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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I am an obese male in my 60s with diabetes

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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2040 Questions

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Posted on Thu, 24 Jan 2019 in Digestion and Bowels
Question: I am an obese male in my 60s with diabetes type 2, osteoporosis, arthritis, IBS-C, and diabetic neuropathy.

The medicines I'm taking include: diclofenac sodium 75 mg twice a day, MetForeman 1000 mg twice a day, Lyrica 75 mg twice a day, Bcise injection 2 mg once a week, Tylenol PRN, & Linzess 145 mg PRN. I will soon be getting a Reclast infusion.

I exercise daily using free weights and a rowing machine. I eat 2 to 3 cups of of broccoli every day, and usually drink 64 ounces of liquid every day; most of it milk.

Additionally I'm taking Colace, and magnesium citrate by capsule every day buI still have to strain to have a BM.

I have tried 290 mg of Linzess, but that's too much and gives me severe diarrhea.

Suggestions please.
doctor
Answered by Dr. Ramesh Kumar 2 hours later
Brief Answer:
Gastroperesis

Detailed Answer:
Hi,
Thanks for asking query on HealthcareMagic,
Most likely multiple ailments medications and Diabetic gastroperesis is the cause of your problem.

As the first thing in the morning, drinking a glass of lukewarm water is good. Add some baking soda to this, if you are feeling bloated, it aids in cleansing the bowels.

Ginger tea is another great remedy to induce bowel movements in the morning.

A glass of warm milk with a little honey or sugar is a good remedy for constipation.
Warm water or milk with Isabgol husk at bedtime helps bowel movements in the morning.
Applying a few drops of lukewarm castor oil over the navel when going to sleep can help in easy passage of stools in the morning.

Guava, pears, oranges, grapes, papaya, apples, and other fruits add roughage to the diet and help in easy passage of stools.
Soak some raisins in hot water, cool it, crush and strain them. This is very effective for treating constipation.
A glass of carrot juice or papaya juice is very useful in treating constipation.
Drink about 8 to 10 glasses of water to avoid constipation. The artificial juices and canned drinks do not count in this, as they only make it worse.
High-fat, processed foods, alcohol, and caffeine are major causes of constipation. So one should avoid them to a large extent.
Including small amounts of olive oil, castor oil, and ghee help in lubrication and easy passage of the stools.
Triphala, which is a popular Ayurvedic preparation, can be mixed with warm water and consumed to prevent constipation. Given its bitter taste, you can add a small amount of honey to it. It has antibacterial, antifungal, and anti-parasitic properties. This helps in overall cleansing of the colon and is not just a short-term remedy.
Yogasanas like XXXXXXX muktasana, yoga XXXXXXX dhanur asana, and vajrasana have major benefits on the digestive system, including releasing accumulated gas and passage of stools.The action of lemon on your digestive system enables it to get rid of the toxins and undigested material that generally accumulates on the colon's (the last part of your small intestine) walls, giving rise to constipation as a result. Collect the juice of 1 lemon in a cup by squeezing it. Fill the rest of the cup with warm water. Drink it every morning.

Hope i was helpful.
Feel free to follow up.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ramesh Kumar 25 hours later

Dear Dr. XXXXXXX

Thank-you very much for your diagnosis, dietary, and yoga recommendations. I have ordered Triphala capsules and psyllium husks from an online herbalist and am looking forward to giving them a try.

I will also try the lemon water, crushed raisins, olive oil, carrot juice and fruits you recommended.

I have largely avoided fruits since my diagnosis as diabetic a year ago in my attempt to avoid carbs; but I’m ready to try something else.

I also am giving the yoga poses a try.

It never occurred to me to look into Ayurvedic medicine. I am grateful for your knowledge and advice.

I wish you well,

Efraim Shultz

doctor
Answered by Dr. Ramesh Kumar 3 minutes later
Brief Answer:
Thank you.

Detailed Answer:
Thank you and get well soon.
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Above answer was peer-reviewed by : Dr. Yogesh D
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