A 21-year-old male asked:
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what would be safer & more effective for treatment of chronic constipation? 4 daily doses of miralax or 2 daily doses of miralax w/30ml of lactulose?

1 doctor answer
Dr. Charles Cattano
39 years experience Gastroenterology
Evaluation needed...: Before you contemplate long term laxative dependency, seek medical evaluation--rule out metabolic causes of constipation (e.g. Low thyroid or adrenal conditions), distinguish slow versus normal transit constipation, consider a primary rectal dysfunction that may be treatable with biofeedback, check for structural pathology or extrinsic impingement, or intermittent ileus (e.g. Pseudo-obstruction).
Answered on Nov 28, 2017
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Related questions:

A 22-year-old male asked:
Dr. Gurmukh Singh
49 years experience Pathology
Likely safe: How long term you do have in mind? You may wish to increase your intake of fiber foods to help move your bowels. Exercise will help too, Consult this ... Read More
A 21-year-old male asked:
Dr. Ron Eaker
Dr. Ron Eaker answered
Specializes in Obstetrics and Gynecology
Possibly: This is generally a short term treatment protocol, but can be used safely for an extended period if monitored correctly
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A 21-year-old male asked:
Dr. Christopher Cirino
23 years experience Infectious Disease
It is okay: Lactulose is safe if taken as written in the guidelines - 15-30ml - once to twice daily (60ml/day). It is a rare cause of metabolic acidosis when tak ... Read More
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A 22-year-old male asked:
Dr. Alvin Wells
42 years experience Rheumatology
Chronic constipation: Given your results, you should see a gastroenterologist. You may be able to see someone more readily via HealthTap.

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