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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can impacted bowel be treated despite being on Metamucil and Miralax?

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Dr. Uday Nath Sahoo

General & Family Physician

Practicing since :1969

Answered : 2462 Questions

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Posted on Fri, 8 Feb 2019 in Digestion and Bowels
Question: I have what I believe is a severely impacted bowel. I have not had a good BM since Feb 17. I went on 1 week cruise 2/18 used scopolamine patch entire week. Only very small forced bm's that week. Upon return I took bottle of magnesium citrate also 2nd bottle on 26th. Poor results mainly water coming thru. Each morning been stuffing with 1/2 cup Fiber One, two tspns. metamucil, double dose Miralax 8oz warm prune juice. Evenings more prune juice, double dose Phillips Milk Mag. On 3/6 & 3/ 7 2 more Mag Citrates and also warm sudsy enama's . still only brown water with tiny amount solids. Dr stumped?
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Answered by Dr. Uday Nath Sahoo 3 hours later
Brief Answer:

Chronic constipation

Detailed Answer:

Hello,

As per your clinical history is concerned please follow like this-

1) Please get a clinical examination by your Doctor [Preferably Gastroenterologist] and to confirm exact pathological cause along with doing a few investigations like [colonoscopy, anorectal manometry, and colonic transit study]

2)Discuss with your Doctor about prescription medication [Lubiprostone]

Do follow some essential lifestyle modifications like this-

1) Take more fresh fruits and vegetables each day in your diet.

2) Do exercise most days of the week. Physical activity increases muscular activity in your intestines. Try to fit in exercise most days of the week.

3) Don't ignore the urge to have a bowel movement. Take your time in the washroom, allowing yourself enough time to have a bowel movement without distractions and without feeling rushed.

4)Do consult with your physiotherapist for specific exercise plan for your pelvic floor muscles.

Hope I have answered your query.

Take care

Regards,
Dr Uday Nath Sahoo, General & Family Physician


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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