
Suggest Treatment For Chronic Constipation

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Detailed Answer:
Hi and thank you for asking on HCM!
I read carefully all your concerns and I can say as follows:
1. You are reporting to have constipation. These finding may be related with :
- large bowel issues like tumors
- gastroparesis ( please specify if you have diabetes)
- IBS with constipation.
2. I agree with your doctor that you need to do colonoscopy and after that motility study test to rule out gastroparesis.
3. With regards to colonoscopy preparation I would suggest as follows :
- I agree with you it is difficult in such cases
- you need a long time preparation it means that 1 week before the procedure you should start to use stool softener like lactulosis 2 teaspoons per day.
- take plenty of water 3- 3 lt per day
- use olive oil 2-3 teaspoons per day
- use 3 fiber packs 3 per day
- use one enema every day.
3. After that, one day before colonoscopy procedure you will do the standard colonoscopy preparation with clean prep/ magnesium sulphat and 6-8 lt of water.
If you have other concerns I would be glad to assist you.
Dr.Klerida


And yes I am diabetic
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Detailed Answer:
Hi back,
Yes, you can be hospitalised and get cleaned for colonoacopy.
Especially if you are diabetic. In such cases bowled preparation is more difficult and hypoglycemia may occure.
Otherwise if start preparation 1 week before procedure with stools softener it will be more easy to get cleaned at last day.
Hope it was helpful to you!
Dr.Klerida

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