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
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