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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to deal with chronic constipation?

Hi! I was on Tramadol for about 8 years, 50 mg. 3X s per day. I had chronic constipation during the time I took the medicine and used laxatives as my only relief from it. I weaned myself off Tramadol about 10 weeks ago (by cutting down my dose, day by day over a period of about 3 weeks. The problem is that I am still completely constipated. I thought that that side effect would go away fairly quickly but it hasn t . I am still needing to take laxatives to have a bowel movement. I m freaking out a bit because I wonder if I did bowel damage by taking Tramadol for so long!! What is going on?
Fri, 17 Nov 2017
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General Surgeon 's  Response
Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can.
Constipation may be caused by several issues, however you should try first with changing lifestyle and dietary habits. You need to increase fiber intake. Good fiber sources include bran and other whole grains found in cereals, breads, and brown rice, vegetables such as brussels sprouts, carrots, and asparagus, Fresh fruits, or dried fruits such as raisins, apricots, and prunes Beans. Also, you should exercise regularly. Moving your body will keep your bowels moving, too. Second, you may at times need to try a laxative such as Fleet Phospho-Soda, Milk of Magnesia, or glycerin suppositories. If there wont be improvement on these measures, you should consider doing diagnostic tests such as colonoscopy, anal sphincter manometry and food allergy testing. In some cases it may be also sign of tumors so it should be ruled out if symptoms persist.
I hope I have answered you query. If you have any further questions you can contact us in every time.
Kindly regards. Wish you a good health.
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