Doctor insights on:
How Do You Deal With Dehydration With Laxative Abuse
Stop the abuse: "irritant" purgatives cause: melanosis coli (reversible pigmenting of colon lining), cathartic colon ("floppy" colon with limited muscle tone), & soap or chemical colitis (acute inflammation within hours of "cleansing" enema). When laxatives are discontinued, edema develops that resolves in 3-6 weeks. Most laxative abusers don't wait 3-6 weeks & return to their purgatives to reduce weight & edema. ...Read more
Laxatives come in various types. Stimulant laxatives are potentially the most "dangerous" in that there is the potential to cause a weak or "cathartic" colon. In this condition, the colon becomes sluggish and ultimately unresponsive to laxatives. Laxative abuse is most common in young women trying to ...Read more
Many options!: Drink much more water,try stool softeners like Ducolax or Sennokot-S once or twice daily,increase fiber in your diet or add fiber supplement,prunes or prune juice,increase exercise.If none of these work,try an osmotic laxitive like Miralax (polyethylene glycol) powder once or twice a day,or bottle of magnesium citrate,any of which you can get at the drug store.If still having trouble try a saline enema and see your doc ...Read moreSee 2 more doctor answers
Fluids: Alcohol is a diuretic , causing dehydration due to fluid loss (urination). The best way to stay hydrated is fluid intake. Since many alcoholics do not eat properly , they are also deficient in many vitamins so a supplement is recommended as well. Of course, the best advice is to get treatment for alcoholism. ...Read more
Lots depression tx: Depression symptoms respond to: exercise/ behavioral activation, sleep hygiene, mindfulness activities, increased social support, lowered relationship conflicts, increased spiritual connections, developing meaningful purpose in life. Of course the evidence shows professional psychotherapy and meds to be particularly effective. Question is why avoid what is known to be effective? ...Read moreSee 2 more doctor answers
How do other people with chronic illnesses feel and how do you cope mentally with the strain of illness?
See your doctor: These symptoms can only be adequately diagnosed only after a thorough evaluation by your doctor. This may include labs and other satudies. Once all of the information is in, your doctor can let you know what's going on, and what to do to help you. ...Read more
Yes: Alcohol and other substance abuse is very common, oftentimes a patient will see their doctor about a minor problem and they may be there, whether they realize it or not, to get help with substance abuse. Denial is a major symptom, and the diagnosis of alcoholism requires an thorough history and the development of trust from your patient. Once that occurs, healing can begin. ...Read moreSee 2 more doctor answers
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+water, miralax, (polyethylene glycol) senokot or other senna, milk of magnesia, other laxatives... A doctor can evaluate and prescribe helpful meds too. Exercise also helps. ...Read moreSee 1 more doctor answer
Kindness: Dorthea dix spoke 2 state legislatures in the early 1900sabout the shameful conditions of the mentally ill who we're homeless in jails etc. Asylums were built to protect & nurture this population--now due to expense & protection of right to refuse rx pts r again homeless & in jails. ...Read moreSee 1 more doctor answer
Get treatment: If you are experiencing depression and stress while engaging in drug abuse there is no coping, these all run hand in hand. Which comes first is always in question. Important message get help. Call clarity program at 1-248-592-1050. It's confidential, patented, and intensive treatment will held you get your life back. ...Read more
Stop them, eval. why: Nosebleeds occur for a variety of reasons. In children, 90% of nose bleeds occur in the front near the nostrils, which is why pinching the nose helps stop it, since pressure is applied. In adults, it can also be posteriorly, so pinching helps in fewer cases. Lean head forward, not backward, so you do not swallow the blood. May need scope to evaluate for nasal mass and blood work to check if okay. ...Read moreSee 1 more doctor answer
Difficult: Do not expect any real warmth from the person; if they can still express it, that's good. If one is a family member, make sure the other family members do not buy into their insanity or think it is spiritual. Any signs of violence, get away by whatever means. Remain caregiver only if you can handle a difficult, thankless and sometimes dangerous task. Require they accept medication. Good luck. ...Read more
I agree with Dr. P.: In addition, you might benefit from reading it will never happen to me by claudia black which describes some of the common patterns adult children of alcoholics develop to cope with their parent's addiction. Bipolar parents are similar to addicted parents in many ways and the coping mechanisms of the children are as well. ...Read moreSee 2 more doctor answers
Sleep Mental Issues: Sleep disturbance is common in many mental health issues.Regulating a good sleep aids in treatment.Assuring regular times of sleep.If on meds taking it morning or night is important to check with your md.At times sleep inducers can be used to get the rhythm back but with good mood/anxiety/adhd symptoms control sleep will get better. ...Read more
Try to reach beyond: Your comfort zone. Set some simple goals, i.e., to smile and say something at a social gathering to one new person. Practice before hand some possible things to say. Join a social group that does some activity you like, ie, hiking or volleyball. Meet with a therapist to develop some goals and practice. Good luck & let us know how it goes. ...Read more
Alanon?: I haven't heard it mentioned for awhile, but there was a 12-step program for relatives of addicts. You could join whether or not the relative/friend attended a group or any treatment. Also, of course, you have tried to encourage your mother to get some help - right? It's especially hard with illegal or socially sanctioned substances. The 12-step people might provide ideas for this challenge. Best! ...Read more
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