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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetes Under Control, Have Chronic Constipation, Have Fecal Incontinence After Taking Pegmove. What Can Be Done?

Hi My mother is 64 yrs and has been having constipation for several years. She s a diabetic but her diabetes is well under control.We consulted a gasteroenterologist recently who prescribed Pegmove for 6 weeks, but after she started taking this, her bowel movement happens once in 2-3 days and lately she s been passing stools without her knowledge.
Sat, 14 Jul 2012
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Gastroenterologist 's  Response
Dear mailsunilsurabhi,
I am glad to hear that her diabetes is well under control. In fact if the
diabetes is not controlled many of the complications can occur. These
include effects on the kidneys,eyes,nerves and also intestinal problems
such as severe diarrhea, a condition called "Diabetic Enteropathy".
It can also affect the emptying of the stomach causing digestive problems.
The fact that your mother responded to pegmove (Polyethylene Glycol solution)
is good, but now the effect may be prolonged. I would recommend decreasing
the dosage which may alleviate the incontinance.I would make sure she has
adquate intake of fiber in her diet such as fresh vegetables.
For strters, I would hold off on pegmove for 2-3 days and see if the leakage
stops.
Good luck,
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Diabetes Under Control, Have Chronic Constipation, Have Fecal Incontinence After Taking Pegmove. What Can Be Done?

Dear mailsunilsurabhi, I am glad to hear that her diabetes is well under control. In fact if the diabetes is not controlled many of the complications can occur. These include effects on the kidneys,eyes,nerves and also intestinal problems such as severe diarrhea, a condition called Diabetic Enteropathy . It can also affect the emptying of the stomach causing digestive problems. The fact that your mother responded to pegmove (Polyethylene Glycol solution) is good, but now the effect may be prolonged. I would recommend decreasing the dosage which may alleviate the incontinance.I would make sure she has adquate intake of fiber in her diet such as fresh vegetables. For strters, I would hold off on pegmove for 2-3 days and see if the leakage stops. Good luck,