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Chronic constiption - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi Doctor
User :   As I told you before, I am suffering from Chronic Constipation
Doctor :   hi you are back
User :   yes. Are you the same doc?
Doctor :  
yes
User :   okay. Please advise doc
User :   I dont like bananas but I have started taking 1 daily. Any other options or medicine which can help me get out of this problem
Doctor :  
yes
Doctor :  
Were you tested enough for the constipation
Doctor :  
problem you have
Doctor :  
Because some medical problems can lead to constipation in a person
Doctor :   so I am wondering if any of the medical problems could be causing the constipation problem in you
Doctor :  
If those are ruled out then the first among the common causes of constipation
Doctor :  
are poor lifestyle
Doctor :  
Are you there?
Doctor :  
Did you follow what i say?
User :   yes
User :   pls carry on.
Doctor :  
So you have to improve your lifestyle
Doctor :  
Is it not?
Doctor :  
so what to do is the question?
User :   I dont have any previous illness records except this constipation
User :   yes that's the problem.
User :   I dont exercise at all
Doctor :  
THese steps are important
Doctor :  
1) exercise 2) diet 3) Behavioural modification
User :   okay
Doctor :  
some people have intrinsic low intestinal motility
Doctor :  
so they have to follow these three things as I said
Doctor :  
1) wake up early in the morning
Doctor :  
and brush
Doctor :  
1/2 litre of water
User :   okay
Doctor :  
and then walk for 20 minutes
Doctor :  
daily
Doctor :  
If you have the habit of having coffee you can take it
User :   I take tea daily two times morning and evening
Doctor :   it stimulates the colon

Doctor :   THat is fine
Doctor :  
You can take tea
Doctor :  
before walk
User :   ok
Doctor :   after exercise again 1/2 litre of water
Doctor :  
remember not to neglect the walk
Doctor :  
( exercise) which is important
Doctor :   Even if it is 10 minutes it is fine, but go out and walk not home
User :   okay
Doctor :  
come back have water 1/2 litre again
Doctor :  
and then go to loo ( even if you do not feel the pressure )
Doctor :  
Make it a habit to visit the loo
Doctor :  
there are many psychological elements involved
User :   okay. I would like to interrupt you doc here. As i take Kayam Churna at night, I feel pressure very early in the morning but it doesnt clears the system completely. I have to visit the loo 2-3 times to clear the pressure at least. Also these days I dont feel hungry in the morning and so I stkip my breakfast
Doctor :   Kayam churna is good but it has caused you more a psychological impact

User :   yes it is.
Doctor :  
the stools can be complete with the water
Doctor :  
early in the morning
User :   So you want to say that I need to stop taking kayam churna and follow the steps given above
Doctor :  
do not stop it suddenly
Doctor :  
You inculcate the habits
Doctor :  
i told
Doctor :  
first
Doctor :  
when you feel that you are doing what is said
Doctor :  
reduce the dose of kayam
Doctor :  
to alternate days
User :   ok
Doctor :   continue it for 2 more weeks
Doctor :  
and reduce once in 3 days
User :   now a days I also feel acidic in the evenings
Doctor :  
do fill the stomach in the evenings
Doctor :  
do not keep it empty
Doctor :  
that might be because of kayam also
Doctor :  
have some fruit in the evening
Doctor :  
at 4 PM
Doctor :  
avoid citrus fruits
User :   okay
Doctor :  
like orange, lemon
User :   so I can take bananas
Doctor :   yes

Doctor :  
you can
User :   what type of diet should I follow
User :   in lunch and dinner
Doctor :  
One green leafy vegetable
User :   I normally have rice in lunch and roti/parathas in dinner
Doctor :  
One fruit
User :   ok
User :   okay
User :   Any other precautions?
Doctor :   take plenty of fluids fibrous food and regularly exercise even few minutes at a time

Doctor :   avoid taking foods rich in cholesterol
User :   fibrous foods like?
Doctor :  
bananas tough you dont like tem much
Doctor :  
ladies fingers
Doctor :  
cabbage
Doctor :  
green leafy vegetables
Doctor :  
cereals in the morning oats and poridge in the morning
User :   okay
User :   is non veg like chicken mutton and fish are rich in cholestrol?
Doctor :  
Not really
Doctor :   Organ meat is rich in cholesterol
Doctor :  
Lean meat
Doctor :  
is good
Doctor :  
Fish is god
Doctor :   Do not eat anything which has visible fat on it
Doctor :  
Do not eat any non veg with skin
Doctor :  
skin has lot of fat under it
Doctor :  
Do not eat any organ meat
Doctor :  
like liver etc
Doctor :  
because organs are stored in fat
Doctor :  
hence lot of chol
User :   oh okay
Doctor :  
Ok
User :   yes doc
Doctor :   Please fil the feedback form
User :   yes I will
Doctor :  
Any thing else I can help you with
User :   Yes, Can i ask you question about my wife also?
Doctor :   Usually this is a personal consultation
Doctor :  
but I can allow you
User :   Doc my wife is 3 months pregnant but she is not taking food on time. She feels that something is stuck into her throat daily in the evening and takes no food at evenings
User :   Also she is having acidity problems in the evenings
User :   she feels nauseatic all the times
Doctor :  
The nausea wil l be for every woman
Doctor :  
till the end of 3 months
User :   what about acidity and no food
Doctor :   This is because of the acidity she feels stuck in the trhroat

Doctor :   what happens in the preg woman
Doctor :   is the hormone hcg is sedcreted
Doctor :  
beecause of the pregnancy
Doctor :  
it dilates the lower end of food pipe
Doctor :  
and the food is likely to reflux int eh pipe
User :   okay. so do you think its normal?
Doctor :  
yes
User :   I gave her liquid Gelusil for acidity. Is that okay
Doctor :  
I think you have to see a doctor because any medicine at pregnancy time
Doctor :  
is not safe
Doctor :  
Any medicine during pregnancy time is to be taken from the advice of a doctor
Doctor :  
are you there
Doctor :  
I have to close the window
Doctor :  
as there is no response from your side
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