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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Using Doculace Frequently For Constipation. Suffering From Rectal Bleeding. Due To Medication? History Of Lactose Intolerance

I have had chronic constipation most of my life (now 33) and am lactose intolerant. I have used doculace off and on for a couple of years. Usually one tablet does not make me use the restroom so I have been taking two. With two I get nauseated and have some abdominal pain just before a bowel movement . Today, I noticed some rectal bleeding and wondering if it is related to the doculace. In cases like this, should I just stop taking the doculace or stop taking and go to the proctologist?
Wed, 28 Nov 2012
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Internal Medicine Specialist,  's  Response
Dulcolax will not cause bleeding, as it is just a stool softener.
Chronic constipation can lead to hemorrhoids, which can then bleed when you move your bowels. If you have severe constipation then you can develop rectal ulcers or fissures, but this is less common, particularly if you are only 33 years old.
I would suggest you taking a laxative together with the stool softener. So in summary you should continue with your dulcolax and add something like miralax, milk of magnesia or citrate of magnesia.
The fact that you had some bleeding is again likely hemorrhoidal, but if you haven't had a colonoscopy then you should probably get one just to be on the safe side.
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Dietitian & Nutritionist,  Neha Chandna's  Response
hello.... you may be having piles or fissures due to which you are facing rectal bleeding.. i also suggest you do not depend too much on laxatives as they leach magnesium and other nutrients from your body.. they also reduce the ability of your intestine to contract and do its work naturally..instead change your lifestyle.. go for brisk walks daily for 45 mins.. eat small meals every 2-3 hours which are high in fiber like fruits, nuts, salads, whole grains like oats, ragi, brown rice.. avoid refined products like breads, biscuits, bakery stuff.. drink lot of water as it makes the stool soft..you can also drink 2-3 cups of green tea/day..
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Using Doculace Frequently For Constipation. Suffering From Rectal Bleeding. Due To Medication? History Of Lactose Intolerance

Dulcolax will not cause bleeding, as it is just a stool softener. Chronic constipation can lead to hemorrhoids, which can then bleed when you move your bowels. If you have severe constipation then you can develop rectal ulcers or fissures, but this is less common, particularly if you are only 33 years old. I would suggest you taking a laxative together with the stool softener. So in summary you should continue with your dulcolax and add something like miralax, milk of magnesia or citrate of magnesia. The fact that you had some bleeding is again likely hemorrhoidal, but if you haven t had a colonoscopy then you should probably get one just to be on the safe side.