Consult a surgeon.

Chronic constipation in a long-standing diabetic can occur due to reduced gut motility (diabetic autonomic neuropathy), hormonal factors, or medications, even if exercise and fruit intake are adequate. Age-related bowel changes can also contribute

Please consult

Consult me with further details

Need more details . Increase fibre in diet. Can use husk powder

In long-standing diabetes, constipation can happen even if exercise and fruits are taken regularly. Diabetes can slowly affect bowel movement, making the intestine work slower. Age, low water intake, and diet timing also play a role. How you can help her (without medicines): • Water is key: ensure 2.5–3 liters spread through the day (unless fluid-restricted) • Vegetables matter more than fruits for constipation: • Lauki, tori, pumpkin, spinach, carrot, beetroot (daily) • Soaked foods (morning): • 2 soaked figs or 5–6 soaked raisins • Fiber with timing: • Fruits are better in daytime, not late night • Healthy fats: • 1–2 tsp ghee in meals helps bowel movement • Routine: • Encourage toilet at the same time daily, without force • Stress & sleep also affect bowels—ensure proper rest If constipation is worsening despite all this, it may need specific evaluation related to diabetes-related gut slowing and personalized management. For further guidance and treatment planning, please contact me directly on Practo. Dr. RS Pankaj

Need more details Any h/o increase in weight, cold intolerance Has she been tested for her thyroid levels ?

Chronic long term constipation can be very difficult to treat. Please try the following, 1. Isabgol powder 2. Dulcoflex tablet 3. Movicol packet (these are very costly and try this only if option 1+2 haven’t worked). 4. Only if you haven’t already done blood tests- CBP, TSH, Calcium **Avoid the new medications called 5-HT mediators. We are learning various serious issues with these** All the best. J G S R clinic

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

Diabetic are more prone to constipation. Few lifestyle modifications and few dietary modifications needed for further evaluation and management kindly consult me on practo

Chronic constipation can be common in diabetics due to gut motility changes, diet pattern, or medications. Rx: Adequate water intake High-fibre diet (vegetables, salads) Isabgol husk at bedtime Regular toilet timing If constipation continues despite these measures, further evaluation is required. You may consult me via Practo for guidance and treatment.

  Softovac powder two tsf two times with water for 15 days. It's a herbal product.

What's her latest sugars and hba1c value... It will guide in further management For symptomatic benifit u can give laxatives like cremaffin plus or duphalac Do Consult on practo....

As you said she is diabetic. So there may be possibility of diabetic gasroparesis which can cause constipation What about her blood sugar level and HbA1c...? Control of blood sugar is must. Can give her laxative like cremaffin plus for constipation For details you can consult on nine four two five eight six two one five five.

SYP.duphalac 2spoonful at night with plenty of water

Its treatable,  you need to do some testing like recent  HbA1c value .please consult me on practo for further management and evaluation.

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

Movicol sachet once daily Pruease 2mg HS

Got it … go for consultation

Syp cremaffin 10 mL during night Fibre rich diet Drink plenty of water

Have Syrup Duphalac HS 10ml in day

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

Need some more details kindly consult

1) Pleanty of oral fluid 2) High fibre diet 3) Avoid fatty foods 4) For medications consult

Share hba1c value