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What Causes Chronic Constipation?

Posted on Mon, 14 Jul 2014

Question: I've not had a real bm in six weeks I've been to my dr and tinER two days ago. They gave me an exam and X-rays and said they saw no obstruction I'm on no pain. I use miralax twice a day and that was working a tiny bit but now nothing. I just don't know what tondo and am worried although I feel fine

Answered by Dr. Ashish Verma (3 hours later)

Brief Answer:
get a colonoscopy

Detailed Answer:
Hi,

Welcome to HealthcareMagic.

Chronic constipation not resolving with laxatives at your age should be properly evaluated by a colonoscopy. So I would suggest that you start on a high fiber diet and take an appointment for colonoscopy and get it done.

As you are not having any symptoms and are feeling fine, I guess the bowel movements should improve with a high fiber diet. You may also add a gastrokinetic drug like levosulpride 25 mg twice a day to enhance the bowel movements.

Hope I have been helpful.

Regards,
Dr. Ashish Verma

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ashish Verma (42 minutes later)

Is that drug a prescription?

Answered by Dr. Ashish Verma (1 hour later)

Brief Answer:
yes it is

Detailed Answer:
Hi,

Yes levosulpride is a prescription drug, and for that you need to see your local doctor.

Till that time you can start taking high fiber diet like oats, bananas, whole grains, etc.

Regards,
Dr. Ashish Verma

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj