If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation

In your case the first thing to check is whether the thyroid is well controlled, because an under-treated hypothyroidism is one of the commonest causes of stubborn constipation. Please get a TSH and free T4 done if it has not been checked in the last 6 months - if the TSH is high, your Eltroxin 75 mcg dose needs adjustment by your doctor and the constipation will improve on its own. Also make sure you take Eltroxin on an empty stomach with plain water, and keep a gap of 4 hours from calcium, iron and antacids, otherwise it is not absorbed properly. Cholesterol tablets (statins) do not usually cause constipation, so no need to stop them. For the constipation itself: take 25-30 g of fibre a day - salads, fruits with skin, whole wheat, oats, and soaked isabgol husk one to two teaspoons in a glass of water at bedtime - drink at least 2.5 to 3 litres of water, and walk for 30 minutes daily. Sit for the toilet at a fixed time every morning after a warm drink, do not rush and do not strain. If this is not enough, lactulose 15 ml at night or a polyethylene glycol sachet daily is safe for long term use; avoid regular use of strong purgatives and enemas. Please get seen soon if you have blood in stool, unexplained weight loss, alternating constipation and loose motions, persistent abdominal pain or a family history of colon cancer, as at 44 those need a proper examination and possibly a colonoscopy. Happy to review your thyroid reports on a Practo consult (fee ₹500) or at Synergy Multispeciality Hospital, Miraj.

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Long long history.  Hypothyroidism  is also a cause of constipation. Use of isabgol husk two teaspoon two times for long term. Cremafin pink 10 ml at night for five days

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

Recent Reports Are Needed To Advise You .

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Thyroid and cholesterol treatment should be monitored, so please book a consultation to review whether your current doses and medicines are still appropriate.

Check Tsh every 3 months and lipid profile every 3 months take fiber rich diet and drink more water

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

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