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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Bloating And Constipation

I had a lap choly on the 6th and haven t had a bm since (and perhaps a day or two before). I ve dropped my oxy intake to a couple a day, am drinking a lot of water, drink coffee daily, drank a bottle of apple juice, a bottle of grape juice, am drinking prune juice, eating chocolate, have taken numerous doses of Dulcolax, and started Milk of Magnesia today. I ve tried sitting in a hot bath and using a heating pad (not at the same time). I have no urge to go, am bloated and have bad heartburn. I ve only passed gas a couple of times and have heard a grumble a few times. What else can I try or when should I seek help?
Tue, 26 Feb 2019
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General Surgeon,  's  Response
Hi,

This may be r related to IBS andchronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel.

I suggest to run colonoscopy to exclude organic problems first. With regards to finding blood floating in the toilet after you pass the motion, that would be related to possible:
- fissures due to chronic constipation
- hemorrhoids.

In both cases, you need to take measures to reduce constipation that would trigger such problems:
- do more physical activity
- increase water consumption
- take more foods high in fiber content
- fiber supplements can help
- can use laxatives once in a while to improve the symptoms.

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

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Abdominal Bloating And Constipation

Hi, This may be r related to IBS andchronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel. I suggest to run colonoscopy to exclude organic problems first. With regards to finding blood floating in the toilet after you pass the motion, that would be related to possible: - fissures due to chronic constipation - hemorrhoids. In both cases, you need to take measures to reduce constipation that would trigger such problems: - do more physical activity - increase water consumption - take more foods high in fiber content - fiber supplements can help - can use laxatives once in a while to improve the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon