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What is the correct treatment for constipation after colitis ?

In year 2007 i had a colitis since then i had problem of constipation ,usually hard stool, gas,acitidy ,indigation ,now for last few days i had problem of burning sensation /pain during bowel movement ,my doctor suspects it is internal piles but there is no bleeding. doctor advices me ointment- SHIELD TWICE DAILY AND go for FLEXIBLE SIGMOIDOSCOPY. BUT LAST YEAR ANOTHER DOCTOR ADVICE ME FOR COLONOSCOPY. I AM CONFUSED WHICH TEST I SHOULD GO FOR IT.SIGMOIDOSCOPY OR COLONOSCOPY or ANY OTHER SUGGESTION U WANT TO GIVE.PLS ADVICE Nitin ,age-34 yrs ,male ,residence- gurgaon ,india
Asked On : Tue, 24 May 2011
Answers:  3 Views:  183
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  User's Response
Dear Mr. Nitin

Please go for sigmoidoscopy, if it confirms that there is non-bleeding piles you can also go for homeopathic treatment which can be a better option along with dietary management.
Answered: Tue, 24 May 2011
General Surgeon Dr. Avinash A's  Response
hi welcome to healyhcaremagic
i would suggest u to go for colonoscopy cos it covers whole of your colon upto the anal tract..and its always better to rule out colitis first.based on it u can start the treatment accordingly..consult a gastroenterologist who can guide u better.
Answered: Tue, 24 May 2011
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General & Family Physician Dr. Vaishali Hebbar's  Response
HI welcome to health care magic.........
Sigmoidoscopy or colonoscopy both are almost the same , sigmoidoscopy is first step and if found negative can go for colonoscopy.Constipation itself can cause trauma and can explain the pain.
U can get a sigmoidoscopy and then if its normal study then go for a colonoscopy. If abnormal on sigmoidoscopy no need of colonoscopy.
Once if both are normal then can get a complete stool examination , and if everything is normal then go for managemant of constipation.
Step 1 - dietary management - pleanty of fluids , fruits and vegetables.
Avoid choclates , spicy foods and fatty fried foods.
Step 2 - use laxatives like lactulose syrup.
Answered: Tue, 24 May 2011
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