Med and food changes: ALWAYS work when done systematically. In my experience patients / docs change things too frequently and CAUSE alternating const./diarrhea. Should be on a baseline of bulking fiber - psyllium - at moderate dose AND a stimulant such as senna then add osmotic agent such as PEG and increase dose as needed to have one smooth BM/day. If not effective see doc to r/o anatomic problem.
Answered 1/23/2015
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A doctor has provided 1 answer
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