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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for constipation

I am 17 years old, about 5'9'', and weigh about 145 pounds. I also take vyvanse for my ADD disorder. The problem began about 2 weeks ago. I don't know if I'm constipated or what. I have a hard time expelling excrement. I have begun a diet with fiber breads and whole grain foods about 3 days after the condition began. A little before this, I refrained from eating that much because, well, I'm self conscious about my weight. Sooner or later I got back to eating all day. When I first realized I was constipated, I began using a stool softener( equate 100mg), soon after I used a mix of softener and laxative (senokot-S) with a 1 day separation of consumption of taking them in order. It came out as diarrheatic explosion cloud one day, but not sure if I got all out. Soon after I got constipated again and took another supplement. There has been no significant results so far. After a week, I began doing "enemas( Although I wouldn't really call it official)" with a shower head, and usually expelled the tap water after a minute, only soft tiny stools came out. Oh, also I've been eating only dinner up until this point, I ate tacos, Peanut butter and jellies, fries(can't resist em), various pasta with "Kraft?" cheese i think, each on a different day, fiber bread being most commonly eaten. So far, I try to eat less and only fiber rich foods for dinner because I can't take the chance of getting plugged more. I drink alot of water everyday now as well, even after 7. I also usually fall asleep at midnight or later, my internal clock won't let me sleep earlier. I can feel my intestines making movements now, but nothing comes out in the end. I later gave up on the previous supplements and went to a packet of osmotic miralax on monday, and a teaspoon of metamucil every day after. The past fews days up till now have had only tiny amounts of stool excretion each day, usually in soft, sticky densities. I have had to push hard to make an effort to expell at least some each day. All of the removal so far for me has been manual( the body doesn't really help to push it out easy or give the urge). I fart like normal still and usually it doesn't smell. I might have gotten a little fatter in this process, but I don't have bloating like symptoms. I don't really exercise, after a work day of 8 hours from 6am to 3pm, I lay in my bed, only getting up to get water or converse with my relatives. Maybe I need to exercise more, which I am open too if it's strongly recommended. I'm really sensitive on a topic of enemas in public, after all, I do it in the shower to hide the shame. That's all I can really offer. Please help me with as much advice as you can.
Fri, 22 Feb 2019
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General Surgeon 's  Response
Hi,

This may be r related to IBS and chronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel.

I suggest running colonoscopy to exclude organic problems first. With regards to finding blood floating in the toilet after you pass the motion, that would be related to possible:

- fissures due to chronic constipation
- haemorrhoids

In both cases, you need to take measures to reduce constipation that would trigger such problems:

- do more physical activity
- increase water consumption
- take more foods high in fibre content
- fibre supplements can help
- can use laxatives once in a while to improve the symptoms

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
I find this answer helpful
General Surgeon Dr. Iven Romic Rommstein's  Response
Hi,

This may be r related to IBS and chronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel.

I suggest running colonoscopy to exclude organic problems first. With regards to finding blood floating in the toilet after you pass the motion, that would be related to possible:

- fissures due to chronic constipation
- haemorrhoids

In both cases, you need to take measures to reduce constipation that would trigger such problems:

- do more physical activity
- increase water consumption
- take more foods high in fibre content
- fibre supplements can help
- can use laxatives once in a while to improve the symptoms.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
I find this answer helpful
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