Your TFT is controlled..for constipation try to take more papaya and have more probiotic like curd..during your episode of constipation try to sit in a warm water with turmeric..if you want precise advice you can contact me

Your thyroid values are well controlled, but needs to focus on your gut health.

Continue high fibre diet, drinking more water. Take syp lactulose 10m.l. morning and 10 m.l. After dinner. Take some pappaya regularly in evening. Drink a glass of hot water or milk after dinner.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion

Yes 👍 lactulose 15 ml at night can be taken safely for constipation and can be continued as needed. Since you have hypothyroidism, also ensure your thyroid levels are well controlled as it can worsen constipation. Along with this, continue high fibre, water, and add regular bowel habits. For fissure, stool softening is very important. If still not improving, better to review reports and adjust treatment ,can book a consultation.

When you have sentinel tag , it's chronic fissure. You need to consult a surgeon at your locality for digital rectal examination and proctoscopy

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

O yes no problem. Or add softovac powder two tsf two times for 20 days  than once at night  natural herbal isabgol flavored with  sanuf  , non habit forming. Gut health remain good.  Least episode of piles

You have hypothyroidism, but your attached report shows TSH 1.29 with normal T3/T4, which means your thyroid levels are well controlled on your current dose (62.5 mcg thyroxine). So your constipation now is not due to uncontrolled thyroid, but more likely chronic functional constipation, which has unfortunately led to anal fissure and sentinel tag. Yes , you can safely take lactulose 15 ml daily. It is a gentle, non-habit forming stool softener and is commonly used long-term in such cases. You can even adjust the dose (10–20 ml) based on response to achieve soft, daily stools.

Do consult

Yes, lactulose syp.15ml after dinner for constipation.

Chronic constipation is a very common complication of Hypothyroidism, as low thyroid hormones slow down the metabolic rate and gut motility (peristalsis). In your case, despite a high-fiber diet and adequate hydration, the slow gut transit has led to the formation of hard stools, resulting in an Anal Fissure (a small tear in the lining) and a Sentinel Tag (skin growth due to chronic irritation). Managing the constipation is the priority to allow the fissure to heal and prevent further complications."

Your TSH profile is fine. That is Good.

You can but you should consult a doctor… you may have other cause for constipation like IBS and hypothyroidism may not be only cause

Hello, Chronic constipation is quite common in patients with Hypothyroidism, even when thyroid levels are reasonably controlled. It can also lead to complications like Anal fissure and sentinel tags, as in your case. Regarding your question Yes, Lactulose 15 ml once daily can be safely used for chronic constipation. It is an osmotic laxative and is safe for long-term use in most patients. Since you are already taking fiber and fluids, focus on: • Regular bowel habit training (fixed time daily, preferably after breakfast) • Avoid straining during defecation • Warm fluids in the morning (e.g., warm water) • Consider adding natural stool softeners like soaked raisins or isabgol (psyllium husk) For fissure care • Sitz bath (warm water) 2–3 times daily • Local anesthetic/relaxant ointments if pain persists • Prevent hard stools (very important for healing) Thyroid aspect Ensure your thyroid function tests are within target range while on Thyroxine, as inadequate control can worsen constipation.

Need a few more details please consult for further evaluation and treatment

Your thyroid profile is normal, tsh is under normal range, So you can reduce the dose from 62.5 mcg to 50 mcg and repeat thyroid profile after every 2 months

Yes. Avoid oily, spicy and fatty food Regular physical activity.

Yes