Doctor insights on:
What To Do For Severe Constipation
Clean house.: First step is to have a "blow out." this can be started with manual disimpaction / enema and completed with a cathartic such as magnesium citrate. Afterwards you should start a program of additive agents such as senna / docusate and perhaps an osmotic agent depending upon the nature of your constipation. The goal is one formed bm/day. ...Read more
Full assessment: Constipation has many contributors. Diet high in simple carbohydrates (potatoes, rice, starches), lack of exercise, and lack of fluid intake are primary reasons, followed closely by medications that dry you out. If you are a woman, menopause can also be a contributor. That being said, adding daily miralax, (polyethylene glycol) 17g twice a day with water will help, and follow with an otc mild laxative for a few days. ...Read more
Low fiber: And not enough fluids especially if much of your fluid intake is caffeine and or alcohol both of which dehydrate and constipate. Excess foods with calcium or iron such as cheeses and dairy products can constipate. Even if you ate the right foods but didn't drink the correct amount and types of fluids you could get constipated. Fluids are critical! stop the caffeine! ...Read more
What can I do for severe constipation in pregnancy? (Water, prunes, benefiber and colace (docusate sodium) don't work.)
Care with laxatives: This is often a challenging problem. It is likely aggravated by supplemental iron you are taking because you are anemic or iron in your prenatal vitamin. Do as much water as you can, add daily walking exercise of 45 minutes. A low dose of milk of magnesia (magnesium hydroxide) may help. Talk with your doctor about switching to a lower dose supplement or taking vitamins with DHA, a nutrient that's also a stool softener. ...Read more
Hi to all dear doctors..I want to ask what should I do ? I have severe constipation..And im taking 1 tablet of thyroxine daily.. I eat a lot of fibers
See your doctor pls: Sorry, but we don't know your specific circumstances to be helpful here--how severe ; acute is your constipation, ; if present what's it's cause? Is there an underlying pelvic inflammatory process? What accompanying signs may be present (bleeding, tenderness, discharge) or do you have an underlying problem (colovaginal fistula, infection, colitis, etc.). Your doctor knows you best--call him/her. ...Read more
Stay hydrated: The first rule of constipation is to stay well hydrated. If this doesn't work, try increasing the amount of fiber in the diet (food and supplements) to 20-25gm per day. Make sure to maintain hydration, otherwise the fiber may have the opposite effect. If this is new, ask you primary care if a GI referral for a colonoscopy is appropriate. Hope this helps! ...Read more
Constipation : Most importantly, drink plenty of fluids. At least 6 to 8 glasses of water a day is recommended. Add fiber to your diet such as bran, prunes and vegetables. Exercise everyday. If you continue to have a problem, add a fiber product such as Benefiber or Metamucil. If you do not get relief, try Miralax (polyethylene glycol). ...Read more
Medication and diet:
Severe constipation can be treated effectively with medications
but also it is important to make sure there is no underlying
condition presenting as constipation e.G of condition : thyroid disease, irritable bowel, celiac disease.
There are both over the counter medications and prescribed medications that can help relieve symptoms. ...Read more
Diet vs medication:
There are lot of good medications available to help with constipation. The dose and safety will depend on the age of patient.
Three steps to treat constipation: good initial clean out , then maintenance and then adjusting diet to help wean off and decrease use of medications. Some patients may need medications for a long time and that is okay depending on what meds they are on. ...Read more
Fiber is good but: If you are not drinking enough fluid it can lead to constipation. Remember caffeine and alcohol dehydrate and lead to constipation. Generally i recommend 80-100 ounces of caffeine free/alcohol free fluids every day. It will take 10-14 days of this regimen to see improvement. If not better need to have a GI workup for other causes of constipation. ...Read more
Rare but yes...: Severe constipation can rarely cause hard, dry stool to erode through the colon wall. Peritonitis can occur, and death is a possibility. Having said that, most people's constipation will never become that extreme. Drink lots of water and increase your fiber intake- psyllium is a good fiber supplement. And see your doctor for help! ...Read more
Fiber and fluids: Whole grain cereals, bran, fruits eaten with the skin/rind, vegetables. Drinking lots of water and fruit juices like prunes, pears, etc. ...Read more
By definition: Consider pain, a mild pain may b tolerable but severe pain is not. ...Read more
Bowel movement can be very variable. Usually it is still consider as normal when it is down to once a week.
Stool softeners are very helpful to regulate bowel movement as well as diet rich in fibers.
In old people, fecaloma (stool impaction in the distal large bowel) may require evacuation. ...Read more
Many more options: Metamucil is helpful in preventing constipation but you have to take it regularly. it is too late to help you now. To relieve the present problem, you should pick up over the counter relief medicines such as Dulcolax or Senokot or Milk of Magnesia and take a generous dose now and every 4-6 hourly till you have a good bowel movement. For future, eat extra fruits and vegetables and grains/Fiber. ...Read more
I have severe constipation tried all medicines. I get constipated for like 2 weeks. Feels horrible. Please suggest something I can do. Please :(?
You've tried all possible remedies?! An answer to why the constipation is indicated. You could be hypothyroid, depressed, etc. let alone colon problems
In terms of "natural remedies" I suggest a big glass of warm prune juice with breakfast and a glycerine or dulcolax suppository about an hour after same. But please try and get an explanation for why. Your body is telling you something. ...Read more
Start water again..: Dehydration causes constipation and in your case, resuming normal water usage will likely resolve your problem. You may need to use quite a bit to get back the water that you lost from recent restriction. Adding a bit of fibers will help. For a more rapid relief, a gentle fleet enema (sodium bisphosphate) will likely result in quick evaculation. If not helpful, consult your doc...Good luck. ...Read more