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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Constipation

I have been struggling with severe constipation with brown mucous rectal discharge and severe sore back and sore lower left pelvis for the past 8 months. Doctor prescribed ratio-lactuolse to replace my 5-yr use of Metamucil, I underwent a colonoscopy which showed normal to the ileum, have a history of endometriosis prior to a partial hysterectomy, suffer from internal hemorrhoids that when inflamed, block bowel movements altogether, and was treated for H-Pylori 6 yrs ago. When I am able to have a bowel movement, the area across my abdomen often feels 'bruised' if it has been 5-6 days between movements.
My stool is most often dark brown but after taking doctor prescribed Ultra-Flora Plus for the past month or so, the stool sometimes appears light brown and fuzzy appearance. Regardless of the colour, the stool has typically been tapered or flat rather than round looking, I assume because of pressure from the internal hemorrhoids.
My doctor was supposed to order an upper GI scope but I have never heard anything further on this. She has never re-run the h-pylori test.
There is extensive family history (3 generations) of ulcerative colitis, colitis, diverticulitis, stomach cancer and polyps.
Mon, 26 Oct 2015
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  User's Response
HI
Well come to HCM
I really appreciate your concern, in most of the cases constipation does not have disease but if this is proved some pathology so it need to be managed accordingly, here in your case it seems it might be part of some intestinal infections are there and if you have not treated that so it need to be taken for treatment, second it can be treated on precaution base or on tentative basis, and best medicine would be "Tab Metronidazole 400 mg" twice in day, for 5 days, along with this drink more water, have more fiber diet, keep regular habit of defecation even in absence of feeling, stop worrying about this, hope this information helps, take care and have a nice day.
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Suggest Treatment For Severe Constipation

HI Well come to HCM I really appreciate your concern, in most of the cases constipation does not have disease but if this is proved some pathology so it need to be managed accordingly, here in your case it seems it might be part of some intestinal infections are there and if you have not treated that so it need to be taken for treatment, second it can be treated on precaution base or on tentative basis, and best medicine would be Tab Metronidazole 400 mg twice in day, for 5 days, along with this drink more water, have more fiber diet, keep regular habit of defecation even in absence of feeling, stop worrying about this, hope this information helps, take care and have a nice day.