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A 27-year-old male asked:

consistent constipation with pain in the anus after every bowel movement, this has gotten worse since i started keto diet. i took sinna pills, it helps but that doesn't solve the issue. no blood in stool/after wiping and no lumps around the anus?

1 doctor answer2 doctors weighed in
Dr. Robert Kwok
Pediatrics 33 years experience
No other disease?: Each person with constipation needs to be sure there is no other disease causing it. If constipation is just due to slow movement of the food and poop through the gut, then the things to try are vegetables, water, prune juice, prunes, fiber-with-water, polyethylene glycol, Senokot or other senna, milk of magnesia, other laxatives... A doctor can examine and maybe prescribe helpful medicines too.

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Similar questions

A 39-year-old member asked:

I heard that you have to lower potassium level in order to lower your blood pressure. Is that true?

2 doctor answers5 doctors weighed in
Dr. Mark Stern
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No: No, for example ace inhibitors can both raise potassium and lower blood pressure.
A 47-year-old member asked:

Are salt levels and potassium levels in the blood related?

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Dr. Peter Kurzweil
Internal Medicine 50 years experience
Yes, and no.: Sodium and potassium are both positive elements that when combined with negative chloride molecules make salts that are both important parts of serum, and potassium in particular an important element in red blood cells (nb: sea water is very similar in composition to our blood). Abnormalities of potassium (hypo or hyperkalemia) or sodium (hypo/hypernatremia) are very distinct entities.
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A 40-year-old male asked:

My wife is taking an oral contraceptive. Should she take low dose asa to prevent a blood clot? Studies say that contraceptive can be linked 2 clots..

4 doctor answers20 doctors weighed in
Dr. Leila Wing
Dr. Leila Winganswered
Internal Medicine 14 years experience
No smoking: Oral contraceptives can be associated with blood clots in the lungs (dvts) or lungs (pulmonary embolisms) and one of the bigger risk factors is smoking, especially over the age of 35. I am not aware of studies that show Aspirin (asa) decreases the risk of blood clots while on oral contraceptives.
Dr. Arthur Heller
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aspirin is taken to decrease arterial clots, the kind that can cause stroke and heart attack. OCs are associated with venous clots, the kind that cause pulmonary emboli
Jan 5, 2012
PA
A 32-year-old female asked:

Does Prozac (fluoxetine) cause Ultram to work better? I saw that Prozac (fluoxetine) increases opiod receptors in brain. Have back pain, osteoarthritis pain, foot nerve damage.

5 doctor answers15 doctors weighed in
Dr. Ahmad M Hadied
Orthopedic Surgery 49 years experience
NO,There is a : Potential interaction between Prozac (fluoxetine) and ultram .There is a risk of developing serotonin syndrome when the two medications are taken together. Serotonin syndrome can be serious and even life threatening. It is the result of high levels of serotonin in the body. Serotonin syndrome is characterized by having at least three of these listed symptoms: tremor, shivering, agitation, diaphoresis fever.
A female asked:

I have this pain in the middle left side of my back that will not go away i've tried every pain med, nsaids, ibuprofen, naproxen, lidoderm patch...Help!?

2 doctor answers3 doctors weighed in
Dr. Bac Nguyen
Family Medicine 23 years experience
Get re-evaluated: It seems that your pain is distressing/frustrating you from lack of response from med..And possibly not knowing exactly why. I would recommend seeing your doc again and express your concern--he/she may send you for xray/mri, pt, add/change med, or send you to a specialist for additional eval/treatment. Best of luck.

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Last updated Sep 5, 2020

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