports?
In this context I would like to know more about your above facts in next session.
Remedy Suggested-
For your advanced age-aggravation of constipation in last 2 mths needs to be investigated.
Till the time reasons are worked out after getting your above information
I would suggest as follows-
-Increase Fluids 3-4 liters per day
-Add Spinach Soup x 2-3 time a day.
-Add Fruit juices 1-2 times a day
-Add skimmed Butter Milk
-Increase high fiber diet with more vegies in your diet.
I want to study more about the reasons of your chronic long standing Constipation.
If I give medicines generally given as is your case/they may not work after some time.
Hope this would help you to recoup the deficiencies causing Constipation lately.
Await more information about your life style / diet and work style.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Acute on Chronic Constipation with GERD/Under Evaluation
Detailed Answer:
Brief Ans-Acute on Chronic Constipation with GERD/Under Evaluation.
Hi,Dear,thanks for your updates.
Reviewed your query with your updates.
It seems that your constipation aggravated in last 2-3 mths time.
But the history of chronic Constipation since childhood indicates causal reason in your diet schedules and its contents-high fiber or high non-veg or spicy?
Or could be related with your job work and lifestyle.
Do you get burning with hard stools?
Are you on any Vitamins and Mineral Tabs regularly?
What is the color of the stool routinely?
Describe about the bloating and gases with constipation?
Any trigger foods / drinks for Constipation?
Are you under any stress /mental or physical / or work stress?
How frequently you take alcohol/tobacco / smoking / tea/ coffee/non-veg/fried and spicy food?
Any past illness with medical reports?
In this context I would like to know more about your above facts in next session.
Remedy Suggested-
For your advanced age-aggravation of constipation in last 2 mths needs to be investigated.
Till the time reasons are worked out after getting your above information
I would suggest as follows-
-Increase Fluids 3-4 liters per day
-Add Spinach Soup x 2-3 time a day.
-Add Fruit juices 1-2 times a day
-Add skimmed Butter Milk
-Increase high fiber diet with more vegies in your diet.
I want to study more about the reasons of your chronic long standing Constipation.
If I give medicines generally given as is your case/they may not work after some time.
Hope this would help you to recoup the deficiencies causing Constipation lately.
Await more information about your life style / diet and work style.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Yes sometimes burning with hard stool is felt.
I take Becosule (Vitamin B) tablet along with blood pressure medicine in the morning after break fast.
Colour of the stool is yellowish generally.
I generally feel bloating after taking lunch. It seems gases are formed very much & due to this sometime only air is passed out with the stool.
I don't have any mental or physical stress.
Previously I used to drink 2-3 large pegs on regular basis but from last three months I have reduced it to 3 to 4 days in a week.
I take Becosule (Vitamin B) tablet along with blood pressure medicine in the morning after break fast.
Colour of the stool is yellowish generally.
I generally feel bloating after taking lunch. It seems gases are formed very much & due to this sometime only air is passed out with the stool.
I don't have any mental or physical stress.
Previously I used to drink 2-3 large pegs on regular basis but from last three months I have reduced it to 3 to 4 days in a week.
Brief Answer:
Acute on Chronic Constipation with GERD/Under Evaluation
Detailed Answer:
Brief Ans-Acute on Chronic Constipation due to Fissure in Ano?with GERD/Under Evaluation
Hi,Dear,thanks for the updates after My lead questions in the last session.
Otherwise your info was very short and your case was really difficult without this information.
I got out this important information from You, by My expertise and experienced skills by putting exact LEAD questions,which you should note,appreciate and give excellent feedback comments after this reply.
I had to take 2 sessions with you,for arriving at My final reply for your query,which was superficially appears simple but was very difficult.Whole of your life you suffered from Constipation,due to this casual approach.
My Impression and suggestions for your Constipation-
-You would need proctoscopic examination to confirm the Fissure in Ano -which I expect,in your case,due to the repeated hard burning anal feelings you had, in the past due to your lief and food style.YOu should rule out the any presence of Chronic or Acuter Fissure in ano ? or Abrassions in anal skin ? with any Sentinel Skin tags suggestive of Chronic or the past died out Fissure in Ano.
Remedy-
Stop all your medicines for Constipation and GERD and do as suggested-
-For this You need to get the help from nearby Surgeon in your area.
-Even Minor abrasions lead to anal spasm and Constipation as the anal and rectal areas are prone to infections and damages from the hard.
-Take Anovate Oint -applications in and around anus x 2-3 times a day x 7-10 days time.
-Follow the dietary / fluids / soups , advise given above-strictly and meticulously.
-Tab-Dicloran A- 1 x 2-3 times a day x 5 days time
-Tab-Proton D-x 1 x 2 times a day for 5-10 days time
-Plenty of fluids with Spinach soup would keep your stools smooth and soft.
-Reduce on non-veg and spicy for 3 weeks
-Be on Vegies with Sweet-sour skimmed thin Butter Milk x 3 weeks
-DON'T USE ANY EVACUANTS AND GET FREE FROM CONSTIPATION MEDICINES SOON.
-Use evacuants or bowel cleaners only when need be and that too under advise from ME or from near by Surgeon / or Gp Doctor
This would correct your bowel habits and would be free from your dependence on your evacuants for the Constipation.
Hope this would help you to come out of this long and chronic problem.
Keep Me updated if you need more help by a direct question,Which I would love to help you.
Welcome for any further query in this regard.
I know it is very difficult for you to come out of this chronic Constipation problem.So I suggest you to keep Me updated whenever you need, by a direct query at the HCM to ME.
If you are satisfied,feel free to Write excellent feedback comments, just to help problematic patient visitors like YOU,at My Virtual Clinic at HCM.
Wishing you good health and fast recovery.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Acute on Chronic Constipation with GERD/Under Evaluation
Detailed Answer:
Brief Ans-Acute on Chronic Constipation due to Fissure in Ano?with GERD/Under Evaluation
Hi,Dear,thanks for the updates after My lead questions in the last session.
Otherwise your info was very short and your case was really difficult without this information.
I got out this important information from You, by My expertise and experienced skills by putting exact LEAD questions,which you should note,appreciate and give excellent feedback comments after this reply.
I had to take 2 sessions with you,for arriving at My final reply for your query,which was superficially appears simple but was very difficult.Whole of your life you suffered from Constipation,due to this casual approach.
My Impression and suggestions for your Constipation-
-You would need proctoscopic examination to confirm the Fissure in Ano -which I expect,in your case,due to the repeated hard burning anal feelings you had, in the past due to your lief and food style.YOu should rule out the any presence of Chronic or Acuter Fissure in ano ? or Abrassions in anal skin ? with any Sentinel Skin tags suggestive of Chronic or the past died out Fissure in Ano.
Remedy-
Stop all your medicines for Constipation and GERD and do as suggested-
-For this You need to get the help from nearby Surgeon in your area.
-Even Minor abrasions lead to anal spasm and Constipation as the anal and rectal areas are prone to infections and damages from the hard.
-Take Anovate Oint -applications in and around anus x 2-3 times a day x 7-10 days time.
-Follow the dietary / fluids / soups , advise given above-strictly and meticulously.
-Tab-Dicloran A- 1 x 2-3 times a day x 5 days time
-Tab-Proton D-x 1 x 2 times a day for 5-10 days time
-Plenty of fluids with Spinach soup would keep your stools smooth and soft.
-Reduce on non-veg and spicy for 3 weeks
-Be on Vegies with Sweet-sour skimmed thin Butter Milk x 3 weeks
-DON'T USE ANY EVACUANTS AND GET FREE FROM CONSTIPATION MEDICINES SOON.
-Use evacuants or bowel cleaners only when need be and that too under advise from ME or from near by Surgeon / or Gp Doctor
This would correct your bowel habits and would be free from your dependence on your evacuants for the Constipation.
Hope this would help you to come out of this long and chronic problem.
Keep Me updated if you need more help by a direct question,Which I would love to help you.
Welcome for any further query in this regard.
I know it is very difficult for you to come out of this chronic Constipation problem.So I suggest you to keep Me updated whenever you need, by a direct query at the HCM to ME.
If you are satisfied,feel free to Write excellent feedback comments, just to help problematic patient visitors like YOU,at My Virtual Clinic at HCM.
Wishing you good health and fast recovery.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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