
Suggest Treatment For Constipation And Pain In The Shoulders

Need gastroenterologist consultation
Detailed Answer:
Hello dear
Welcome to HCM and thanks for the query
I understand your concern
All of your symptoms could be due to constipation.
The stool becomes hard and this hard stuff goes on accumulating in the gut produce symptoms.
All these could be due to fecoliths obstruction, hypothyroidism, inadequate fiber intake, decreased fluid intake and physical activity.
I would suggest to consult the gastroenterologist and undergo stool examination, ultrasound scan of abdomen,colonic transit studies, defecography and colonoscopy examination.
Following advice will help you:
Glycerine enema for immediate relief
Syrup Lactulose: can be taken up to 30 ml twice a day
Tab bisacodyl at bedtime can useful
Bulking agents like isabgol husk
Lifestyle changes:
Daily evening and morning walk for 30-45 minutes to regularize the bowel movement.
Eat high fiber diet. Every meal should have salads and fruits with skin.
Drink 2-4 litre water daily
Drink one spoon of honey in warm water daily in morning before the bowel movement.
Take more fruits and green leafy vegetables in the diet.
This is my personal information based on information available
Consult the gastroenterologist to share my opinion and take proper treatment.
Hope I have answered your query
If you have further query then I will be happy to help you
Best regards
Dr. Sagar

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