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
"Cure" for diarrhea: First define the problem (do you have soft or frequent stool?), circumstances under which diarrhea developed (malabsorption, pancreatic maldigestion, food intolerances, stressful times, exposure to ill individuals, food poisoning, ischemic gut, inflammatory colitis, etc.), severity (stool volume, dehydration, blood, night-time awakening, weight loss), ; duration. The "cure" depends on diagnosis. ...Read more
OK: This is constipation! a hi fiber diet, 20-25 grams of fiber per day, drink 80-`100 ounces of non caffeinated, non alcoholic fluids daily and increase your fluids if you do strenuous work or exercise. Do not use harsh laxatives. Excess fiber in the face if inadequate fluids will cause bloating and constipation. ...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
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
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
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
Diarrhea: Most cases of acute diarrhea are self-lmited - they resolve without treatment. Helpful things include a plain, simple 'BRAT' diet - bananas, rice, apples, tea, toast -, increased intake of clear fluids, avoidance of milk and other dairy, temporarily. Sometimes OTC antidiarrheals may be used, but sometimes these are contraindicated. If persists, call your provider! ...Read more
More fluids: More often than not, most people drink inadequate fluids and/or consume excessive amounts of caffeinated drinks. Caffeine is a diuretic that actually dehydrates you and therefore is not a good fluid to keep your stools soft and passing regularly. I recommend 80 to 100 ounces of non caffeinated/non alcoholic fluid every day, more if you excecise or travel by plane frequently. ...Read more
See your doctor: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more
Get Help: Severe depression is dangerous because it can not only disrupt your life, it can even make you want to end your life. If it's already this severe, you need an emergency evaluation. If not yet to that point, you can see an outpatient psychiatrist who can take a full history and make suggestions for treatment. Ideally this starts with psychotherapy, but antidepressants may also be needed to help. ...Read moreSee 2 more doctor answers
Find the Cause: Colic is uncontrolled fussiness for hours a day. I belive that there is almost always a cause that allows for correction, meaning a happy baby. It could be formula intolerence, swallowing air, acid reflux or a variety of other problems. Patient, careful examination usually identifies and corrects it. ...Read moreSee 2 more doctor answers
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