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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

Hi, I am continuously having constipation, have had this problem for a long time. I bloat up looking like im nine months pregnant. I have tried many softeners, supplements, and nothing seem to work. Can you suggest something that will give relief. Karrie
Thu, 19 Jan 2017
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General & Family Physician,  's  Response
Hi,

Your symptoms could be due to enteropathy, fecoliths obstruction, inadequate fiber intake, hypothyroidism, diabetes. I would suggest to consult the gastroenterologist and undergo stool examination, ultrasound scan of abdomen, colonic transit studies, defecography and colonoscopy examination.

Following advice will help you:

Glycerine enema for immediate relief. Syrup Lactulose: can be taken up to 30 ml twice a day. Tab bisacodyl at bedtime can useful. Bulking agents like isabgol husk. Tablet metoclopromide at bed time.

Lifestyle changes: Drink one spoon of honey in warm water daily in morning before the bowel movement. Eat high fiber diet. Every meal should have salads and fruits with skin. Drink 2-4 litre water daily. Daily evening and morning walk for 30-45 minutes to regularize the bowel movement. Take more fruits and green leafy vegetables in the diet. Set up regular time for the motion.

Hope this may help you. Let me know if I can assist you further.

Best regards,
Dr. Sagar
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Suggest Treatment For Chronic Constipation

Hi, Your symptoms could be due to enteropathy, fecoliths obstruction, inadequate fiber intake, hypothyroidism, diabetes. I would suggest to consult the gastroenterologist and undergo stool examination, ultrasound scan of abdomen, colonic transit studies, defecography and colonoscopy examination. Following advice will help you: Glycerine enema for immediate relief. Syrup Lactulose: can be taken up to 30 ml twice a day. Tab bisacodyl at bedtime can useful. Bulking agents like isabgol husk. Tablet metoclopromide at bed time. Lifestyle changes: Drink one spoon of honey in warm water daily in morning before the bowel movement. Eat high fiber diet. Every meal should have salads and fruits with skin. Drink 2-4 litre water daily. Daily evening and morning walk for 30-45 minutes to regularize the bowel movement. Take more fruits and green leafy vegetables in the diet. Set up regular time for the motion. Hope this may help you. Let me know if I can assist you further. Best regards, Dr. Sagar