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Suggest Treatment For Chronic Constipation

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Posted on Thu, 3 Jul 2014
Question: i have a severe long term chronic constipation, taking pysullium husk powder daily,it was working for me since last 2-3 years, but it is does not seem to work now for me, what should i do? I need a good medicine in form a capsule or tablet which i can continue for a long term.
doctor
Answered by Dr. Hardik Thakker (2 hours later)
Brief Answer:
Stool softener after thyroid check up.

Detailed Answer:
Dear XXXXXXX

Greetings from health care magic!!! I am Dr Thakker and shall be answering your question.

You seem to have refractory constipation.

I would like you to have your thyroid levels checked. Hypothyroidism can cause refractory constipation.

I would recommend you a stool softener like cremaffin or duphulac to soften the consistency of the stools. This is available only with a doctors prescription though.

You need to take 4 to 5 litres of water every day and a diet rich in fibre. You can include green leafy vegetables in your diet everyday for the same. This can be in the form of spinach, colocasia, broccoli, cabbage.

I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.

Yours sincerely,
Dr Thakker

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Hardik Thakker (7 hours later)
As you have suggested the softners cremaffin or duphulac, should i use AMITIZA (lubiprostone) instead of liquid laxative. Please suggest.thanks
doctor
Answered by Dr. Hardik Thakker (40 minutes later)
Brief Answer:
thyroid check n then reassess

Detailed Answer:
Dear XXXXXXX

I would advice against starting lubiprostone just right away. If there is a reversible cause like hypothyroidism, this drug will not work. I would suggest that you have your thyroid report done and take cremaffin and duphulac along with diet changes.

If the thyroid report is normal, and the medications above don't help then we can start on lubiprostone.

I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.

Yours sincerely,
Dr Thakker.


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Hardik Thakker (11 hours later)
do this medication require a prescription or i can get it directly from medical stores? please suggest if i need to see doctor and how should i get these medicines prescribed? thanks.
doctor
Answered by Dr. Hardik Thakker (2 hours later)
Brief Answer:
prescription needed

Detailed Answer:
Dear XXXXXXX

Cremaffin, Duphulac and Lubiprostone all require a written prescription. You can have that taken from your family doctor. Unfortunately healthcaremagic and other healthforum does not have this facility to let us write you a prescription due to ethical reasons.

If you have any more questions, please do not hesitate to contact me.

Dr Thakker.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Hardik Thakker

Internal Medicine Specialist

Practicing since :2006

Answered : 161 Questions

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Suggest Treatment For Chronic Constipation

Brief Answer: Stool softener after thyroid check up. Detailed Answer: Dear XXXXXXX Greetings from health care magic!!! I am Dr Thakker and shall be answering your question. You seem to have refractory constipation. I would like you to have your thyroid levels checked. Hypothyroidism can cause refractory constipation. I would recommend you a stool softener like cremaffin or duphulac to soften the consistency of the stools. This is available only with a doctors prescription though. You need to take 4 to 5 litres of water every day and a diet rich in fibre. You can include green leafy vegetables in your diet everyday for the same. This can be in the form of spinach, colocasia, broccoli, cabbage. I hope this helps you out. If you have any more questions, please do not hesitate to write back to me. Yours sincerely, Dr Thakker