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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for chronic constipation

Good morning. I suffer from chronic constipation. I have regularly taken two tablespoons of isabgol and one tablespoon of cremafin. Since past one week I am having difficulty in bowel movement. I have a movement maybe at 10:00 am or so and that too is not full evacuation. Can you recommend any other medication.
Fri, 4 Nov 2016
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Gastroenterologist 's  Response
hi.
thank for posting at HCM.

its difficult to figure out the cause of constipation.
Constipation definition varies from person-to-person. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times per week). Some people with constipation may feel a sense that the bowels are not empty


advice:
- stop any medication being used for constipation for a week
- thrice daily , take two tea spoon (or one big spoon) isphagula husk with 200 to 300 mL water
- increase warm water( atleast 8 glass/day) intake
- do not drink water during and after meals
- eat small meals (rich in fiber)
- eat plentiful "fresh oranges" and "pear "
- avoid COLD milk and and AVOID junk food(NO burger , pizza-even if its veg.) altogether
- mix few drops of "lemon juice" in warm water. Drink on empty stomach, early in the morning, to aid in bowel movement
- avoid beverages / alcohol/ soft drinks
- do some exercise (push-ups / squats etc) early in the morning
- avoid carbonated drinks
- take 2-3 spoon edible virgin olive oil in the morning

if no resolution after 10 days, then better to visit treating physician.
besides constipation, if your weight is increasing and/or you feel fatigue, then have a thyroid profile test.
Hope to answer your concern.

Wish you good and sound health.

Regards,
Dr Tayyab Malik
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Suggest treatment for chronic constipation

hi. thank for posting at HCM. its difficult to figure out the cause of constipation. Constipation definition varies from person-to-person. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times per week). Some people with constipation may feel a sense that the bowels are not empty advice: - stop any medication being used for constipation for a week - thrice daily , take two tea spoon (or one big spoon) isphagula husk with 200 to 300 mL water - increase warm water( atleast 8 glass/day) intake - do not drink water during and after meals - eat small meals (rich in fiber) - eat plentiful fresh oranges and pear - avoid COLD milk and and AVOID junk food(NO burger , pizza-even if its veg.) altogether - mix few drops of lemon juice in warm water. Drink on empty stomach, early in the morning, to aid in bowel movement - avoid beverages / alcohol/ soft drinks - do some exercise (push-ups / squats etc) early in the morning - avoid carbonated drinks - take 2-3 spoon edible virgin olive oil in the morning if no resolution after 10 days, then better to visit treating physician. besides constipation, if your weight is increasing and/or you feel fatigue, then have a thyroid profile test. Hope to answer your concern. Wish you good and sound health. Regards, Dr Tayyab Malik