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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Cremalax Safe To Take?

I am suffering from severe constipation and used to take daily Dulcolax tablets but was told it is now a banned drug.Alternatively, I use Hallens Adult suppositories but they are not so effective as I have to strain myself by coughing to pass the first dry motion and then balance follows. All this I feel is due to my diabetic tablets, high blood pressure tablets which are semi daonil and Amlopin 5 which I take daily and hence suffer from severe constipation. Even Sut isabgol is of no use . Is Cremalax tablet safe, I am scared of straining lest I get hernia problem. I am 64 years old.
Tue, 25 Feb 2014
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General & Family Physician,  's  Response
Hello dear,

Cremalax contains Sodium picosulfate, which acts as a laxative.
But the effect is only a temporary one.
Long term usage can cause side effects like abdominal cramps, diarrhea and electrolyte disturbances.

So, it will be better to consult a Gastroenterologist for a proper clinical examination to rule out the causes of constipation, like:
1. Any pathology/ sub acute obstruction in the Gastrointestinal tract.
2. Irritable bowel syndrome- constipation predominant type.
3. Functional cause- due to decreased gastric motility.
4. Inadequate intake of fluids and fiber rich diet.
5. Hormonal & Metabolic causes, etc.

Though symptomatic relief can be obtained by intake of laxatives, the underlying cause needs to be treated.
Investigations like complete blood count, stool examination, Ultrasound scan of abdomen, Colonoscopy & contrast studies will be helpful to rule out any pathological cause for your symptoms.

Till then, maintain adequate hydration & proper nutrition status.
Wishing a good health.
Take care.
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Is Cremalax Safe To Take?

Hello dear, Cremalax contains Sodium picosulfate, which acts as a laxative. But the effect is only a temporary one. Long term usage can cause side effects like abdominal cramps, diarrhea and electrolyte disturbances. So, it will be better to consult a Gastroenterologist for a proper clinical examination to rule out the causes of constipation, like: 1. Any pathology/ sub acute obstruction in the Gastrointestinal tract. 2. Irritable bowel syndrome- constipation predominant type. 3. Functional cause- due to decreased gastric motility. 4. Inadequate intake of fluids and fiber rich diet. 5. Hormonal & Metabolic causes, etc. Though symptomatic relief can be obtained by intake of laxatives, the underlying cause needs to be treated. Investigations like complete blood count, stool examination, Ultrasound scan of abdomen, Colonoscopy & contrast studies will be helpful to rule out any pathological cause for your symptoms. Till then, maintain adequate hydration & proper nutrition status. Wishing a good health. Take care.