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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Frequent Constipation As Laxative Dint Work

I am 23 years old. I have suffered with constipation most of my life, and been hospitalized twice due to complications. Its been getting worse and the past few monthes I have had really hard impacted feces constantly. I have been to three doctors and all they say try enema's, laxatives, and stool softeners and to change my diet. I rarely eat meat anymore. I eat fiber filled foods all day and drink more water than I would like. The change in diet has done nothing(its been a couple of monthes). The laxative (lactulose) makes me feel like I need to go but even with stool softeners(Amitiza) I am still not able to pass much. I can't live like this. I am recently married and I am mortified to be going through this. Please help...is there something serious going on? Or maybe a magic pill?
Wed, 16 Jan 2019
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General Surgeon,  's  Response
Hi,

I understand your concerns and I will try to help you as much as I can. This may be related to IBS and chronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel.

I suggest running 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 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 Frequent Constipation As Laxative Dint Work

Hi, I understand your concerns and I will try to help you as much as I can. This may be related to IBS and chronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel. I suggest running 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 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