
Suggest Treatment For Constipation With Bloating And Weight Gain

What's my next step?
I will suggest evaluation...
Detailed Answer:
Hi,
From what I read, you have a fairly recent onset of constipation which needs laxative weekly along with bloating / distension and weight gain. I also note that you are post menopause age group and on treatment for IBS.
Now, IBS is very known to cause bloating and digestive issues. And IBS is fairly a life style condition. It's best treated with life style change - exercise; dietary regulation; adequate sleep and destressing measures. Medical management is generally necessary for more severe cases.
That being said since the complaint is fairly recent, I feel we need to investigate for other causes including acid peptic disease, hypothyroidism and menopause related hormone change. In this circumstance I would suggest,
1. Starting a proton pump inhibitor for 2-3 weeks. It is available over the counter as well as a prescription medication.
2. Testing thyroid function test
3. Continuing dietary measures
4. Starting physical exercise
5. Weight management
Discuss about these options with your treating doctor / gastroenterologist.
Hope this answered your question.
Regards

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