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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Constipation And Abdominal Pain In A Diabetic With Hypertension

Hi I am a diabetic with high blood pressure, and Ibs. I am experiencing chronic constipation for 2 wks with pain on my right side in the front and back. I have been experiencing joint pain in my elbows and pain in my back. I have taken Mira Lax for the constipation, currently also on Dicyclomine for Ibs. My diabetic meds are Metformin Jardiance and lantus. My blood pressure meds are Atorvastatin and Lisinoprol. I have schedule a doctors appointment, wondering what I can do in meantime regarding the constipation, pain I am experiencing.
Tue, 8 Mar 2016
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General & Family Physician 's  Response
Thanks for writing to HCM

I can understand your problem. The cause of the constipation may be due to( long standing) diabetes along with use of dicyclomine. It would have been of value if you had described if your IBS is type C, D or A. However Mebeverine might be an alternative choice. Since your are diabetic you must control your blood sugar level well within the target as high blood sugar over a long time will have Complications. Apart from sugar control get involved into mild to moderate intensity exercise as tolerated( if you are not having any heart problem & severe eye problem), drink plenty of water and keep hydrated and increase the fibre intake in your diet as well.
Apart from this I just want to add something in general about Diabetes care:

HbA1c undercontrol
BP undercontrol,
annual tests like
Kidney Function Test(including micro albumin), Eye examination (retinal exam),
Lipid Profile and ECG, if indicated,
Dental examination.
last by not the least a very good Foot Care is a must.

Hope this helped. Do let us know.
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Suggest Treatment For Constipation And Abdominal Pain In A Diabetic With Hypertension

Thanks for writing to HCM I can understand your problem. The cause of the constipation may be due to( long standing) diabetes along with use of dicyclomine. It would have been of value if you had described if your IBS is type C, D or A. However Mebeverine might be an alternative choice. Since your are diabetic you must control your blood sugar level well within the target as high blood sugar over a long time will have Complications. Apart from sugar control get involved into mild to moderate intensity exercise as tolerated( if you are not having any heart problem & severe eye problem), drink plenty of water and keep hydrated and increase the fibre intake in your diet as well. Apart from this I just want to add something in general about Diabetes care: HbA1c undercontrol BP undercontrol, annual tests like Kidney Function Test(including micro albumin), Eye examination (retinal exam), Lipid Profile and ECG, if indicated, Dental examination. last by not the least a very good Foot Care is a must. Hope this helped. Do let us know.