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Suggest treatment for chronic constipation

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Posted on Tue, 8 Dec 2015
Question: I have recently had a urinary tract infection, treated first with Bactrim, then Cipro. Worked for a couple weeks but since then have also had constipation, increased flatulence and small hard stools. Now the incontinence is back as well. Wearing adult diapers. Also recovering from mild pneumonia in mid-Oct (treated with Z-pac, prednisone taper and Mucinex DM).
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Answered by Dr. T Shobha Deepak (55 minutes later)
Brief Answer:
High fibre diet will be helpful

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
4. Decreased physical activity and other associated urinary complaints

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
2. High fibre diet: 2 servings of vegetable salad and fruits everyday especially citrus
3. Oral Laxatives like Lactulose will be helpful
4. Daily physical activity and exercise especially 30 minutes of brisk walking will be helpful to cause bowel movement



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

Wishing you happy and healthy life

Take Care

Best Regards
Dr Shobha Deepak
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Shobha Deepak (5 hours later)
During the last few hours since I submitted the original question, I have suddenly also had three diarrhea attacks. I have taken Immodium to help control the diarrhea with temporary success. During this period the urinary problem seems to be under control also.

Thank you for your help.
doctor
Answered by Dr. T Shobha Deepak (10 hours later)
Brief Answer:
If there is no distension of abdomen there is no cause for concern

Detailed Answer:
Dear Sir

Fecal impaction can lead to Pseudo diarrhoea. If there is no associated pain or distension of abdomen then there is no cause for concern.

Take Care

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

General & Family Physician

Practicing since :2005

Answered : 1774 Questions

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Suggest treatment for chronic constipation

Brief Answer: High fibre diet will be helpful 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 4. Decreased physical activity and other associated urinary complaints 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 2. High fibre diet: 2 servings of vegetable salad and fruits everyday especially citrus 3. Oral Laxatives like Lactulose will be helpful 4. Daily physical activity and exercise especially 30 minutes of brisk walking will be helpful to cause bowel movement In case you need any further assistance, will be glad to assist you. Wishing you happy and healthy life Take Care Best Regards Dr Shobha Deepak