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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Solution For Severe Constipation Apart From Taking Stool Softeners, Prunes, High Fiber Diet, Water?

I am having a terrible time with constipation I eat a very high fiber diet - and drink plenty of water I went to have a transvaginal ultra sound this morning and they couldn t do it -couldn t see my ovaries b/c there was so much feces in my intestines I take metamucil every morning with 2 - 3 cooked prunes - have fresh fruit ( strawberries, blueberries & yogurt. I do eat greek yogurt 2-3 times a day I started taking Align last week Last week I went to my doctor - the Phy. assistant tole me to take lMagnesium Sulfate to clean me out - and then take 1 Senokot with stool softener morning & night. This isn t working at all Last night I ate a bowl & half of popcorn to help - but it didn t I am getting an appointment with the Gastroenterologist that does my colonoscopies - but he can t see me for over a week. Can you suggest what I can do to become regulated. I used to go to the bathroom twice a day - but know I go days with a BM. Hope you have some suggestions until I can get to the gastroenterologist
Fri, 22 Mar 2019
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General & Family Physician 's  Response
Hello,

You have a history of constipation. It is good to know that you are taking high fiber diet along with plenty of water. It looks like stool softeners are not working.
1. You are suggested to avoid non-vegetarian food, non-vegetarian food triggers constipation.
2. Take a lot of papaya's (raw & ripe), they effectively help to move bowels.
3. Take food recipes that are rich in chilli pepper, green chillies & black pepper. Your bowel should move.
4. Take fruits, berries & veggies.

If you have problems still, you can take the help of suppositories, stimulant laxatives & enema. Improve your habits & exercise regularly.

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

Regards,
Dr. Nupur K, General & Family Physician
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General Surgeon Dr. T Chandrakant's  Response
Hi,

Constipation in spite of proper diet adjustments, stool softeners can have a reason which needs to be seen and treated.
I would advise you the following in such a situation:
Since you have had colonoscopies in past you know the preparation that is given for bowel cleansing before colonsocopy.
You may please take this as per the instruction on the packet provided so that you may get all the fecoliths cleaned out.
Get an X-ray of abdomen to see for the fecoliths.
Continue the stool softeners.
Go back to your normal diet as you were taking before.
Ask for Contrast studies for small and large intestine to see whether there is any obstruction in the small or large bowel.
Avoid very high fibbers as these can cause constipation is taken in more quantity if they do not hold fluids.
CT scan of abdomen.
Tests of stool and blood.
If all the investigations are normal then this can be IBS-C that is irritable bowel syndrome of constipation type and is then related to the stress and anxiety. Control of such factors with or without medications can be the mainstay in this treatment.

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

Regards,
Dr. T Chandrakant,
General Surgeon
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What Is The Solution For Severe Constipation Apart From Taking Stool Softeners, Prunes, High Fiber Diet, Water?

Hello, You have a history of constipation. It is good to know that you are taking high fiber diet along with plenty of water. It looks like stool softeners are not working. 1. You are suggested to avoid non-vegetarian food, non-vegetarian food triggers constipation. 2. Take a lot of papaya s (raw & ripe), they effectively help to move bowels. 3. Take food recipes that are rich in chilli pepper, green chillies & black pepper. Your bowel should move. 4. Take fruits, berries & veggies. If you have problems still, you can take the help of suppositories, stimulant laxatives & enema. Improve your habits & exercise regularly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician