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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Constipation

i have had bad contipation and nothing worked i had to manuly remove stools so i started taking laxatives for a long period of time i stopped taking them because it was making my muscles go in to over drive i have since notised i have internal hem and grainy sandy stools with some pebbles type stool that crumbles i go alot to the bathroom with mucus and some very runny poo in the day at night it turns to a very watery pinkish discarge then back to mucuse and grainy stool during the day i do have pain in the rectim area that i think are due to the roids and some time a small bood show in the muckas
Fri, 10 Oct 2014
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Internal Medicine Specialist,  's  Response
Hello,

Constipation can be due to various causes. Has the cause been investigated? If not detecting a problem like hypothyroidism or side effect of certain medicines and correcting the same can be a stable solution for the problem.
I am writing the following on the presumption that no cause has been detected.
You should follow a healthy life style
Increase your fiber intake: Adult men should eat at least 30 grams a day;
adult women should eat at least 20 grams a day. Whole grain foods, fresh
fruits and vegetables, legumes, and nuts are considered the best sources.
Increase your exercise.
Drink more fluids: It is recommended that adults consume
approximately eight, 8-ounce glasses of water (or other fluids) a day
Never postpone an urge to pass motion.
Laxatives of the irritant type are to be avoided as far as possible.
Bulking agents like psyllium methylcellulose, polycarbophil
Osmotic laxatives like magnesium hydroxide, polyethylene glycol (PEG) or lactulose are useful.
The product that many of my patients have found effective is Movicol which is Macrogol 3350 with electrolytes.
Wish you good health.
Dr. Noble Zachariah
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Suggest Treatment For Constipation

Hello, Constipation can be due to various causes. Has the cause been investigated? If not detecting a problem like hypothyroidism or side effect of certain medicines and correcting the same can be a stable solution for the problem. I am writing the following on the presumption that no cause has been detected. You should follow a healthy life style Increase your fiber intake: Adult men should eat at least 30 grams a day; adult women should eat at least 20 grams a day. Whole grain foods, fresh fruits and vegetables, legumes, and nuts are considered the best sources. Increase your exercise. Drink more fluids: It is recommended that adults consume approximately eight, 8-ounce glasses of water (or other fluids) a day Never postpone an urge to pass motion. Laxatives of the irritant type are to be avoided as far as possible. Bulking agents like psyllium methylcellulose, polycarbophil Osmotic laxatives like magnesium hydroxide, polyethylene glycol (PEG) or lactulose are useful. The product that many of my patients have found effective is Movicol which is Macrogol 3350 with electrolytes. Wish you good health. Dr. Noble Zachariah