
Suggest Treatment For Irregular Bowel Movement, Flatulence And Constipation

Question: Hello
I am a spinal cord injury patient. I have very irregular bowel movements. Earlier I used to take isabgol , it lead to a regular bowel movement but there was lot of farting and gas problem. After few months I stopped isabgol and tried passing stool naturally for a few weeks. Bowel movement was better but it became pretty irregular say 4 times a week I use to pass and rest was constipation. Then I showed to a doctor and he gave medicine dulpholac. Took it for a week and irregular bowel movement continued. Then got back to isabgol again with a lot of fibre content like salads and fruits recently. I am able to defecate but again it's not complete defecation and I feel very incomplete after my bowels. There are days of constipation too. All this seriously affects my recovery exercises as I am always thinking about my bowel movement and a few times bowel accidents in diaper have also taken place.
Please suggest what to do
I am a spinal cord injury patient. I have very irregular bowel movements. Earlier I used to take isabgol , it lead to a regular bowel movement but there was lot of farting and gas problem. After few months I stopped isabgol and tried passing stool naturally for a few weeks. Bowel movement was better but it became pretty irregular say 4 times a week I use to pass and rest was constipation. Then I showed to a doctor and he gave medicine dulpholac. Took it for a week and irregular bowel movement continued. Then got back to isabgol again with a lot of fibre content like salads and fruits recently. I am able to defecate but again it's not complete defecation and I feel very incomplete after my bowels. There are days of constipation too. All this seriously affects my recovery exercises as I am always thinking about my bowel movement and a few times bowel accidents in diaper have also taken place.
Please suggest what to do
Brief Answer:
continue to take high fiber diet with that consider movicol
Detailed Answer:
Hi,
When you have already tried isapgul and lactulose, I would suggest you consider taking movicol ,which contains poly ethylene glycol 1 XXXXXXX at bed time and if still you have problem ,you can increase the dosage to twice or thrice a day. This will definitely give you relief with the symptoms and later period depending upon your stools titrate accordingly.
Thank you
continue to take high fiber diet with that consider movicol
Detailed Answer:
Hi,
When you have already tried isapgul and lactulose, I would suggest you consider taking movicol ,which contains poly ethylene glycol 1 XXXXXXX at bed time and if still you have problem ,you can increase the dosage to twice or thrice a day. This will definitely give you relief with the symptoms and later period depending upon your stools titrate accordingly.
Thank you
Above answer was peer-reviewed by :
Dr. Prasad


Thank you for the reply doctor. Actually I am looking for a long term solution for this problem. I am in intense exercise based therapies all day and a day without proper bowels does not feel good. Kindly suggest what can i do to have a long term solution to irregular bowel problem.
Brief Answer:
the permanent solution in your case might be difficult .
Detailed Answer:
Hi,
I am not sure we have a permanent medical solution. When you want to seek permanent solution for your altered bowel habit or constipation - all that thing is in your hand as you need to train your bladder accordingly with proper diet modification, regular exercise and movicol.
Like movicol you can use it initially twice or thrice later accordingly titrate the dose definitely you will be relieved with your problem.
Thank you
the permanent solution in your case might be difficult .
Detailed Answer:
Hi,
I am not sure we have a permanent medical solution. When you want to seek permanent solution for your altered bowel habit or constipation - all that thing is in your hand as you need to train your bladder accordingly with proper diet modification, regular exercise and movicol.
Like movicol you can use it initially twice or thrice later accordingly titrate the dose definitely you will be relieved with your problem.
Thank you
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Above answer was peer-reviewed by :
Dr. Prasad

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