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Dr. Andrew Rynne

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Suggest treatment for chronic constipation

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Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2227 Questions

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Posted on Mon, 18 Aug 2014 in Digestion and Bowels
Question: I have been having right side abdomen pain for 2 1/2 years. It's always in the same spot, I think it's right over my large intestine. I have had my gallbladder checked, it was fine. I also had a ct scan I believe, where they make you drink barium, and everything came back ok. But last week I had nuts and some popcorn and I got that same pain for 3 hours, I would describe it as kind of a sharp pain. Yesterday I had a KIND bar and coffee w creamer and got the pain an hour after or so and it didn't last long. Today I have had no pain. I've had chronic constipation all my life and have started Linzess about a year ago or little longer. But it hasn't helped w the pains I get and it seems to be getting worse and more common. I notice sometimes blood floating in the toilet after I go and I didn't strain. Please give me some advice!
doctor
Answered by Dr. Klerida Shehu 1 hour later
Brief Answer:
IBS&chronic constipaiton as causes...

Detailed Answer:
Hi there,

I am sorry for the situation you are in.

The pain at the same spot in your right side abdomen you are having seems to be related to IBS and chronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel.

I suggest to run colonoscopy to exclude organic problems first.

With regards to finding blood floating in the toilet after you pass the motion, that would be related to possible:
- fissures due to chronic constipation
- hemorrhoids

In both cases, you need to take measures to reduce constipation that would trigger such problems:
- do more physical activity
- increase water consumption
- take more foods high in fiber content
- fiber supplements can help
- can use laxatives once in a while to improve the symptoms

Hope it helped!
Dr.Klerida
If anything unclear, do write me back!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Klerida Shehu 10 minutes later
Is it strange that i have had chronic constipation all my life and have only recently dveloped the pains (2 1/2 yrs ago)? Sometimes when Im working out or working in the yard (im pretty active, 115 pounds and no kids) i get that pain almost like it is being stretched. Also, what foods would cause those spasms? Do you know if there are any health risks to taking Linzess?
doctor
Answered by Dr. Klerida Shehu 4 days later
Brief Answer:
Colonoscopy needed to exclude organic issues

Detailed Answer:
Hi back,

Thank you for following up.

As you have a previous history of chronic constipation, then, further investigations are recommended to understand why you are having pain since 2 1/2 years ago. I recommend to run colonoscopy to exclude organic problems that might cause pain.

It is also true that certain foods/drinks can cause intestinal spasms, for example: fried foods, chillies, alcohol, stress, etc.

With regards to health risks related to taking Linzess, until now, none has been reported as life-threatening or serious effects. The most common side effects noted include: diarrhea or allergic reaction as per any other drug.

For the time being, I do not recommend to take Linzess, but to :
- continue healthy changes in your diet and lifestyle regimen
- less laxative intake
- use prune juice and olive oil on daily basis

and see the results.

All the best!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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