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Suggest Treatment For Severe Constipation

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Posted on Mon, 27 Apr 2015
Question: severe constipation. can I use an old supsitory 07-11
doctor
Answered by Dr. Pravin Gore (18 minutes later)
Brief Answer:
no old suppository

Detailed Answer:
Hello dear ,
it is not advisable to use such an old suppository as you have mentioned. The stability of the medicine is questionable. Also the cream base used in a particular medicine fails to hold the active medicine together.

Preferable to buy new DULCOLAX suppository. You can insert a second suppositories if only one fails to relieve your constipation. Thats a safe dose.

Dr. Pravin Gore, colorectal surgeon XXXXXXX - XXXXXXX
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Pravin Gore (17 minutes later)
Thanks. It is Easter Sunday so unable to get dulcolax today. I have had this happen to me twice before, 4 and 5 years ago so I know what to expect and I am rather apprehensive. I will get what you recommend tomorrow and hope I do not have to go to Casualty in the mean time. Would you recommend I do that?
Regards XXXX
doctor
Answered by Dr. Pravin Gore (1 hour later)
Brief Answer:
Warm water. Bath

Detailed Answer:
I do understand the Easter situation. Well, I would suggest if you try to sit in a warm water tub. This will help relax your anal muscles to allow the stools to pass out. There is no harm or shame even if you pass stools while the anal area is still soaked in warm water tub. Else fill a bucket with warm water and sit on it. You can also try squeeze (hold for 3 seconds) and relax (take two deep breaths in and out) exercises of the anus repeat it 20 times. Focus more on the relaxing part.
Only if it's unbearable, then take a wise decision to go to the emergency department of a hospital where your problem can be solved by an enema.
Take care.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Pravin Gore (20 hours later)
Thanks for you advice. I did have a hot bath with no results.Also squeezing. I rang 111 again and a health professional rang me back at 7pm and we went to the hospital to see the Doctor who gave me some glycerine suppositories, one did the trick last night, managed very painfully to pass poo. I felt it coming on again so have used another suppository hoping for same result soon. I have not taken any painkillers today and am reluctant to take them now after this horrible episode.
doctor
Answered by Dr. Pravin Gore (2 hours later)
Brief Answer:
fissure. lignocaine gel. hot tub bath

Detailed Answer:
I can empathise with you. Its the hard stools which causes a tear in the inner wall of the anus causing intense pricking or tearing type of pain while passing the stool followed by burning severe enough to last for a few hours.
it is advisable to use a Lignocaine gel for local application. This anaesthetic gel will cause reduction in your pain. Suggest use it before and after motions for a few days. Sitting in a warm water tub after every motion will give pain relief.
Take a laxative like liquid paraffin or lactulose in a dose of 30ml once at bed time.
This will ensure that your motions would be soft for a few days untill the painful tear in anal wall heals up.
time to see a Proctologist now to avoid future such episodes

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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Pravin Gore

Proctologist

Practicing since :1995

Answered : 82 Questions

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Suggest Treatment For Severe Constipation

Brief Answer: no old suppository Detailed Answer: Hello dear , it is not advisable to use such an old suppository as you have mentioned. The stability of the medicine is questionable. Also the cream base used in a particular medicine fails to hold the active medicine together. Preferable to buy new DULCOLAX suppository. You can insert a second suppositories if only one fails to relieve your constipation. Thats a safe dose. Dr. Pravin Gore, colorectal surgeon XXXXXXX - XXXXXXX