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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Constipation

I have experienced a slight bowel incontinence over the last 2 months. I have been practising muscle tightening exercises from time to time. When I go for a pee I always feel that I need to go the other way, and more often than not there is always a small amount comes out. My stools were very dry and hard for a couple of years and I had to do quite a bit of pushing, but I did go every day. 2 months ago I changed my breakfast diet to a full dish of a mixture of fresh fruit and then a bowl of corn flakes and all bran. This has definitely softened my stools, but i feel that the 2 years of pushing may have weakened the muscles that control these areas. Just looking for guidance on strengthening these muscles. Peter.
Tue, 5 Jan 2016
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  Anonymous's Response
's  Response
Hi
Welcome to HCM
I've gone through your query and based on what you referred to me, first you have to change your diet and begin a healthy lifestyle. These changes will help will increase the speed of your stools to pass more easily through your intestine. So, I suggest you:
1. first to increase your fiber intake: eat more vegetables and fruits, whole grain breads and cereals. You should consume 14 grams of fiber for every 1000 calories in your daily diet.
2.Drink plenty of water
3. Increase your physical activity because it will help your intestine to to increase it's muscle activity.
4. You can take fiber supplements like Metamucil, Fibercon etc.
5. you can take stool lubrificants. For example: olive oil because it will help the stools to move more easily.
6. you can take stool softeners like Colace for example.

If these over the counter laxatives don't help you: I suggest you to see your doctor in order to prescribe you some medications such as lubiprostone and linaclotide.
Also, It's important for you to contact a therapist who uses devices to help you learn to relax and tighten the muscles in your pelvis. Relaxing your pelvic floor muscles at the right time during defecation can help you pass stool more easily.

Hope this information is useful to you
Dr. Ermira Biu

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Suggest Treatment For Severe Constipation

Hi Welcome to HCM I ve gone through your query and based on what you referred to me, first you have to change your diet and begin a healthy lifestyle. These changes will help will increase the speed of your stools to pass more easily through your intestine. So, I suggest you: 1. first to increase your fiber intake: eat more vegetables and fruits, whole grain breads and cereals. You should consume 14 grams of fiber for every 1000 calories in your daily diet. 2.Drink plenty of water 3. Increase your physical activity because it will help your intestine to to increase it s muscle activity. 4. You can take fiber supplements like Metamucil, Fibercon etc. 5. you can take stool lubrificants. For example: olive oil because it will help the stools to move more easily. 6. you can take stool softeners like Colace for example. If these over the counter laxatives don t help you: I suggest you to see your doctor in order to prescribe you some medications such as lubiprostone and linaclotide. Also, It s important for you to contact a therapist who uses devices to help you learn to relax and tighten the muscles in your pelvis. Relaxing your pelvic floor muscles at the right time during defecation can help you pass stool more easily. Hope this information is useful to you Dr. Ermira Biu