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Suffering from severe constipation, passing blood with stools. Advise? - Online Doctor Chats

Date : 02-Jul-2013
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:hello doctor
Doctor:How can I help you today?
User:my mom who is 50 years old is suffering from severe constipation
User:she is passing blood while passing stools
User:she is having pain while sitting and walking as well
User:please advise on this
Doctor:Most probably she has anal fissure
Doctor:Another possibility is thrombosed hemorrhoids
Doctor:For anal fissure she can try over-the-counter shield cream before passing stools
Doctor:She can also try rectal enemas to help with constipation
Doctor:Since she is passing blood
Doctor:she needs to be examined by a surgeon
Doctor:Prunes and XXXXXXX juice work for mild constipation
User:will it be because of excess body heat? because she gets cold every time when ever she has excess body heat
User:this time first she got cold cough and then constipation
User:she lost her appetite as well
User:for additional information she has high blood sugarlevels
Doctor:Is her sugar controlled
User:no, she is not taking insulin or any kind of medicines
User:no control in diet as well, she eats rice and everything but avoids sugar
Doctor:We can usually manage sugar with lifestyle
Doctor:She needs to take more of protein and less of sugar in her diet
Doctor:she needs to avoid juices
Doctor:She needs hygienic diet and clean drinking water to avoid recurrent stomach infections
Doctor:The reverse osmosis water is the cleanest
Doctor:She also needs to regularly monitor sugar at home with glucometer
Doctor:She should be able to figure out which food works for her and which does not
Doctor:How is her weight?
User:she lost her weight
Doctor:I think her sugar is controlled
Doctor:You need to get her a glucometer
User:she did not check recently, she will be around 53Kgs
Doctor:That is not a good enough weight
User:yes we have it at home. today fasting - 148, yesterday after food - 190
Doctor:Little bit high
Doctor:She needs to control it
Doctor:I think we can control it with lifestyle
Doctor:What is the source of drinking water at your home?
Doctor:Are you there?
User:Bisleri water sold in Cans
Doctor:That is not a reliable source
Doctor:Get an RO system at home if you can
Doctor:That should help her and everybody else
User:RO system means?
Doctor:It is a filtration technique
Doctor:along with that diet and exercise should work
Doctor:A walk for 20 min can do the trick
Doctor:Also include protein or nutritional supplements in her diet like ensure
User:ok doctor..
User:that's an useful information
User:so for constipation you suggested rectal enemas right
User:can we take without prescription
Doctor:Take her to a surgeon, since she is passing blood
Doctor:Yes it is freely available
User:OK.. Thanks doctor
User:that's it for now
Doctor:Thanks for consulting me
Doctor:Have a great day
Doctor:Bye for now
Doctor:You may ask for suppositories for constipation frompharmacist
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