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Suggest Treatment For Severe Constipation

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Posted on Mon, 4 May 2015
Question: I have severe constipation, quite backed up, had xray yesterday to confirm this
. They gave me a fleet enema to use at home, was not very successful. Have tried a ducolax suppository this morning and the 2 soflax capsules, still no luck, any further suggestions for me. Have never suffered with this problem before but am taking Limotragine and think this could be the cause.
doctor
Answered by Dr. Shoaib Khan (24 minutes later)
Brief Answer:
I completely agree, may need to find a substitute for the lamotrigine

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. You are quite right ma'am, lamotrigine can indeed cause constipation in some individuals and have you ever considered discussion a substitute for the drug with your doctor?

If I am not mistaken you are taking lamotrigine in combination with some other drug to prevent your seizures, mood disorder or bipolar disorder? I am sure we can find a suitable substitute with less or no undesired side effects.

Suggestions like enema, laxatives, fiber diet, plenty of water, mild cardiovascular exercises, etc; may all prove to be futile primarily because the cause is still present. So we need to remove the cause (in your case the lamotrigine) and the issue should be resolved, what do you think ma'am?

I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (35 minutes later)
Thankyou for the information regarding lamotrigine, I do take it for mild seizures. It was really helpful as I was only guessing it was that medication causing the problem. I will consult my specialist.
However, can you suggest what else I can do to alleviate the current severely backed up constipation problem.
How soon can I use another ducolax suppository ? I used one at 9am this morning. It really was not very effective, would an oral laxative be better ?
doctor
Answered by Dr. Shoaib Khan (37 minutes later)
Brief Answer:
Yes, a combination of oral tablets and suppositories can be tried

Detailed Answer:
Hello once again ma'am.

You can also get DULCOLAX oral tablets, and I would recommend the following routine to start with:

+ 1 coated oral tablet in the morning, and 1 coated oral tablet in the evening with 2 suppository in the evening

This regimen should help alleviate your symptoms. But I would not like to interfere with your personal doctors regimen either, so please do take his/her permission before doing so. If you still do not experience a bowel movement after this, then write to me and we shall see what we can do next.

However, I would like to emphasise on my previous statement. We need to treat the cause. If you have a thorn stuck in your foot, we do not advise you to take pain killers and treat the pain, instead we advise you to remove the thorn; the situation is similar.

I hope and pray you find relief soon. Please do not ever hesitate to keep in touch with me and write to me about anything, I am always here to help.

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

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

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest Treatment For Severe Constipation

Brief Answer: I completely agree, may need to find a substitute for the lamotrigine Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. You are quite right ma'am, lamotrigine can indeed cause constipation in some individuals and have you ever considered discussion a substitute for the drug with your doctor? If I am not mistaken you are taking lamotrigine in combination with some other drug to prevent your seizures, mood disorder or bipolar disorder? I am sure we can find a suitable substitute with less or no undesired side effects. Suggestions like enema, laxatives, fiber diet, plenty of water, mild cardiovascular exercises, etc; may all prove to be futile primarily because the cause is still present. So we need to remove the cause (in your case the lamotrigine) and the issue should be resolved, what do you think ma'am? I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I am always here to help. Best wishes.