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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Strain During Defection While On BP Medication?

I am a 51 year old female. diabetic and BP patient since 2005 but both under control. Taking Gemer 1 mg, Repace 25 and Prolomet Am 25 1 tablet each in the morning. I go for a 40 minute walk. My BP and sugar are well controlled. In addition I take mactor F 10 g and Vertin 8 mg for cholestrol and Positional vertigo. I am by nature a constipation patient passing hard stools with little effort. From the past 10 days I am having straining to much when I pass stools. Please advise
Mon, 21 Sep 2015
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General & Family Physician,  's  Response
Your condition is caused by Diabetes leading to decreased intestinal movement after long standing. it is quite common at this age. nothing to worry.

I suggest to my patients that they should take lot of fiber in their diet so as to increase the bulk of stool. the large quantity of sofy stool itself act as a stimulus for intestinal movement.

further to increase peristalsis, I suggest to my patients to take 250ml of warm water immediately after waking up. tea of coffee also good but habit forming.

finally I suggest you to take puddings made with agar agar commonly called china grass frequently of course without sugar.
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What Causes Strain During Defection While On BP Medication?

Your condition is caused by Diabetes leading to decreased intestinal movement after long standing. it is quite common at this age. nothing to worry. I suggest to my patients that they should take lot of fiber in their diet so as to increase the bulk of stool. the large quantity of sofy stool itself act as a stimulus for intestinal movement. further to increase peristalsis, I suggest to my patients to take 250ml of warm water immediately after waking up. tea of coffee also good but habit forming. finally I suggest you to take puddings made with agar agar commonly called china grass frequently of course without sugar.