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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Better Treatment For Constipation For Months

i have constipation since last 3 months, i have taken luxative it works for two days then stool do not come out, in the morning after taking 4 glass of water only very small stool comes out. day before yesterday i have 6 loose motion in one hour after that i have taken metrogyl tablet since then no stool passes.

please advice
Mon, 30 Jun 2014
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General & Family Physician 's  Response
Hello. Thanks for posting your query. I am Dr. Jaydeep and i am happy to assist you.
I understand your concern.
Chronic constipation, as in your case can be due to a lot of causes.
I will list out the causes for you :
- Inadequate water intake
- Inadequate fiber intake
- Lack of exercise
- Stress
- Hypothyroidism
- Other neurological causes.

Mostly some minor adjustments in the lifestyle leads to improvement in the bowel movement. So i will suggest you start taking adequate fiber ( green vegetables ), start drinking 3-4 liters of water, sleep and exercise well. If the constipation is too severe then i will recommend the following medication for 2 weeks :
1) Syp. Lactulose 15 ml once daily before sleeping.

Have this syrup for 2 weeks, and also incorporate the other minor adjustments i talked about. You should see an improvement in 2 weeks time. If it still doesn't resolve, then go for Thyroid Function tests, LFT and Colonoscopy and get a general surgeon's opinion. He can conduct the necessary tests.
Hope this is helpful.
Regards
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Suggest Better Treatment For Constipation For Months

Hello. Thanks for posting your query. I am Dr. Jaydeep and i am happy to assist you. I understand your concern. Chronic constipation, as in your case can be due to a lot of causes. I will list out the causes for you : - Inadequate water intake - Inadequate fiber intake - Lack of exercise - Stress - Hypothyroidism - Other neurological causes. Mostly some minor adjustments in the lifestyle leads to improvement in the bowel movement. So i will suggest you start taking adequate fiber ( green vegetables ), start drinking 3-4 liters of water, sleep and exercise well. If the constipation is too severe then i will recommend the following medication for 2 weeks : 1) Syp. Lactulose 15 ml once daily before sleeping. Have this syrup for 2 weeks, and also incorporate the other minor adjustments i talked about. You should see an improvement in 2 weeks time. If it still doesn t resolve, then go for Thyroid Function tests, LFT and Colonoscopy and get a general surgeon s opinion. He can conduct the necessary tests. Hope this is helpful. Regards