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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Constipation Be Treated?

17 yr old grandson. is severely constipated. drinking water. looks like hes lost weight recently. already too thin as it is. (background, has mental issues as recent as july 2017 at timberlawn). He has said that the water at Timberlawn was cloudy, yet he drank it. Now he continues to have abdomen pains. Hes not eating like a 17 yr old does. I m taking him to Parkland tonight if his symptoms don t improve.
Mon, 13 Aug 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Constipation is commonly seen in patients with associated psychiatric illness. You can give him laxatives lactulose syrup thrice a day. You can also try newer drugs like Prucalopride which has better efficacy and available over the counter. Ask him to take more fiber rich foods in his diet .If the constipation persist even after laxatives,better to go for an ultrasound scan to look for any fecal impaction or obstruction. In that case he might require enema to pass impacted fecal matter.

Hope I have answered your query.
Let me know if I can assist you further.



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How Can Chronic Constipation Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Constipation is commonly seen in patients with associated psychiatric illness. You can give him laxatives lactulose syrup thrice a day. You can also try newer drugs like Prucalopride which has better efficacy and available over the counter. Ask him to take more fiber rich foods in his diet .If the constipation persist even after laxatives,better to go for an ultrasound scan to look for any fecal impaction or obstruction. In that case he might require enema to pass impacted fecal matter. Hope I have answered your query. Let me know if I can assist you further.