question-icon

Suggest treatment for chronic constipation

default
Posted on Mon, 14 Jul 2014
Question: Hi, I am suffering from chronic constipation. I have been on cremalax now for almost 7-8 years.....my digestive system has gone for a toss...can't seem to digest anything and now havn't been able to pass properly since 2-3 days despite cremalax...please advise
doctor
Answered by Dr. T Shobha Deepak (2 hours later)
Brief Answer:
To rule out local anal lesion

Detailed Answer:
Namasthe
Welcome to Healthcare-Magic
Greetings of the day

Chronic constipation in an adult is likely to be due to following
1. Low fibre diet
2. Decreased intake of water
3. Presence of lesion of anus and rectum: Painful lesion like anal fissure

Before embarking on blind empirical treatment its advisable to undergo thorough evaluation by General Surgeon/Gastroenterlogist

I would suggest you the following

1. Plenty of oral fluids: 2-3 liter of water a day. 1 glass of water 1 hour before meals and 1 glass of water 1 hour after every feeds will ensure sufficient intake of water.
2. High fibre diet: 2 servings of vegetable salad and fruits everyday
3. Oral Laxatives:: Try syrup lactulose , to start with 5ml twice a day.
4. Avoid food stuffs containing maida like bread, biscuits
I would like to have additional information

1. Is there pain while passing stools?
2 Is there bleeding while paasing stools




In case you need any further assistance, will be glad to assist you.

Wishing you happy and healthy life

Take Care

Best Regards
Dr T Shobha Deepak
MBBS,MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Shobha Deepak

General & Family Physician

Practicing since :2005

Answered : 1774 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for chronic constipation

Brief Answer: To rule out local anal lesion Detailed Answer: Namasthe Welcome to Healthcare-Magic Greetings of the day Chronic constipation in an adult is likely to be due to following 1. Low fibre diet 2. Decreased intake of water 3. Presence of lesion of anus and rectum: Painful lesion like anal fissure Before embarking on blind empirical treatment its advisable to undergo thorough evaluation by General Surgeon/Gastroenterlogist I would suggest you the following 1. Plenty of oral fluids: 2-3 liter of water a day. 1 glass of water 1 hour before meals and 1 glass of water 1 hour after every feeds will ensure sufficient intake of water. 2. High fibre diet: 2 servings of vegetable salad and fruits everyday 3. Oral Laxatives:: Try syrup lactulose , to start with 5ml twice a day. 4. Avoid food stuffs containing maida like bread, biscuits I would like to have additional information 1. Is there pain while passing stools? 2 Is there bleeding while paasing stools In case you need any further assistance, will be glad to assist you. Wishing you happy and healthy life Take Care Best Regards Dr T Shobha Deepak MBBS,MD