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What is the treatment for constipation?

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Practicing since : 2006
Answered : 2211 Questions
Hello Doctor, i had this problem on my stomach's upper left side where there is first AB of stomach. i did ultra sound twice and tests were cleared and finally after using medication it took 4 months and finally the problem was over. my doctor always claimed to be a gastric problem maybe it was gastric but why it took 4 months to be fixed? and ofcourse it always used to cause pain to my left side first AB after eating food so i had to eat a little to run from this pain I have this constipation and motion problem for 2 months now. It is kind of strange, for 11 to 12 days i complain about constipation and the other 2 or 3 days i have this motion problem. and the process goes on forever. i don't always get these loose motion but its kind of breaking into pieces and maybe 1 day loose motion. i have using my doctor's proscribed syrups and tablets but its not working at all, looking for an experienced doctor who could hlep me out with this horrible situation
Posted Sat, 28 Dec 2013 in Digestion and Bowels
Answered by Dr. Klerida Shehu 1 hour later
Brief Answer: Please refer to the following answer... Detailed Answer: Hi I read carefully all your concerns and I am sorry for your situation. With regards to your stomach problems it may be: -Chronic gastritis and treatment of gastritis continue until 4-6 months or stomach ulcer. -Dyspeptic syndrome Please can you prescribe the medication that you have used for stomach problem? I am happy to know that you abdominal ultrasound is ok so you have rule out the gallbladder problems and pancreatic problems that often are associated with your symptoms. With regards to your constipation and motion problems in last two month it seems to be a functional problem of your large bowel we call it IBS (irritable bowel syndrome). If I were your treating doctor to perform the right diagnosis I would suggest ruling out organic problems with: -Abdominal ultrasound -Colonoscopy -Upper endoscopy -blood work So I would suggest firstly changing your lifestyle: - Eating smaller meals more often, that are low in fat and reach in fibers like fruits and vegetables. - Use plenty of water - Increase your physical activity (walking, running, swimming) - Use fiber packets to ovoid constipation - Avoid using alcohol and caffeine, artificial sweeteners -Avoid if possible unnecessary stress. After doing this you should wait for three months to see any improvement. If you any other concerns please don't hesitate to write me back. Wish you health. Dr. Klerida
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Follow-up: What is the treatment for constipation? 2 days later
Hello Dr. Klerida, Thanks for a detailed reply, i just google Dyspeptic syndrome and i just found it out, yes ofcourse i had this same problem, it used to feel like something was moving on my upper left abdominal like a young an insect or turtle or maybe blood following and msot of the time used to happen after eating but sometimes even without eating... my doctor didn't know this but always giving me tablets and injection of pain killers. i am thankful to you for guiding me to the right direction. quite impressive i want to tell you something about me, i was slim, i got married on 2nd of MAY but after getting married, i had a big belly out and i became fat cause of belly i started to had this dyspeptic syndrome from 20th of MAY. and now cause of this motion and constipation problem for 2 months, my belly is almost gone back and i am back to slim again like i was before, do you get slim because of this constipation and motion problem? also my tongue and my throat always goes dry, its still happening, even when i am out or wake up its dry does this happen because of that IBS? and ofcourse i drink 3 to 4 litre of water in a day. by the way i have been also going to the gym for these past 2 months but i am not doing any belly or abdominal exercise but still i am almost back to slim.. is it because of my abdominal problem or my general exercise? i am from Pakistan so i am not sure if the prescription will be same as in India but as far as the prescribed medication goes, please see below for that Laxoberon Syrup Lilac Syrup Laxoberon 5mg tablet these didn't work out, just day before yesterday i had to change my family doctor and go to another one and he prescribed me Benefiber , which is kind ispaghol but he didn't prescribe any mediation. i know you said about the fibre , is it the same fiber you were talking about or if you guide me on that? and what are theses artificial sweeteners? please see my attached blood report from 03/10/2013 and abdominal ultra sound 28 MAY 2013 reports ofcourse i did utlra once again somewhere on October but again it was cleared but i couldn't find that report but again the result was the same. Also i used to smoke Sheesha two or three times in a month but i left it on MAY. Also i don't drink Alcohal. Let me know if you suggest me to get these tested again. Also i will get my Hepatitis B and C reports today. thanks for your assistance
Answered by Dr. Klerida Shehu 6 hours later
Brief Answer: Please refer to the following suggestions... Detailed Answer: Hi XXXXX, Thank you for sending in more of your medical data. Let me answer to your inquiries step by step: - It is normal for men to gain weight after marriage due to hormonal and psychological factors. However, you noticed that increase, so you now know how to overcome it. Lifestyle changes (especially exercising) together with diet changes can help you too. - One of the factors to cause gastric problems include being overweight and not being careful to the foods you eat. So, one important thing to do is to lose weight. Lifestyle and diet changes can help you achieve that goal. - It is true that changes in bowel movements, especially diarrhea can make you lose weight due to frequent motions. With regards to constipation, it can cause losing weight through decreased appetite. Please bare in mind that neither ways are good choices to lose weight. That could cause nutrient deficiencies in your body. - Laxoberon and Lilac include laxative and lactulose therapy for acute constipation. They are used for short term only, that's why your doctor shifted to Benefiber which can be used for longer period. Benefiber is the fiber I advised before to use to ease your constipation for much more longer. - With regards to artificial sweeteners, they can contribute in forming of the gas in the intestines and aggravate your reflux. - I have read your reports, your complete blood profile seems to be ok, while the ultrasound report was not visible; could you send a copy of the report without the photo? At the end, I still advise to do colonoscopy and upper gastroscopy. All the best! Dr.Klerida
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Follow-up: What is the treatment for constipation? 21 hours later
Hello Dr. Klerida , Thanks for a quick reply, i will get those both tests done that you suggested by tomorrow and send you my reports so you could have a better understanding of my medical reports. Attached is my abdominal report once again, sorry for the late report. Also i have attached my Hepatitis B, C and VDRL reports that i got done yesterday. i will be getting my TPHL report in few days What are these artificial sweeteners could you please some examples so i could understand the technical term? Finally does the throat or mouth gets dry because of abdominal problems? Thank you very much
Answered by Dr. Klerida Shehu 3 hours later
Brief Answer: Please follow the suggestions below... Detailed Answer: Hi again XXXXX, Thank you for sending in the reports of your exams. I am glad to see that nothing abnormal was reported. With regards to artificial sweeteners, they are non-nutritive substances that give sweet taste to foods. They include sucralose, aspartame, acetosulphame, saccharin, etc. The only safe sweetener is Stevia which is derived from the plant of stevia. Yes, intestinal problems can make your mouth come dry: - reflux - diarrhea (dehydration) - candida infection Looking forward to have the results of your other tests! Dr.Klerida
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Follow-up: What is the treatment for constipation? 22 hours later
Hello Doctor, I went to the doctor but it appears these tests are taken with a camera, unfortunately i am so much scared of camera tube to go inside me and ofcourse scared to get other disease if the equipments are used by several other patients. Is there anything else that you would advise me maybe through supplements or green foods to make it better? thanks for all your help
Answered by Dr. Klerida Shehu 15 hours later
Brief Answer: Please refer to the following suggestions... Detailed Answer: Hi XXXXX, Do not be scared about camera tube. The tube and camera sizes are adapted to the colon size, so ti won't cause you harm. No need to be frightened. Furthermore, the apparatus is always cleaned and properly sterilized in order not to spread diseases from patient to patient. They are all sterile. Besides hygienic measures, I also advise to: - take fiber rich foods to ease constipation (fruits,vegetables,etc.) - take fiber supplements and stool softeners - drink plenty of clean water and all other advice as given earlier. Wish you health! Looking forward to have other test results in, including colonoscopy and upper endoscopy results! Dr.Klerida
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