Doctor insights on:
Medication Induced Constipation
Some do, many don't:
Lots of meds can cause constipation. Narcotics routinely do, iron and calcium supplements can; calcium channel blockers (bp/cardiac meds) can; Parkinson's meds, antidepressants (tricyclic more than ssri), sucralfate (ulcer drug), Cholestyramine (cholesterol med), many other prescription and otc drugs.
Check with md if new symptom, med change, worsening, pain, bleed.
Diet, hormones can play a role. ...Read more
Constipation: If increasing fibe and water intake r in the diet is not helpful, MiraLAX (polyethylene glycol) is a stool softener (not a laxative despite it's name) that is very helpful. I would start with 1/2 capful mixed in water or juice/day and increase the dose gradually every 3-4 days until a moderately soft stool every day or two is achieved. ...Read more
Fruit, Veg, MiraLax (polyethylene glycol): High fiber fruit and vegetables are good to avoid constipation, prunes, prune juice, figs and syrup of figs are best natural laxatives or preventatives. Firm bananas, milk and cheese can constipate. Good "natural type" mediacations are MiraLAX (polyethylene glycol) or benefiber. Colace + pericolace are safe + effective to prevent + treat. Senakot, exlax and Dulcolax are much stronger + very effective when constipated. ...Read more
Osmolar laxatives: If fiber, hydration and activity has failed, the preferred class of laxatives pull water into the large bowel. They are less likely to cause dependence and are well tolerated. Lactulose also changes the ph of the gut increasing motility leading to passage of stool. Avoiding stimulant laxatives is generally recomended (there are of course circumstances where they are necesary). ...Read more
Softeners/laxatives: Stool softeners are i.e. Colace or pericolace. Laxatives are many: magnesium citrate, milk of magnesia, senekot, dulcolax, enulose (lactulose), miralax, (polyethylene glycol) exlax. In severe constipation fleet enemas or micro enemas or a full enema are considered. If there is an impaction or blockage at the rectum (removal of stool) with a finger is indicated by a health care professional. Avoid mg or phos if ckd. ...Read more
Tough question: As different people respond differently to each medication (assuming you are asking specifically about opioids). Non-opioids are least likely to cause it. The lower the dose opioid, the less likely the constipation. There are some medications, such as a peripheral acting Naltrexone injection that can relieve the constipation. However, all of the opioid class are likely to cause constipation. ...Read more
Yes: In general this can be a side effect but only for a minority of people. Discuss with your psychiatrist or doctor. ...Read more
Shift responsibiliy: The 12 yo is old enough to begin sharing responsibility for decisions and outcomes. Other meds may be more palatable and a self directed program of scheduled daily (or multiple x daily)emptying could decrease their need. Rewarding creative self management might help him become more self reliant and responsible. Pick your battles wisely and try to be the creative person in the process. ...Read more
I've been having diarrhea and constipation for the last couple of months. What medication can I take to make these symptoms go away?
Gastroenteritis: Rather than taking medication it is more important to find out what is going on. For this you will need to see a doctor who should obtain stool samples after a detailed history and physical exam. This may be irritable bowel syndrome, infection with giardia lamblia or half a dozen other possibilities. Go soon and do not neglect this. Good luck. ...Read more
If medication you take causes severe constipation, but you take that med everyday. Therefore keeping the constipation there, could that kill you?
Difficult problem...: This is more common than you might think. It is rare that severe constipation would kill someone, but significant medical issues can arise. Work with your doctor on figuring out a bowel regimen that works for you, trying to have a reasonable size bowel movement about every 2-3 days. High fiber, LOTS of water. Try mineral oil 1 tablespoon by mouth 2x/day. Good luck. ...Read more
How many time should a healthy adult, who drinks a lot of water go to the toilet. When do you know for sure its constipation and you need medication?
Hard difficult BM: Constipation is a hard, difficult, painful bowel movement. Drinking a lot of water helps but so would more fiber in your diet. The frequency of the bowel movement is not as important as the consistency and pain associated with the bowel movement. A easily passed bm every three days would not be considered constipation by most mds. ...Read more
Yes I have been having constipation due to the opium pain pills I have to take for my pain! Can you recommend a good medication I can take daily! Thx?
OIC: Opioids block the bowl opioid receptors. Hence most of the standard medications really do not work well. Certainly you can try them. The best is a specific bowel opioid antagonist called MOVANTIK 25mg per day. This works well and does not cross the blood brain barrier so the pain relief will still be there. Another one is an injectable called Relistor (methylnaltrexone) which works the same way. ...Read more
What to do for constipation. Have been taking medication for severe bronchial condition which might have caused this problem. Jave tried traditional remedies but nothing is working. Can you help?
COLACE (docusate sodium): I recommend to my patients colace (docusate) one every 12 hours. It's a stool softener that helps draw water into your colon to flush things along. If that doesn't help, then two every twelve hours. If that doesn't help, then MiraLAX (polyethylene glycol) - one capful daily. Make sure you drink plenty of water to flush things along. ...Read more
I take many medications for many things right now. I've struggled with constipation. Recently my stool was dark green and runny. What should I do?
Rapid transit time: Bile is green in color and is a component of your stool. As it moves thru the gut it turns brown due to the action of intestinal bacteria on the bile. Green stool indicates that food has passed thru your intestines faster than usual and the stool hasn't had a chance to turn brown. For the various causes of this go to > http://abt. Cm/144EnVu ...Read more
Constipation relieved after using medication for 2 days, it is normal now and feeling normal. Urine shows 5-6 epithelial cells and 2-3 wbcs, any prob?
Constipation: If your constipation has improved, then you likely have nothing to worry about now. If constipation is frequent, I would increase the amount of fiber in your diet for the long run. Consider a fiber supplement such as Metamucil. If you do, increase your fluid intake also. You should have a colonoscopy at age 50, or sooner if you have chronic bowel problems The, urine results were fine. Good luck. ...Read more
Constipation for 6 day after having caesarean section n tubal ligation 6 day ago. What should be done? Any medication? What should be taken in diet?
Please call her OB: Now, as she is only 6 days post op and that is the immediate post op period and her OB knows her and how everything went and may need to see her, as an ileus or other problems need to ruled out and her OB will have specific meds or things he wants her to do and take, please call now as her OB is on call 24/7 or has someone covering for him or her. ...Read more
Diet and exercise: Lots of fruits and vegetables, more plain water, and keep moving, if that doesn't help see your doctor for evaluation, best wishes ...Read more
I need the best medication for chronic constipation, tried movicol and dulcolax, they are not helping.
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 plus water, Miralax (polyethylene glycol) Senokot or other senna, milk of magnesia, etc... A doctor can evaluate, and might prescribe Amitiza or Linzess. ...Read more
Constipation 4 days. Medication side effect? Pdoc out of town two weeks. Tried prunes no caffine or slcohol. Suggestions?
Cymbalta (duloxetine): Cymbalta (duloxetine) is a selective norepinephrine-serotonin reuptake inhibitor which sometimes can cause constipation. If your symptoms correlate with the use of this medication, it could be the culprit. The best initial treatment of constipation is increased fiber and water in your diet. ...Read more
I am taking laxido to treat constipation and I have developed a rash. Should I carry on taking the medication or see medical advice?
See your doctor.: If your rash seems to be temporally related to beginning the laxative, then you should stop the laxative and see your doctor immediately. If it is affecting your breathing, call EMS right away. If it is determined that the laxido is the cause, there are other laxatives you can use, which your doctor will suggest. Good luck. ...Read more
I've had diarrhea followed by several days of constipation. Is that a normal progression? The only medication I've taken has been charcoal pills.
I've been having medication provoked constipation for the last 6 wks. I've used a laxative once weekly since. Cant move my bowels without. Stop?
Talk to your doctor: Whether you should stop your medication depends on the severity of the problem the medication is treating, what other options might be available and how hard you have tried to take care of your constipation. Are you eating a good diet, drinking enough water? Have you tried an over the counter such as MiraLAX (polyethylene glycol) (generic would be ok). Have you talked with your doctor about the constipation? ...Read more
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