Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

122 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for constipation

Answered by
Dr.
Dr. Vasudha Jayant Athavale

General & Family Physician

Practicing since :1970

Answered : 6417 Questions

default
Posted on Wed, 27 Aug 2014 in Digestion and Bowels
Question: I recently quit smoking, and my schedule changed from days to evenings. I was having an issue with constipation so I used some milk of magnesia, which worked but violently so. Ever since then, the constipation has returned and when I attempt to bear down I feel like something is moving in my rectum so I don't want to push any harder. I have had to use suppositories to evacuate for a week now, but have also been taking miralax for 4 days hoping that would help. The stools I have been able to pass are quite narrow.
I am 41 and had a hysterectomy 4 years ago, so have experienced some digestive issues, but never anything like this. Should I be concerned, or just keep using the miralax hoping it will work itself out?
doctor
Answered by Dr. Vasudha Jayant Athavale 5 hours later
Brief Answer:
Patient efforts & changed life style will help.

Detailed Answer:
Hi XXXXXXX
Thanks for the query.
Bowel complaints like nausea, gas, constipation are known signs of tobaco withdrawal.Tobaco contains Nicotin, which is a stimulant.After withdrawal of smoking,body needs some time to adjust to be active without stimulant.
Please don't worry. The constipation ( as a withdrawal symptom) will be relieved as body gets adjusted to work without Nicotin- is usually resolves within few weeks time.
till then what is needed is to know the changes brought about by withdrawal, & make positive efforts to overcome them.
& they are,
* - Tobacco withdrawal usually leads to change in eating habits-To overcome desire to smoke, the person starts over eating. This in turn causes-
- lac of balanced food,
- over strain to bowels - resulting in constipation.
To overcome this , try to have -
- try to overcome eating spells
- Have Well balanced food along with sufficient fibers & sufficient water.
* Withdrawal of smoking leads to changes in physical/ psychological activities
- The person becomes more stressful,anxious, irritable & lazy due to lac of stimulant.Physical activity is reduced, which again helps constipation.
To overcome this-
- Make positive efforts & Stick to normal routine
- start doing physical exercises ( walking, yoga exercises) 30 to 45 minutes /day
- Develop a regular bowel habit,
- Be positive, determined to stick with the withdrawal of smoking.( Psychological counsellings, relaxation techniques help)
* Please understand dietary changes /physical exercises are not going to have instant results so
- persistent efforts &
- Use of mild laxatives like Lactulose suspension or Ispaghula in the beginning is indicated.
- Use of anal suppositories are good to avoid stressful bowel movements till the final control is achieved by changed life style/complete smoking withdrawal.
* Please consult a Gastroenterologist to rule out persistant digestive problems you had in past.

** I am sure, the due time given for body to adjust with tobaco withdrawal & your own efforts to overcome constipation will help you in successful withdrawal of smoking ,leading to a healthier & happier life!
I hope the answer is informative & helpful to you. Any further query is welcome.
Thanks.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication
Treatment/Therapy

Recent questions on  Relaxation techniques

doctor1 MD

I'm having recurring sharp pains in my head. Seems to be behind right eye and radiates to top of head. Pain is fleeting, but head feels strange after. Should I be concerned. First pain hit at around 3:30 this afternoon. Have had four in the past...

doctor1 MD

I had a cycle scan of my abdomen and pelvis without oral contrast , but both before and after the uneventful administration of intravenous contrast utilizing a split bolus technique in the nephrogenic and excetory phase of contrast enhancement. ...

doctor1 MD

My scalp has been sensitive to the touch for 2 months. No rash , sores or headaches . Had 35 ECT sessions a few years ago. Could sensitive scalp be related to any brain problem? XXXXXXX

doctor1 MD

I am experiencing worse sinus allergy symptoms than usual for past 2 days. Unable to sleep last night due to feelings of intense anxiety (unusual for me). Shortness of breath all day today with very sharp pain under left shoulder blade, not relieved by change of position or by relaxation exercises. It hurts very much to take a breath so I keep having to yawn as chest is tight (hurts a lot to yawn!). My job is physically active but walking is tiring today.

doctor1 MD

have sevre anxiety, i cannot drive a car, i am on disability due to my emotional irreluulations and mild agoraphobia, my anxiety has recently started taking control of my body to the point where i have to lay on the ground and wait for all my muscles to sieze spasms, ive had 2 heartattack at the age of 18. and i feel like these are all sympotms of a bigger problem, i need help before its to late.

doctor1 MD

I'm a 54 year old female who has been under a lot of stress. Recently I have been noticing weird things. I start reading articles in the middle or the end. Last night while reading a book I started reading sentences backwards. What could this possible be a sign of?

doctor1 MD

I have a son in his forties who has always had a "short fuse". He can go from OK to suddenly swearing, acting irrational and spiteful. He has tried drugs for depression over the years - to no avail. We are desperate as it is tearing his family apart. Please help