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I have had diabetic diarrhea treated with pedialyte but now I am suffering from diabetic constipation

Ever since I missed 2 weeks of my diabetic medication, Metformin 500 mg. I have had diabetic diarrhea and treated it with Pedialyte ever since now I have diabetic constipation , but stool is as soft as diarrhea and the worst of the worst neuropathic pain to the right arm, hands and fingers, the right leg, feet and toes too severe. Visited ER 2 times now because of this severe pain. But I d like to know what could the following be with the constipation symptoms: too frequent feels like there is something blocking the passage of the stool I believe the stool maybe putting pressure on my bladder which gives me frequent urination . Treatments Ive done: Suppositories over a long period of time Tums Oils Stool Softner Omeprazole Treatments I ve yet to consider: Barium enema Colon Cleansing Your help is appreciated.
Asked On : Sun, 21 Nov 2010
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Internal Medicine Specialist 's  Response
Up to 60% of the patients with diabetes mellitus suffer from gastrointestinal tract symptoms that arise pathogenetically from a disturbance of the autonomous nervous system. Patient age, disease duration and poor control of diabetes mellitus correlate positively with the presence of gastrointestinal symptoms. Chronic constipation, in addition to diarrhoea, gall bladder dysfunction and incontinence, is increasingly regarded as a serious problem and for the first time, is now considered in the current guidelines of the professional societies. Modern diagnosis and treatment facilitate systematic control of the symptoms. Treatment necessitates long-term intake of laxatives, proper diabetes control and other accompanying general measures such as adequate amounts of liquids, dietary fibre and exercise. Motility and secretion-stimulating, osmotically active or locally applied laxatives are used. Slow transit constipation, which is typically observed in diabetics, can be best controlled with polyethylene glycol, bisacodyl or sodium picosulphate.
Answered: Wed, 5 Jan 2011
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