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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Please Suggest A Remedy For Severe Constipation

i've not been able to go to the toilet since tuesday and have had the novovirus so havent been eating much but i'm dying to go to the toilet i've tried everything chilli nuts, chilli, long walks, water but this constipation hurts badly and i'm so bloated i look like a wale and i a very flat stomach normally what do i do i need to go i'm very embarrassed by this please help.
Wed, 16 Jul 2014
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  User's Response
Hello, thanks for posting your concern here. First of all, you may have ispagulah husk or Lactifibre 2 tsf with cup of water. Have plenty of oral fluid and high fibre diet. If the problem is not relieved, you may go for Bisacodyl tablet (10mg for healthy adults) oral or dulcolax suppository. Again be sure that you are well-hydrated and you are passing flatus (absence of flatus would suggest a more severe situation for which bisacodyl or dulcolax is contrindicated). If the problem still persists, you should go to a local surgeon after having a straight Xray abdomen in erect posture done to rule out intestinal obstruction. If you have chronic problem of constipation of this sort, you may have a spastic colon or a constipation predominant Irritable Bowel Syndrome. For that, you should have high fibre diet, good oral hydration, medications like Lubiprostone (8mcg twice daily). But, this is recommended only after coming out of this acute episode. Best wishes. Dr. Kaushik
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Please Suggest A Remedy For Severe Constipation

Hello, thanks for posting your concern here. First of all, you may have ispagulah husk or Lactifibre 2 tsf with cup of water. Have plenty of oral fluid and high fibre diet. If the problem is not relieved, you may go for Bisacodyl tablet (10mg for healthy adults) oral or dulcolax suppository. Again be sure that you are well-hydrated and you are passing flatus (absence of flatus would suggest a more severe situation for which bisacodyl or dulcolax is contrindicated). If the problem still persists, you should go to a local surgeon after having a straight Xray abdomen in erect posture done to rule out intestinal obstruction. If you have chronic problem of constipation of this sort, you may have a spastic colon or a constipation predominant Irritable Bowel Syndrome. For that, you should have high fibre diet, good oral hydration, medications like Lubiprostone (8mcg twice daily). But, this is recommended only after coming out of this acute episode. Best wishes. Dr. Kaushik