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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constipation, chronic problem. Taking cremadiet, movolax, samproz l, some relief. Recurring after stopping medication. What should I do?

I have been constipated for more than 8 months. Doctor prescribed me the following medicines cremadiet,movolax,samproz l,fibotab,cintapro,evion Bowel movement was good. I continued the medication for 15 days and later i stopped. After i stopped the constipation problem started. Kindly advise me what food should be taken and what should not be taken.
Fri, 6 Jul 2012
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General & Family Physician 's  Response
Hi,

Chronic constipation needs investigation more than the medication or the diet. YOu should meet a Gastroenterologist.

General diet precautions include home food only rich in fibre. It includes green leaves, whole grains, all vegetables. two fruit a day.


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doctor1 MD

I am currently fighting a problem in my stomach. I know what it is as I ve have it before, what I need advice on is dosage of medication. The reason I am asking you is because to get an appointment with my GP for such a matter I have to wait about a week before he s free and I kind of need to know sooner. My stomach is producing too much acid at the moment. I will start from the beginning a few years ago to give a thorough background. The problem originally reared its head 5 years ago. For a couple of months I started feeling nauseous mid morning, but then it would fade. I got a couple of build ups where I would feel so nauseous and ill, but then it would pass for a while. At the time I didn t piece this all together as I thought they were isolated incidents. However it got to the point when it built up after every meal, two or three times a day. I got so nauseous and felt so ill and no amount of pepto bismol or gaviscon would help me. This is when I was diagnosed with this excessive stomach acid. Both my parents suffer from it so it also made sense. I was put on a course of Lansoprazole. I don t remember exactly how much I took and when but I know that there were times when I was on a 15mg dose and a 30mg dose (once a day in the morning). I don t remember the details as it was a few years ago but I remember it took a few months to get properly under control (It started in May and wasn t really under control to a more normal level until about September 2006). I was able to stop taking the medicine by this time. Even then I remember it would sometimes flare up again for a couple of weeks here and there a few times and I would have to go back on it for a short time sometimes, before eventually my stomach returned completely to normal by the following summer. During this period even though it did continue to flare up I remember being able to lead a normal life (I was starting university that September and I remember eating and drinking alcohol during that time). By the following summer all of a sudden after a particular flare up it returned to normal. I put on the weight I had lost (about 2 stone) and even a bit more. And from that time my stomach was stronger than ever, I could eat and drink anything without any effects. I forgot about it, that is until this year. The problem returned at the beginning of March this year. It happened the day after I was mugged on the way home from a night out (I was drunk at the time but remember it well). The doctors believe that the stress of this incident is more than likely as the cause of its return. So now to this bout which I am dealing with. Again, it snuck up on me a bit, I didn t piece it together until it came to a head. It started with constipation for a couple of days, then I would feel nauseous for a couple of days but it would pass. That is until a heavier meal one sunday afternoon brought it to a head again and I spent most of the evening and night feeling intensely nauseous and very unwell. It was exactly the same as the last time. I thought I could get through it though and didn t do anything for about 4 weeks. But this was a mistake as I would feel ill every day and it would flare up into these attacks of extreme nausea and stomach pains every few days. I eventually relented, sought advice and so went back on the Lansoprazole. Initially I was on 15mg twice a day, but this didn t really have any effect. It was only when I was put on 30mg once a day that it started to help. it seemed the high dose in the morning was the kick I needed. I was on it for a couple of weeks. 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It completely killed my appetite again. Breakfast was fine as I only ever eat cereal, lunch was ok as it would be a sandwich but after dinner I would feel ill again in the form of extreme bloating normally (but sometimes nausea). It also continued to flare up every four days as well, but it now seemed that the side effects of the tablets were as bad as the condition. So after two weeks and a particularly bad attack of this after dinner one day I decided to go back to 15mg once a day. This time however there was no gurgling constantly in the background. So for the past two and a half weeks I ve been on 15mg once a day. During this time I eventually stopped waking up in the morning feeling nauseous. I still got a flare up after a normal sized meal and after about 4 days again but it felt less intense. Also on half the dose the side effects of the tablets have halved in intensity. Last week I went 6 days without feeling particularly bad and when the flare up did come it passed relatively quickly. Sometimes I would have to take gaviscon at the end of the day but that s it. Overall I feel more normal and get quite hungry on this dose. Overall my body feels like it may be beginning to slowly go back to normal but its not there yet by any stretch of the imagination. I realise it sounds like I have been changing the dose a lot, perhaps too much, but after a few days on the higher dose I found I just couldn t take it. Despite this it did seem to do a job though, as when I came down a dose again it felt significantly better than it did before I went on the 30mg. Which brings me to my question. Should I stay on 15mg and just stay on them until I begin to feel normal? Or am I slowing my progress of healing by not being on the higher dose? 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doctor1 MD

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