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Suggest Treatment For The Frequent Urge To Defecate And Constipation When Diagnosed With IBS

Posted on Fri, 12 Apr 2024

Question: My mother who is 77 years of age has IBS. She frequently has to go the toilet , as she feels the urgency to go. When she goes to the toilet, she is unable to pass the motions fully. On account of this,she is exhausted. She also takes various allopathic drugs such as Clopilet - A 150- 1 per day, Penegra 25 mg - 2 per day, Monotrare sr -30 mg- 1 per day, Doxolin - 1 per day, Montair - 5 mg,- 1 per day, Aztor - 10 mg - 1 per day, Lacilactone - 1 per day. She had a severe asthma attack 2 years back and also PAH, for which she was given these medicines. She is currently fine with these medicines, but suffering lots because of IBS. Kindly suggest some remedy.

Answered by Dr. Suresh Heijebu (2 hours later)

Brief Answer:
Lactifiber can be the initial choice

Detailed Answer:
Hello, Madam.

I can certainly understand your concerns.

I apologize for the delayed response owing to my hectic work schedule.

As per the symptoms described, your mother probably seems to have constipation predominant IBS .This could have probably worsened by her current medications.

Bulk forming laxatives can be initial therapy of choice in her case to improve the stool output.

I generally recommend my patients with Lactifiber/Isphagula husk 2tsps in water at bedtime for 3 weeks.

Please check with your physician if he shares my view and if can prescribe them to you.

Post your further queries if any.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (11 hours later)

Dear Dr. XXXXXXX Heijebu,

Thanks a lot for your instant reply. Your reply has really enlightened me

Currently I am giving her Enterogermina suspension, everyday, once which is a probiotic. Shall I continue the same along with the medicine suggested by you?

Secondly, as she visits the toilet frequently, we have bee thinking that she has loose motion IBS. As per your diagnosis it is constipation related IBS. Thinking it is loose motion we have been giving diet such as curd rice, arrow root, ragi, poha - all these with a view to stop loose motion.

Kindly suggest to me as to what Breakfast, lunch, Dinner can she eat? (i.e) Porridge - prepared from what, vegetables & fruits - which ones?

Regards,

XXXX

Answered by Dr. Suresh Heijebu (22 hours later)

Brief Answer:
Probiotics can be given along with Isphagula

Detailed Answer:
Hello, XXXXXXX

I can most certainly understand your concerns.

I apologize for the delayed response owing to my hectic work schedule.

I have worked through your query in detail.

You can continue the probiotic along with Isphagula.

Mixed pattern IBS is a possibility only if she passed liquid stool with sensation of incomplete bowel emptying.If not C- IBS is the likely possibility.

As of now stop giving her ragi, poha and arrow root.Curd rice can however be continued.

I will provide a decent diet chart to your mother through an email.

Please update me with your email id and her health improvement in general.

Post your further queries if any.
Thanking you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (5 hours later)

Dear Dr. XXXXXXX

Thank u very very much for your instant reply. I discussed with my mother and I think she has constipation related IBS, as mentioned by you.

Kindly provide me a Diet chart for her keeping in mind that she has COPD & PAH.

My email ID is YYYY@YYYY . I will certainly update you on her improvement in health condition.

Thanking you once again.

Regards,

XXXX XXXXXXX

Answered by Dr. Suresh Heijebu (33 hours later)

Brief Answer:
Please check your mail.

Detailed Answer:
Hello, XXXXXXX

I have sent you an email with regards to dietary interventions for your mother.

Please go through it.

Feel free to make your comments and queries on it.

Convey my regards to your mother.

Thank you

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar