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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Loose Stools

I had constipation for a few weeks, then couldn t go at all for a week. No new or different medications). I started Miralax every day for over week until it worked. Since then, two weeks now I have loose stools with complete incontinence several times a day.. No sensation to go, no pain or cramps. it is beginning to worry me.
Tue, 6 Sep 2016
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Internal Medicine Specialist 's  Response
You most likely have a condition called encopresis. It is involuntary fecal soilage as a consequence of chronic constipation. Constipation results in progressive rectal distension and stretching of the anal sphincters. You ultimately lose the normal urge to defecate and eventually stool leaks around the retained fecal mass. Initially you will have diarrhea, followed by incontinence.

I would recommend:
-you may need to have a doctor eliminate the impaction prior to any treatment.
-Miralax is the best option for disimpaction.
-Milk of magnesia is an alternative is miralax isn't working
-enema/suppository if magnesium fails.
-Increase fluids
-increase fiber with fruits, vegetables, whole grains, bran
-try to avoid excessive consumption of bananas, rice, apples
-you should have a soft bowel movement 1-2 times daily
-exercise and physical activity
-the best time to have a bowel movement is in the morning, after eating breakfast, when the normal bowel transit and defecation reflexes are functioning.
-Occasional constipation responsive to simple measures is harmless. Habitual constipation can be a lifelong nuisance.
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Suggest Remedy For Loose Stools

You most likely have a condition called encopresis. It is involuntary fecal soilage as a consequence of chronic constipation. Constipation results in progressive rectal distension and stretching of the anal sphincters. You ultimately lose the normal urge to defecate and eventually stool leaks around the retained fecal mass. Initially you will have diarrhea, followed by incontinence. I would recommend: -you may need to have a doctor eliminate the impaction prior to any treatment. -Miralax is the best option for disimpaction. -Milk of magnesia is an alternative is miralax isn t working -enema/suppository if magnesium fails. -Increase fluids -increase fiber with fruits, vegetables, whole grains, bran -try to avoid excessive consumption of bananas, rice, apples -you should have a soft bowel movement 1-2 times daily -exercise and physical activity -the best time to have a bowel movement is in the morning, after eating breakfast, when the normal bowel transit and defecation reflexes are functioning. -Occasional constipation responsive to simple measures is harmless. Habitual constipation can be a lifelong nuisance.