A member asked:

I've increased fiber, water, exercise and still only pass pebbles. have to use a laxative at least 1 every 2 weeks. suppository doesn't clean out?

A doctor has provided 1 answer
Dr. Rebecca Gliksman answered

Specializes in Internal Medicine

Chronic constipation: For how long? opioids / anticholinergics? Drink 2.5 -3 liters /day, combo of water /gatorade. juice? also 1-2 glassesf prune juice /day Consider Sitz study where they have you swallow markers and over 5 days see how many you release in stool, if few are released it means the bowel is moving too slow. or may have congential absence of muscularis in some colon section. f/u w/ gastroenterology

Answered 11/25/2015

1.9k views

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