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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Constipation While Having IBS?

I have diagnosed with IBS. I have been constipated for a few days and was taking a laxative/stool softener and just in the middle of the night last night I have off again on again waves of moderate to serve pain in my lower abdomain. I used my IBS medication to stop what I thought was spasms. It has not helped. I used an enima and nothing. The pain again comes and goes, it feels like I have severe gas or severe menstrual cramps but I ve had a total hysterectomy.
Fri, 28 Apr 2017
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Diabetologist 's  Response
Hello ,i just read your query, from what you describe it seems you have Irritable bowel syndrome,
Irritable bowel syndrome commonly causes cramping, abdominal pain, bloating, gas, diarrhea and constipation. IBS is a chronic condition that you will need to manage long term.
Because it's not clear what causes irritable bowel syndrome, treatment focuses on the relief of symptoms so that you can live as normally as possible.
In most cases, you can successfully control mild signs and symptoms of irritable bowel syndrome by learning to manage stress and making changes in your diet and lifestyle. Try to avoid foods that trigger your symptoms. Also try to get enough exercise, drink plenty of fluids and get enough sleep.
Dietary changes:
1-Eliminating high-gas foods-especially cabbage, broccoli and cauliflower — and raw fruits.
2-Eliminating gluten-wheat, barley and rye.
3-Eliminating FODMAPS-Some people are sensitive to types of carbohydrates such as fructose, fructans, lactose and others, called FODMAPs (fermentable oligo-, di-, and monosaccharides and polyols). FODMAPs are found in certain grains, vegetables, fruits and dairy products.
4-increase fluids orally, 8-10 glasses of water.
5-try stress relieving therapies like yoga,meditaion or mind body relaxation.
6-Exercise daily ,a moderate intensity walk for 30 mins to destress will help relieve your symptoms of constipation as well.

I would advise taking tab. Mebeverine 200 mg twice daily for 1 month.

Hope my advice is of some help to you.Goodluck.
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What Causes Severe Constipation While Having IBS?

Hello ,i just read your query, from what you describe it seems you have Irritable bowel syndrome, Irritable bowel syndrome commonly causes cramping, abdominal pain, bloating, gas, diarrhea and constipation. IBS is a chronic condition that you will need to manage long term. Because it s not clear what causes irritable bowel syndrome, treatment focuses on the relief of symptoms so that you can live as normally as possible. In most cases, you can successfully control mild signs and symptoms of irritable bowel syndrome by learning to manage stress and making changes in your diet and lifestyle. Try to avoid foods that trigger your symptoms. Also try to get enough exercise, drink plenty of fluids and get enough sleep. Dietary changes: 1-Eliminating high-gas foods-especially cabbage, broccoli and cauliflower — and raw fruits. 2-Eliminating gluten-wheat, barley and rye. 3-Eliminating FODMAPS-Some people are sensitive to types of carbohydrates such as fructose, fructans, lactose and others, called FODMAPs (fermentable oligo-, di-, and monosaccharides and polyols). FODMAPs are found in certain grains, vegetables, fruits and dairy products. 4-increase fluids orally, 8-10 glasses of water. 5-try stress relieving therapies like yoga,meditaion or mind body relaxation. 6-Exercise daily ,a moderate intensity walk for 30 mins to destress will help relieve your symptoms of constipation as well. I would advise taking tab. Mebeverine 200 mg twice daily for 1 month. Hope my advice is of some help to you.Goodluck.