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Having constipation problem. What should be my diet? - Online Doctor Chats

Date : 01-Mar-2013
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1563 Questions
User:Hi, this XXXXXXX
User:Good evening
Doctor:Good evening, how are you doing?
User:I am fine, thank you
Doctor:Please proceed with your query
User:I am having constipation problem
Doctor:Ok, since when?
User:More than a decade
Doctor:How old are you?
User:Unable to have free motions
User:I am 40 now
Doctor:How many servings of fruits and vegetables do you have in a day?
User:I have around 3-4 slices of orange and one whole pomegranate
User:sometimes XXXXXXX (half of it)
Doctor:How much water/ other fluids are you consuming in a day?
User:I have at least 3 litres of water
User:I consume tea thrice a day
Doctor:Are you receiving any medication?
User:I take an ayurvedic tonic which is for purification of body
User:otherwise, nothing at all
Doctor:Are you taking it on prescription?
Doctor:How much do you exercise?
User:Frankly speaking, I dont
User:I only walk on Saturdays & Sundays
User:I have a backache and do some pysiotheraphy exercises once in two days
Doctor:First of all, you need to take a high fibre diet
Doctor:You would need to eat atleast 5-6 servings of fruits and vegetables
Doctor:Also include plenty of fluids, like you are doing
User:Can you please clarify on the fruit portion
Doctor:5-6 servings
Doctor:Every serving is like 1 XXXXXXX or orange
Doctor:something like that
User:ok, thks
Doctor:papaya and watermelon have plenty of fiber
Doctor:Take those fruits
Doctor:Keep on drinking plenty of water
Doctor:Exercise for atleast 50 minutes daily
Doctor:Its required
User:what about fluids?
Doctor:It'll help improve the constipation and will decrease the heart disease and diabetes risk
User:Isnt 3 ltrs of water sufficient?
Doctor:\2-3 litres in a day atleast
Doctor:Yes, it is
Doctor:But are you sure you are taking 3 litres?
User:s, very much
User:I personally fill up two ltrs of bottle in the office and consume it
User:I understand exercise is a must for any human being, but it really becomes very difficult on weekdays since I travel for 6 hours a day (to and fro) to work
Doctor:Have you considered shifting closer to your work?
User:No, I live in Mumbai and the cost of living would be very high if I plan to live close to my office (rentals would eat away a huge chunk of my salary)
Doctor:Then why dont you buy a bike or a treadmill for your house?
Doctor:Or start walking in your locality for just 30 minutes?
User:I can do that
User:yes, I can certainly do that
Doctor:That would be enough
User:Regarding fluids, should I consume anything else, apart from tea
Doctor:Have you been under stress for a long time now?
Doctor:Actually tea and coffee cause constipation
User:No, not really.
Doctor:Its better to take XXXXXXX tea
Doctor:Yes, they do
Doctor:They have medicinal compounds which have this effect
User:I am habituated to tea
Doctor:I am not asking you to totally leave it
User:I meant "No, not really" for stress
Doctor:Sorry, misunderstood
User:Ha, ha, ha, no problem
User:If I dont consume tea, I start getting a headache. May be that is a phobia too
User:I will definitely give 'green tea' a try
Doctor:Its called dependence
User:Yes, I too heard that tea & coffee adds to constipation
User:Yes !
Doctor:Thats why you are having the headache
Doctor:Have you been screened for diabetes or hpothyroidism?
User:I have been habituated to drinking tea for the last 30 years (first thing in the morning, after brushing my teeth)
Doctor:I understand that
Doctor:Most indians are
User:No ... for diabetes or hpothyroidism
User:Can you please explain hpoth......dism
User:planning to go a check up for diabetes
Doctor:If the constipation does not get better after taking a high fibre diet, exercise etc
Doctor:get screened for these conditions
Doctor:Yeah, sure
Doctor:Hypothyroidism is a condition in which there is decreased function of the thyroid gland
Doctor:It can lead to constipation, sluggishness, fatigue, weight gain, decreased appetite, excessive sleepiness
Doctor:To get screened, you would need to get a serum TSH level done
User:I am a bachelor now
User:I will be getting married on 6 Feb 2012
User:thank you
User:Can I get some specific advice for some immediate relief
User:this may be short time I know
Doctor:If you follow this advice, you'll be relieved in 3-4 days
User:oh, that really sounds gr8
User:I will certainly follow it
Doctor:You can also Isabgol, 1 tsp in the morning with milk at night
User:I also feel slight pain in the chest. Is it becos of acidity
Doctor:Does it come on when you exercise ?
User:yes, I have tried it earlier with water
Doctor:I would not recommend Isabgol on a long term basis
User:Should I take it only at night
Doctor:The pain can then be related to acidity
Doctor:Only at night
User:Is it with one glass of milk
Doctor:Try and avoid spicy or oily food
Doctor:However you like it
User:I dont eat spicy / oily food
Doctor:For the heart burn, avoid alcohol, smoking, spicy food
User:I dont smoke and also dont drink
Doctor:You can tablet zantac 300 mg when you feel the pain
Doctor:Thats great
Doctor:Also, eat at regular intervals
User:Actually, I have trouble during motions. It takes almost half-an-hour.
Doctor:Yeah, we discussed that
Doctor:Increasing your fibre will help substantially
User:I also have a yawning problem. When I yawn, water comes out of my eyes. Do you know the reason for it?
Doctor:It happens with everyone
User:I shall follow your advice doctor and I will be thankful to you if I am relieved of my constipation problem
Doctor:The reason is that when you contract your facial muscles, it presses on your lacrimal gland
Doctor:This causes the fluid to come out
Doctor:The other reason is slightly more complicated
Doctor:Do you want to know more about it?
User:I want to first get rid of constipation problem
Doctor:Thanks for consulting me
User:Thank you very much for your valuable advice
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