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Causes and treatment for severe constipation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Constipation
Doctor :   Hi
User :   Hi
Doctor :   Iam.Dr.XXXXXX
User :   Hi
Doctor :   Please post your medical query
User :   Since Monday, I have had constipation. I did'nt go to the loo on Mon, Tuesday I had a little poo. (not much) and Wednesday I had 4 rabbit pebbles.
Doctor :   ok
Doctor :   May i know your age gender and occupation
User :   28yr Male
Doctor :   Do you suffer from any diseases like diabetes?
Doctor :   ok
User :   I am a supervisor
Doctor :   Did you have any change of diet on Sunday?
Doctor :   ok
User :   No known diseases
Doctor :   ok
User :   Not that I know of.
Doctor :   ok
User :   When i get the feeling to go, nothing comes out.
Doctor :   The most common cause of constiapation is poor dietary fibre
Doctor :   Do you have stomach pain?
User :   I regually take a fire sup
Doctor :   ok
Doctor :   causes include: insufficient dietary fiber intake, inadequate fluid intake, decreased physical activity, side effects of medications, hypothyroidism, and obstruction by colorectal cancer
User :   No stomach pain,. Only pain when stool coming thru
Doctor :   ok
Doctor :   Anyway you are not having absolute constipation
Doctor :   Since you are passing some stool daily
User :   thats a relief
User :   Is it enough?
User :   Im eating 3 meals a day
Doctor :   ok
Doctor :   But if you have a distended abdomen with pain
Doctor :   you might need an bowel enema
User :   Whats that mean? distended?
Doctor :   Are you taking proper diet these days?
User :   Yes.. We just got back from bali 1 week ago.
Doctor :   if your abdomen is increasing in size
Doctor :   ok
User :   I have taken 2 stool softeners
Doctor :   Did you have any fever or fatigue?
Doctor :   ok
Doctor :   The main treatment of constipation involves the increased intake of water, and fiber
Doctor :   The routine use of laxatives is discouraged, as having a bowel movement may come to be dependent upon their use.
Doctor :   Enemas can be used to provide a form of mechanical stimulation. However, enemas are generally useful only for stool in the rectum, not in the intestinal tract.
User :   I don't usually get constipation
Doctor :   Ok
Doctor :   This probably is due to your travel
Doctor :   and sudden diet chnage
User :   How long should i wait
Doctor :   Increased intake of non veg items cause constipation
Doctor :   First try stool softeners
Doctor :   If laxatives are used milk of magnesia is recommended as a first-line agent due to its low cost and safety
User :   How long should i wait.. until i need to go to the doc
Doctor :   You can wait for 2 more days
Doctor :   i f you are passing some stool
User :   ok..
Doctor :   if nothing comes out report
Doctor :   for an enema
User :   What will he do?
Doctor :   because you might even require
Doctor :   require physical intervention such as manual disimpaction (the physical removal of impacted stool using the hands).
User :   you think i should be ok?
Doctor :   Yes sure
User :   thanks
Doctor :   Do some exercises to
Doctor :   increase your intestinal movements
Doctor :   like jogging or walking
Doctor :   drink water
Doctor :   and try some laxatives today
Doctor :   But report immediately to a surgeon if
Doctor :   you have vomiting fever or abdominal pain
Doctor :   that is increasing
Doctor :   because intestinal obstruction
Doctor :   is an surgical emergency
Doctor :   Is there anything else i can help you with?
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