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Chronic constipation & lower back pain
23M. My constipation has improved and currently I am not constipated. I have regular bowel movements, especially in the morning after waking up, and the stool passes normally. However, after passing stool, I often feel like there is still something left to pass, or have a persistent urge to have another bowel movement even though nothing comes out. This happens regularly. I also still experience lower back pain, although it is much less compared to before. The pain is more noticeable when I feel the urge to pass stool but am unable to pass anything I do not have any gastric/digestive issues currently, and my digestion is otherwise good. I drink around 4 litres of water daily..
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Hello, Take Balanced diet which is mentioned below, 1/3 of food plate should contain bread ( or 4 roti ), pasta, potato and rice. 1/3 of food plate should contain fruits and vegetables. 1/9 of food plate should contain fish, meat, egg, beans and other non dairy sources of protein. 1/9  of food plate should contain milk and dairy foods. 1/9 of food plate should contain food and drink high in fat and/ or sugar.   plus a glass of milk daily.   For prescription contact me at GPay at +91959508739nine or consult by practo app. In future if consultations are required than contact me at GPay at +91959508739nine or consult by practo app. Thanks.
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Keep high Fibre diet and keep yourself fully hydrated at nighttime also.
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keep yourself mobile and walk few steps immediately after waking up and take warm water in morning even before brushing.
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Just maintain good fiber diet , adequate hydration and mainly do not force urself to pass stools
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Already answered Assessment of vitamin d3 Use of isabgol husk two teaspoon two times for long term
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Add high dietary fibres to you meal plan
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Drink water, eat high fibre diet
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consult
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The feeling of needing to pass stool even after passing normally can happen with incomplete bowel emptying or irritation around the rectum. Since it is recurring and associated with back pain, consult a physician if it persists for proper examination.
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Continue drinking more water. Take high fiber food, early evening meals. Take isapgol husk with hot water or milk,  before sleeping.
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Eat fibre rich food If no relief see a general surgeon and do proctoscopy to view the rectum
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It need further evaluation the cause of pain should be ruled out first
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Need proper evaluation please consult for assessment and treatment
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More history needed kindly contact me
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Consider fiber rich food in your diet
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Tab pantop it empty stomach Eat curd with one spoon isabghol daily Avoid spicy fried foods and refined flour Also take one glass milk before sleep
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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
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Syp lactihep 15 mL 2 times Increase fibrous food in diet
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Your symptoms suggest incomplete evacuation rather than ongoing constipation. Avoid straining or repeatedly forcing a second bowel movement. Increase fibre gradually with fruits, vegetables and oats, keep fluids adequate, and walk daily. If this persists or you develop bleeding, vomiting, weight loss or severe pain, I would examine you and guide treatment—book a Practo consultation with me.
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You should consult a gastroenterologist in your area for a clinical examination and appropriate management
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Gastroenterologist
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More history needed kindly contact me
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How is the stool consistency, is it mixed with mucus or blood.
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would suggest low fodmap diet, doing lft, crp
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do not delay treatment
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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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
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Hai Sir, Too much of spicy diet may cause such symptoms . So limit your spicy diet ( avoid too much chilli & green chilli) To add more fruits , vegetables & nuts .
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consult at practo
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As a Gastroenterologist i can tell this is case of Incomplete Evacuation with Functional Constipation. You will need Prokinetics for same and other Gut Brain axis medications. Kindly consult for proper Treatment plan
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Syp cremaffin 10ml during night
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Need a few more details please consult for further evaluation and treatment
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Based on the symptoms you’ve described, the sensation of incomplete bowel evacuation may be associated with constipation or irregular bowel habits. Constipation can often lead to increased straining and pressure during bowel movements, which may contribute to discomfort or low backache. A personalized consultation focusing on your diet, hydration, daily routine, bowel habits, and lifestyle can help identify the underlying factors and support healthier, more regular bowel movements. Maintaining good digestive health and a balanced metabolism is an important part of overall well-being and may also help reduce associated discomfort. I would recommend a consultation to understand your individual concerns and create a personalized Ayurvedic diet and lifestyle plan suited to your needs
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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk
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Kindly visit gastroenterologist
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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This pattern of feeling incomplete even after your constipation has improved often points to a pelvic floor or rectal evacuation issue. It's a different problem from ongoing constipation itself.
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A gastroenterologist can evaluate this, and pelvic floor physiotherapy is worth asking about if it continues.
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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.