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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for severe constipation

I live in Africa where medical care isn't the best. I recently got severe constipation and i have not passed stool in a week or more. MY stool is extremely hard to pass and very painful. Please help. I can't even go to school and I really don't trust the medical practitioners here since thre have been many cases of medical misconduct
Mon, 18 Aug 2014
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General & Family Physician 's  Response
Hello dear,

The causes of constipation can be:
1. Any pathology/ sub acute obstruction in the Gastrointestinal tract.
2. Irritable bowel syndrome- constipation predominant type.
3. Functional cause- due to decreased gastric motility.
4. Inadequate intake of fluids and fiber rich diet.
5. Hormonal & Metabolic causes, etc.

Though symptomatic relief can be obtained by intake of laxatives, the underlying cause needs to be treated.
So, it will be better to consult a Gastroenterologist for a proper clinical examination.
Investigations like complete blood count, stool examination, Ultrasound scan of abdomen, Colonoscopy & contrast studies will be helpful to rule out any pathological cause for your symptoms.

Till then, maintain adequate hydration & proper nutrition status.
Wishing a good health.
Take care.
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