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Suggest Treatments For Idiopathic Constipation
Hi Doctors, I am suffering from idiopathic constipation and it may spastic colon. With withdrawal of cisapride and tegaserod i am finding it extremely difficult to manage my IBS(C). Levosulpiride, mosapride, itopride, lubiprostone, cinitapride, domperidone no longer benefit me due to overuse/ low efficacy. Now, what shall I do? Please Help. Soumen Roy
Mon, 8 Aug 2016
hi.
thank for posting at HCM.
its difficult to figure out the cause of constipation.
advice:
- stop any medication being used for constipation for a week
- thrice daily , take two tea spoon (or one big spoon) ispagula husk with 200 to 300 mL water
- increase warm water( atleast 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 and AVOID junk food(NO burger , pizza-even if its veg.) altogether
- mix 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 spoon edible virgin olive oil in the morning
if no resolution after 10 days, then better to visit treating physician.
besides constipation, if your weight is increasing and/or you feel fatigue, then have a thyroid profile test.
Hope to answer your concern.
Wish you good and sound health.
Regards,
Dr Tayyab Malik
thank for posting at HCM.
its difficult to figure out the cause of constipation.
advice:
- stop any medication being used for constipation for a week
- thrice daily , take two tea spoon (or one big spoon) ispagula husk with 200 to 300 mL water
- increase warm water( atleast 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 and AVOID junk food(NO burger , pizza-even if its veg.) altogether
- mix 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 spoon edible virgin olive oil in the morning
if no resolution after 10 days, then better to visit treating physician.
besides constipation, if your weight is increasing and/or you feel fatigue, then have a thyroid profile test.
Hope to answer your concern.
Wish you good and sound health.
Regards,
Dr Tayyab Malik
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