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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Constipation

My grandmother is extreaMly sick at the moment and I was wondering if you could help, she has had chronic constipation for a few months but no bowl movement in 2wks even with stool softeners, enemas as well as a cleanser she had to take before a colonoscopy recently. She has been nauseated and dizzy for at least 3months straight, she has also had in inner ear infection/blockage the same amount of time, but why we are most concerned now is that she recently within the last 2-3 days has had a few episodes in which she has totally lost her vision for a few moments at a time and has be come confused as well. She think that it is either from her diabetes or she might have had a small stroke. Because she is so stubborn I really just want to know if I should take her to the emergency room now, or wait till in the morning and try to get her into her primary care physician? Plz help
Tue, 27 Nov 2018
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General Surgeon,  's  Response
Hi,

My advice:
- Stop any medication being used for constipation for a week
- Thrice daily, take two teaspoons (or one big spoon) of isphagula husk with 200 to 300 ml of water
- Increase warm water (at least 8 glass/day) intake
- Do not drink water during and after meals
- Eat small meals (rich in fiber)
- Eat plentiful "fresh oranges" and "pear"
- Avoid cold milk and avoid junk food (NO burger, pizza-even if its veg) altogether
- Mix a few drops of "lemon juice" in warm water. Drink on empty stomach, early in the morning to aid in bowel movement
- Avoid beverages / alcohol / soft drinks
- Do some exercise (push-ups / squats etc) early in the morning
- Avoid carbonated drinks
- Take 2-3 spoons edible virgin olive oil in the morning

If there's no resolution after 10 days, then better to visit a treating physician. Besides constipation, if your weight is increasing and/or you feel fatigue, then have a thyroid profile test.

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 Chronic Constipation

Hi, My advice: - Stop any medication being used for constipation for a week - Thrice daily, take two teaspoons (or one big spoon) of isphagula husk with 200 to 300 ml of water - Increase warm water (at least 8 glass/day) intake - Do not drink water during and after meals - Eat small meals (rich in fiber) - Eat plentiful fresh oranges and pear - Avoid cold milk and avoid junk food (NO burger, pizza-even if its veg) altogether - Mix a few drops of lemon juice in warm water. Drink on empty stomach, early in the morning to aid in bowel movement - Avoid beverages / alcohol / soft drinks - Do some exercise (push-ups / squats etc) early in the morning - Avoid carbonated drinks - Take 2-3 spoons edible virgin olive oil in the morning If there s no resolution after 10 days, then better to visit a treating physician. Besides constipation, if your weight is increasing and/or you feel fatigue, then have a thyroid profile test. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein General Surgeon