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Fissure issue
For years i had fever and due to it i am unable to sit and pass stools there fore i have to bend down and use finger help to remove stools and now i am getting pain in the hand and shoulder and chest because of this excess use how can i resolve it
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If you have to remove stool with your hand it means the constipation is very severe. You can take syrup lactulose15ml once a day with plenty of water.
Eat a fibre rich diet - include cucumber, fruits,vegetables.
Drink atleast 2-3 litres of water daily.
Walk for atleast 20 mins daily.
Next Steps
If there is no relief, you may need to use an enema or glycerin suppository
Health Tips
If the constipation is accompanied by pain or bleeding or any part coming out of anus you should see a surgeon. It could be piles or fissure intestinal or metabolic causes .Thorough checkup is needed.
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Use of excessive finger you have to lean a lot. So pain is natural.
Why Don't you try to correct constipation?
Duphalac syr10 ml at night.
Use of isabgol husk two teaspoon two times a day for 3 weeks non additive. It grease your intestinal mucosa so stool pass easily.
Use of plenty of water n liquid, salad fibers r very useful.
One thing u wrote for years you had fever?????
Which kind of fever it was?
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Take a glass of milk daily.
Thanks.
Dr☆MPB ,
Dr Praful Mahamuni,
Family Doctor,
MBBS .
Jai hind. 🇮🇳
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Need to find out the cause of fever , constipation is very obvious due to insensible loss of water , need to increase water preferred luke water and walking at least for 20-30 min , still it’s won’t resolve them you can use lactulose sachet
Next Steps
Cause of need to investigate
Health Tips
Possible to rule TB , or some other cause treat your fever constipation automatically get corrected .
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Avoid spicy and hard food, if you are a non vegetarian stop eating meat for a few months, include lot of vegetables in your diet, swap chapati to roti, eat lot of bananas, cucumber, carrot and fibre rich food.
Fissure will reslove with surgery. Please consult a surgeon and get it surgically operated.
Next Steps
Follow diet tips and visit a surgeon.
Health Tips
Carefull with dietery habits and see a surgeon at the earliest
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Constipation
Get thyroid profile done
Fibre rich diet
Drink plenty of water
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Correct your constipation. Avoid fatty, spicy, food, take small frequent meals , take more of fresh green vegetables and fruits. Drink warm water, before sleeping.
Take syp cremaffin p 10m.l ,after dinner.
For pain do some hot compression, take tab flexon m.r, one every 8hours after meals for 4 to 6 days.
Please share details of your chest pain.
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