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Chronic and severe constipation issue
I'm having chronic and severe constipation issue I have changed my diet, drinking 13 to 14 glasses of water regularly every day, eating fibre, getting enough sleep But still no proper bowel movements Stools are dry naturally and does not come out smoothly I am tired now I don't know what is happening inside my gut I am also having probiotics and fibre with my diet What to do now it is since long time in my life Even not once in 3 days I have smooth bowel movement it is irregular Most of the time constipation and sometime loose motions, and stool sometimes come out in irrespective of time in office hour, or evening or night etc but not in the morning
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Hello, I am Dr. Romain Rajan, General Physician. I understand your concern — chronic constipation despite good diet, hydration, fiber intake, and probiotics can be frustrating and affects quality of life. Irregular bowel habits with occasional loose stools may indicate functional bowel disorder, slow transit constipation, or other gut motility issues ✅ Advices • Continue high-fiber diet and adequate hydration, but avoid excessive fiber at once; gradually increase if needed • Try gentle physical activity like walking or yoga daily to stimulate bowel movement • Maintain a regular toilet routine; allow time in the morning after meals as this helps retrain bowel habits • Avoid excessive reliance on over-the-counter laxatives without guidance What to Monitor • Watch for abdominal pain, bloating, blood in stool, or sudden change in stool pattern • Note frequency, consistency, and timing of bowel movements Management You may need further evaluation including blood tests (thyroid, electrolytes), stool studies, and possibly imaging or colonoscopy if not done recently. A gastroenterologist can tailor medications such as osmotic or stimulant laxatives safely and guide long-term management. Probiotics and fiber are helpful, but sometimes additional treatment is necessary When to Consult a Doctor Immediately • Blood in stool, black tarry stools, or mucus in stool • Severe abdominal pain or persistent vomiting • Unexplained weight loss or anemia Every patient’s situation is unique. For accurate diagnosis and lasting relief, it is important to discuss your medical history, diet, and bowel patterns in detail You can reach out to me directly for this case, and also connect with me in future for any medical consultation I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation where you will receive A personalized bowel management plan Safe medicine and dietary adjustments if required Quick follow-ups to track progress Take care, wishing you good health Best regards Dr. Romain Rajan General Physician
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You can consult me directly on Practo, or reach out via WhatsApp : six three six nine four six zero five seven seven I'll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications - feel free to connect Only whatsapp message no calls
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You are already following many good habits like hydration, fiber intake, and probiotics, yet your symptoms are persisting. Chronic constipation with alternating loose stools and irregular timings can sometimes indicate irritable bowel syndrome, gut motility issues, or less commonly, an underlying structural or metabolic problem.
Next Steps
Since this has been troubling you for a long time, it is important to go beyond diet changes and get evaluated with basic tests like blood work and possibly a colonoscopy or imaging if needed. In the meantime, certain safe medications and stool softeners can be tailored to your condition, but these should be started only after reviewing your case directly. I would recommend you connect with me on Practo so we can go through your history in detail and plan a treatment that gives you lasting relief.
Health Tips
Do not continue to struggle silently or depend only on over-the-counter remedies. Keep a symptom diary of your bowel patterns, diet, and stress levels as it helps in identifying triggers. If you ever notice blood in stool, unexplained weight loss, or severe abdominal pain, seek immediate care.
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Need to know any other symptoms…can guide you properly if it can be cured or need to refer somewhere …reach out for further assistance.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Need more history and evaluation. Kindly consult.
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May be ibs consult superspecialist gastroenterologist. Use of softovac two teaspoon two times for 15 to 20 days isabgol with  sanuf flavor. Non habit forming.
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It could be due to causes like IBS , motility issues and many other causes this needs a detailed history. Feel free to consult with me regarding your issue so that I can help you further with tests and medication.
Next Steps
Consultation
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You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls
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Drink hot water in night before sleeping and first thing in morning. Take evening meals early. Take syp Dupahalac  10m.l. in morning and after dinner in night for 2 weeks. Do some regular yoga, I.e. exercise for bowel movements. Continue high fiber diet. Get blood sugar done to exclude diabetes.
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Connect
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Hlo sir If you want to discuss your problem in more detail, feel free to message me on Whats App at nine one one nine two five five six nine nine for a free detailed consultation
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Hello, For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp. My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine. Take a glass of milk daily. Thanks. Dr☆MPB  , Dr Praful Mahamuni, Family Doctor, MBBS . Jai hind. 🇮🇳
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Constipation and loose motion simultaneously may be due to under and overdose of medication.. Need some more details history and information regarding life style, food habits, medication etc ..
Next Steps
consult on practo for further management.
Health Tips
take medication under doctor supervision and life style modification is mandatory
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You can consult me on practo or on nine four six two one six six one five seven.
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Please consult
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-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as - -Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life . ....
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Need few more details Kindly consult
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Hi, Since you have chronic severe constipation with irregular bowel habits despite good diet, hydration, and probiotics, this needs proper evaluation. It could be due to gut motility issues, IBS, thyroid, or other underlying causes. Please book a consultation so I can assess your history, advise the right tests, and suggest effective treatment to give you long-term relief.
Next Steps
Consulation
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.