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Suggest Treatment For Chronic Constipation

Posted on Fri, 17 Mar 2017

Question: ok so for last couples years I've had this problem to embarrassing to ask my Dr. I have so much trouble pooping I will go a few times my left side hurts feels like my bladder is gonna explode cause I can't pee while I'm pooping ... my poop goes from regular poop to fiber in bottom of bowl on my last trip... I poop so hard I puke . or get massive headache.. happens almost every time I poop

Answered by Dr. Lekshmi Rita Venugopal (2 hours later)

Brief Answer:
Diagnosis:chronic constipation

Detailed Answer:
Hello,
Thank you for the query at HealthcareMagic,

Chronic constipation can be something occurring by itself or as a part of other illness.
Some conditions that cause chronic constipation include hypothyroidism, diabetics, medications, irritable bowel syndrome, rarely inflammatory bowel disease etc.

Before giving a definite answer I would like to know more about your history like--

- frequency of bowel movements
- dietary habits
- daily fluid intake
- any recent weight changes
- appetite changes
- abdominal pain/cramps
- episodes of diarrhea alternating with constipation
- stool consistency, mucus/blood in stools
- cold intolerance
- skin or hair changes
- Menstrual irregularities
- any medications currently used
- history of diabetics or symptoms associated with diabetics like thirst,increased urinary frequency
- any other symptoms associated with constipation.

Please get back to me with these details.

There are few things you can try to relieve the constipation (after other causes for constipation is ruled out) like--

- drink plenty of fluids
- Avoid coffee
- diet rich in fiber like fruits and vegetables
- diet rich in probiotics like yogurt
- avoid coffee
- bulk forming laxative like psyllium
- stool softeners like dulcolax

But it is important to look for any underlying problems.
So please get back to me with those additional details.

Regards,
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Lekshmi Rita Venugopal (44 minutes later)

bowel movements can b ok for few days then this happens .... now I might not go tomorrow or go just fine with no symptoms... I have been forcing myself to eat supper it's not a big plate of food... I drink quite a bit I'd say but Probs not the best two cups coffee in am and water and whatever through the day... I do not drink milk...but do use creamer.. I do get pain camps on my right side alot just below my ribs not gallbladder related mines gone.. I have small skinny poops no mucus no blood.... I like the cold to sleep..skin hair fine... periods fine.... not on any meds....

Answered by Dr. Lekshmi Rita Venugopal (31 minutes later)

Brief Answer:
Chronic constipation,unlikely due to other associated conditions

Detailed Answer:
Hello,
Thank you for following up with the details.

THese are not concerning as they are not indicative of any underlying conditions causing constipation.

I advise that you follow the life style changes that I mentioned in above answer to help relieve constipation. You can continue to drink two cups of coffee a day, which is fine. But try not to exceed more than 2 cups.

I would also like to add that exercising regularly also help with constipation.
You can also try Psyllium and stool softeners like dulcolax.

If the symptoms persist after trying these changes, then I'd recommend that you consult your primary care provider.

Hope I was able to answer your questions.
Please feel free to address any more concerns
Regards and wishing you good health,
Dr.Lekshmi

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Above answer was peer-reviewed by : Dr. Arnab Banerjee