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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Constipation Be Treated?

I have periods of severe constipation; one to two week intervals. I use generic Miralax and it seems to have stopped working. Now I have intervened with a laxative, Sinnes-S, The first dose of 2 worked fine, but very little results since then. It is said that I have Irratible Bowel Syndrome, and have for years. I also use prune juice, milk of magnesia and apples. Have been to a gastroentologist , and the last colonoscopy was four years ago. That was good with no polops. I am distressed that I can have good, timely bowel movements for quite some time and then drop down to near zero B/M s. Thanks for your help.P. S. I do drink quite a bit of water, daily. Ironically, after I eat dinner and brush my teeth, the brushing process can be a stimulant with, usually, moderate results. But, even that has ceased now.
Wed, 30 Jan 2019
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General Surgeon,  's  Response
Hi,

Your detailed history is suggestive of IBS-C type that is Irritable Bowel Syndrome of constipation type and this is usually related to the stress and anxiety. When there is a good control over these then you may be getting proper motion. The feeling for motion during brushing teeth is an indication that you need some stimulation or trigger and it is you that has to find this out.

Taking alternating laxatives, stool softeners and such thing may help to get a relief. Also identify the factors, foods and beverages that cause constipation or help to evacuate and change the dietary habits accordingly. Remain stress-free. Change the place, job or such factors that cause you psychological change and constipation.

Get an X-ray of abdomen in standing position and get an enema if there are fecoliths. Colonic motility study can help if there is any factor like a stricture and get treated accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant
General Surgeon
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How Can Severe Constipation Be Treated?

Hi, Your detailed history is suggestive of IBS-C type that is Irritable Bowel Syndrome of constipation type and this is usually related to the stress and anxiety. When there is a good control over these then you may be getting proper motion. The feeling for motion during brushing teeth is an indication that you need some stimulation or trigger and it is you that has to find this out. Taking alternating laxatives, stool softeners and such thing may help to get a relief. Also identify the factors, foods and beverages that cause constipation or help to evacuate and change the dietary habits accordingly. Remain stress-free. Change the place, job or such factors that cause you psychological change and constipation. Get an X-ray of abdomen in standing position and get an enema if there are fecoliths. Colonic motility study can help if there is any factor like a stricture and get treated accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant General Surgeon