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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Constipation

Hi, I ve been suffering from constipation for around six months. I m able to pass faeces more or less effectively however never feel like I m finished. This leaves me feeling bloated or like my bowels are constantly working. I r really appreciate some advice. Thanks
Tue, 24 Feb 2015
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General & Family Physician 's  Response
Hello,
Welcome to HCM.
Constipation is a common problem, though not usually serious can be painful and frustrating.
Following steps can be taken to minimize constipation:
a) Regular habits: Go to the bathroom at the same time each morning. Make this your morning "habit," as colonic motor activity is highest at this time.
b) If you feel the urge to go, don't ignore this urge, you may lose the opportunity. The longer stool stays in the bowel, the harder it gets as more water is reabsorbed, and the more difficult it is to expel. The urge to defecate also increases after mealtime, so take advantage of your body's signals.
c) Increase Fluids: Drink plenty of liquids, between 2-3/L day. More on hot days or if you exercise.
d) Increase the bulk: Dietary fiber and bulk fiber laxatives such as psyllium or methylcelluose taken with plenty of fluids can relieve constipation.
e) Medication: Laxatives like Magnesium sulfate or Lactulose, Bisacodyl can be used with care to prevent side effects.

Precaution: straining due to constipation can cause potentially harmful hemorrhoids or hernia, so avoid excessive straining.

Hope this help you. Good luck.
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Suggest Treatment For Chronic Constipation

Hello, Welcome to HCM. Constipation is a common problem, though not usually serious can be painful and frustrating. Following steps can be taken to minimize constipation: a) Regular habits: Go to the bathroom at the same time each morning. Make this your morning habit, as colonic motor activity is highest at this time. b) If you feel the urge to go, don t ignore this urge, you may lose the opportunity. The longer stool stays in the bowel, the harder it gets as more water is reabsorbed, and the more difficult it is to expel. The urge to defecate also increases after mealtime, so take advantage of your body s signals. c) Increase Fluids: Drink plenty of liquids, between 2-3/L day. More on hot days or if you exercise. d) Increase the bulk: Dietary fiber and bulk fiber laxatives such as psyllium or methylcelluose taken with plenty of fluids can relieve constipation. e) Medication: Laxatives like Magnesium sulfate or Lactulose, Bisacodyl can be used with care to prevent side effects. Precaution: straining due to constipation can cause potentially harmful hemorrhoids or hernia, so avoid excessive straining. Hope this help you. Good luck.