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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can constipation and IBS be treated?

As a child, I had numerous stomach issues, mainly IBS W/Constipation I have Barretts eshpogas, due to medications over a 15 year period. 1) depression medications, Wellbutrin, Xanax, Lexapro, sleeping pill 2) back pain, Alleve a lot) then back surgery, and due to that took i month of hydrocodone, 6 months Tramodaol, now trying melocksacam, but also on Calcuim/Vit.D, Magnesium,bonita 1/month, and for last couple months stomach bloating & gurgling. Its increased this week to all the time. Today its really increased. I m guessing from past its due to all the meds ruining more inside. I am still in PT for back surgery and really have to take something for pain. My dr. is strict on Hydrocodone, & those type. He only gives a month supply, then tried tramodol and it helped a little but not enough so I m back to 2 Alleve, today I tried two Meloxicam, stomach still really bloated and loud. I have a gastro Dr. and guessing a steriod as in past. But how what am I supposed to do when one med helps this they ruin this. This domino effect is driving me crazy. I am 5 2 110, 59year old. Any suggestions?
Sat, 7 Jul 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Dietary measures to be considered are :

Drink plenty of liquids .
Consume high fiber diet with more of green leafy vegetables , whole grains ,
cereals , legumes , pulses , organic fresh fruits .
Avoid excess oil , ghee , butter , dairy products , non veg stuffs till possible .

Life style modifications to be considered :

Regular walking , exercises , YOGA are must .
Avoid prolong fasting , over eating .
Manage timings of breakfast , lunch , dinners till possible .
Chew your food very thoroughly .

Avoid stress , anxiety .
If consuming alcohol , tobacco in any form has to be stopped .
Manage to have regular sound sleep of 7 - 8 hours .
Keep your blood sugar , cholesterol , weight under control .

Medicinal support can be obtained with :

Bulk forming laxative as Isphaghula husk in glass of lukewarm water as per
advise of your doctor .
Evaluation in form of necessary ultrasound , colonoscopy may be demand of
time according to the response to treatment and clinician concern .

Hope I have answered your query.
Let me know if I can assist you further.
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