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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constipation Despite Taking Miralax While Having Chron S Disease?

Hi I am female ;67 years old and have had Crohn’s disease for ten years. I get an infusion for Remicade very six weeks, due Tuesday, for the last week or so I have been constipated and belly pain is intermittent at times bearable and then for a few minutes pretty awful. I have tried Miralax with no relief. Is there a laxative you would recommend? Email address is YYYY@YYYY
Mon, 12 Mar 2018
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Internal Medicine Specialist 's  Response
Hello,

Patients with Crohn's disease are more prone to develop diarrhea rather than constipation.

Crohn's Disease patients if having constipation think about possibility of stricture. They usually avoid high fiber diet due to loose stools so you can try high fiber diet like beans shredded wheat, bran muffins, whole wheat breads cooked vegetables, such as squash, sweet potatoes, spinach, and peas,fruit, such as raspberries and prunes et cetera.

If you are allergic to any fiber you can avoid it. You also can use bulk forming agents like Citrucel, Fibercon, Metamucil, Benefiber et cetera. Drink plenty of water and also you can try milk of magnesia, Miralax and sorbitol. Stool softeners also useful, Docusate it and bowel stimulants et cetera.

Do regular exercise and avoid alcohol and smoking. If still not improved, please consult your gastroenterologist, he/she will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Penchila Prasad Kandikattu
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What Causes Constipation Despite Taking Miralax While Having Chron S Disease?

Hello, Patients with Crohn s disease are more prone to develop diarrhea rather than constipation. Crohn s Disease patients if having constipation think about possibility of stricture. They usually avoid high fiber diet due to loose stools so you can try high fiber diet like beans shredded wheat, bran muffins, whole wheat breads cooked vegetables, such as squash, sweet potatoes, spinach, and peas,fruit, such as raspberries and prunes et cetera. If you are allergic to any fiber you can avoid it. You also can use bulk forming agents like Citrucel, Fibercon, Metamucil, Benefiber et cetera. Drink plenty of water and also you can try milk of magnesia, Miralax and sorbitol. Stool softeners also useful, Docusate it and bowel stimulants et cetera. Do regular exercise and avoid alcohol and smoking. If still not improved, please consult your gastroenterologist, he/she will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu