Brief Answer: Bloating of abdomen will aggravate backache Detailed Answer: Namasthe Welcome to Healthcare-Magic Greetings of the day Dear Ms XXXX Incomplete or no evacuation of bowel leads to bloating and some amount of abdominal distension. Inadequate intake of fluids and fiber in the diet is important factor in decreased bowel mobility. You are very right in thinking that bloating of abdomen aggravate the backache. I would suggest you the following which will definitely help 1. Consumption of adequate quantity of water: Consume 2 to 3 liter of water every day 2. Consumption of diet rich in fiber: Consume two servings of vegetable salad and two serving of fruits especially citrus fruit everyday. 3 . Avoid Constipation causing diet: Refined sugar, refined wheat flour 4. Laxative like Lactulose will definitely help in bowel movement. 5. Bisacodyl rectal suppository will help in bowel evacuation and will provide lot of relief 6 Daily exercise especially 30 minutes of brisk walking will help in increasing gastric motility. I would suggest you to modify the life style as advised above and you will definitely be better. I hope it helped In case you require any further assistance, will be glad to assist you. Take care Best Regards Dr Deepak Kishore MBBS, MS, MCH Consultant Surgeon

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Brief Answer: laxative can be taken if there is no obstruction Detailed Answer: Greetings Laxative can be safely be taken when the following condition are fulfilled 1. No tenderness on palpation of abdomen 2. No gross distension of abdomen 3. No vomiting Laxative are definitely contraindicated when bowel obstruction or abdominal infection is suspected. In the absence of it , laxative can be taken. Erect X ray abdomen will rule it out as the cause. Also retention Sodium Phosphate enema will give the much needed relief. Also do rule out local anal pathology like fissure that could be one of the cause of not evacuating bowel. Would suggest you to consult Surgeon for assessment for the same. I hope it helped In case you require any further assistance, will be glad to assist you. Take care Best Regards Dr Deepak Kishore MBBS, MS, MCH Consultant Surgeon

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