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Complications related to severe Constipation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3390 Questions
Doctor :   Please proceed with your query
Doctor :   let me read your query
User :   Before I came to college, I went poop like every day. After a month here I have rarely been going. I'm lucky to get something out after 2-3 days. There is no pain, color is fine, but I am still worried.
Doctor :   has your diet habits changed?
User :   A bit. My sleeping schedule has altered so every now and then I may miss a meal
User :   I tend to make up for it though
User :   Most of the time
Doctor :   do you have pain or discomfort while passing stools?
User :   No pains, but it is hard to go when I feel like I need to
User :   No pains, normal color
User :   But I have been going rarely, but it feels like I need to go
Doctor :   are the stools soft or hard?
User :   I'd say normal.
User :   I've tried using miralax
User :   Sometimes it does the trick
Doctor :   ok. did it help?
Doctor :   ok. then I would suggest you to go ahead with a high fibre diet to make sure there is no constipation issues and you have daily emptying of bowels.
User :   Ok
User :   What do you suggest for this diet?
Doctor :   high fibre foods like whole grain breads, green leafy vegetables, increasing fruit servings, drinking water (warm water)
User :   Ok
User :   What should I stay away from>
User :   ?
Doctor :   stay away from a lot of cheese, and meat dishes.
User :   I can do that
User :   But should I be worried about anything?
Doctor :   try with these diet changes, avoid meat and cheese, avoid smoking and alcohol for sometime (if you do take).
Doctor :   and if you improve, then continue taking them
Doctor :   if you do not improve in 1 weeks time with these changes, then you will need further examination and tests
User :   Ok
User :   I have had issues like this in the past
User :   A few times I have cramped up so bad because I ignore the issue
User :   And had to make a hospital visit
Doctor :   if this is recurrent problem, the possibility of colitis, diverticulitis, crohns and ulcerative colitis and polyps needs to be ruled out
Doctor :   as if any of these are involved, then you will need to be on regular medication and follow up
User :   Well it only happens once ever few years
Doctor :   to be symptom free
User :   What would be the cause of all this though? Sudden diet change? Change in environment? Not eating enough?
User :   I feel fine is the thing, no pains
Doctor :   all of it, along with your body's response to these, especially stress.
User :   I have been very stressed lately
User :   I've had chest pains the past few weeks
Doctor :   ok, are these associated with burning sensation in chest?
Doctor :   do you have upper stomach discomfort, belching, burping, flatulence?
User :   My chest feels tense as if the muscles are tightening.
Doctor :   have you had anxiety problems in past?
User :   Yes, when I get stressed
Doctor :   ok, then consider getting counseling done with a psychologist
Doctor :   to get to know if medication is needed
User :   Ok, but stress maybe a cause?
Doctor :   and on how to cope up with symptoms when you have them
Doctor :   yes, stress can be cause, and GI system is the first in body to respond to stress after your brain
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