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Suggest Treatment For Constipation After Bypass Surgery

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Posted on Fri, 28 Oct 2016
Question: My father had undergone heart bypass surgery 6 months back , he is having constipation problem frequently while taking medicine . He is taking clopitab in morning , metformin 250 mg morning and evening for diabetes and atorvastatin in night . could you please suggest some medicine for constipation problem which he can take along with these medicine.
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Answered by Dr. Priyank Mody (5 hours later)
Brief Answer:
Liq Duphalac 30 ml before bedtime

Detailed Answer:
Hello ,
I am Dr. Mofy and I would be a dressing your concern .
Of the three medications you have mentioned none of then can clinically cause significant constipation.
Long term diabetes can sometimes result in chronic constipation.
The reason why I am discussing the same is , you should try finding the cause and treat the same for long term benefit .
Presently the for symptomatic relief .
He can take liq Duphalac or liq Cremaffin 30 ml once before going to bed . These are safe in a cardiac patient
At the same time increase fibre intake in diet .

Don't make it a habit and visit a doctor if persistent
Let me know if any clarification is needed .
Do rate for others reference
Regards Dr. Mody
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Follow up: Dr. Priyank Mody (15 minutes later)
thank you sir , one additional query my father is 62 years old , are there any precautions he can take for avoiding future heart problems like preventive health check ? ...he got heart attack 6 months back and diagnosed with bivessel disease RCA was blocked 100% due to diabetes mellitus and LAD 80% due to coronary artery disease.
doctor
Answered by Dr. Priyank Mody (27 hours later)
Brief Answer:
A Yearly treadmill stress test is best way forward

Detailed Answer:
Hello ,
Generally arterial grafts which are used to do bypass in today's era give excellent long term results . So both the lesion you mentioned must have been grafted and at present your father has optimum revascularised coronaris .
For future prevention we just have to make sure he doesn't miss upon his medications and has a holistic lifestyle including diet and some forms of aerobic exercise .
For heart , a yearly TMT would be enough to know the status of the heart in a non invasive manner , also it would set a benchmark against which his activity can be graded , a 6 monthly lipid profile to make sure that the cholesterol and tryglycerides are well under control
Rest of the healthcheck can be decided by the physician based on his Co morbidity and health status at that point of time

Regards Dr. Mody
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Priyank Mody

Cardiologist

Practicing since :2009

Answered : 918 Questions

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Suggest Treatment For Constipation After Bypass Surgery

Brief Answer: Liq Duphalac 30 ml before bedtime Detailed Answer: Hello , I am Dr. Mofy and I would be a dressing your concern . Of the three medications you have mentioned none of then can clinically cause significant constipation. Long term diabetes can sometimes result in chronic constipation. The reason why I am discussing the same is , you should try finding the cause and treat the same for long term benefit . Presently the for symptomatic relief . He can take liq Duphalac or liq Cremaffin 30 ml once before going to bed . These are safe in a cardiac patient At the same time increase fibre intake in diet . Don't make it a habit and visit a doctor if persistent Let me know if any clarification is needed . Do rate for others reference Regards Dr. Mody