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Chronic constipation
I had constipation from 10 years pass motion daily but hard stools. Recently 2 months back piles and fissure laser surgery also happened.
When taking cremaffin syrup only passing softly stools or else with any other like freego powder pass stools with pressure only.
Tried lintide 72 tablet also, with that watery diarreha happening.
Taking fiber food like kiwi, prunes, guava, coconut etc food and 2.5 liter water but still hard stools only.
My weight 48 kgs. What can be the solution for me.
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Ten years of hard stools needs a proper evaluation. Ten years of hard stools with recent piles and fissure laser surgery suggests this is long-standing functional constipation, and after fissure surgery it is very important to keep stools soft so the healing area is not injured again. Fibre and 2.5 litres water are good, but fibre alone often fails in such cases. An osmotic laxative like polyethylene glycol (Lactulose or PEG sachet) taken daily at a proper dose is safer and more effective than stimulant powders, and it does not cause dependence - the dose is adjusted till you pass one soft stool a day without straining. Please avoid frequent stimulant laxatives and do not repeat Linaclotide on your own since it gave you watery diarrhoea. Also keep a fixed morning toilet time, do not suppress the urge, sit with a footstool, and add regular walking. Since you are only 48 kg with 10 years of symptoms, I would like to rule out hypothyroidism, anaemia, low calcium and coeliac disease with simple blood tests. Do get checked in person iTfe ny oyue anrs ooft ihcaer db lsotoodo,l sw ewigthht pliolsess, aonrd cfoimspsluertee soubstrugecrtiy otnw.o m oYNotuh sa raeg ow etleclolmse mteo tbhoios ki sa chornosnuilct fwiuntch met ioonn aPLr aconsttiop astoi oIN cthaant sneete dtsh ea esxtaecatd yd odsaiinlgy arnedg irevimeewn ,y onuort ron-aenpdo-rotfsf. laxatives. The most useful medicine in your situation is an osmotic agent like polyethylene glycol (PEG 3350) taken daily in a dose titrated to give one soft stool a day - it is safe for long-term use, unlike stimulant powders which cause cramps and dependence; ispaghula husk at night with a full glass of water also helps if you can tolerate the bulk. Equally important: keep your water at 2.5-3 litres, do not suppress the urge, sit for a fixed 10 minutes after breakfast, use a footstool to raise the knees, and walk at least 30 minutes daily. Since you are only 48-50 kg with 10 years of symptoms, please get a TSH, calcium, CBC and a stool test done, and if the surgery site is still painful get a review with your surgeon, as an unhealed fissure itself makes you hold back stools. Come in person urgently if you have bleeding, weight loss, vomiting, no stools with abdominal distension, or a mass. Please do not keep switching laxatives on your own - book a consult with me on Practo and we will set up a proper bowel regimen and monitor it.
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Check your Tsh for hypothyroidism
Eat properly and hydrate
Fibre rich diet
Are you taking any medication for any other problems
Stress can cause constipation
Exercise well yoga
Avoid red meat
Family history of constipation and slow intestinal transit
If chronic and not improving see a gastroenterologist
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CHANGE LIFE STYLE N DIET PLAN DRASTICALLY.
USE OF ISABGOL HUSK TWO TEASPOON TWO TIMES FOR LONG TERM IS USEFUL
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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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Try Milk Of Magnesia (Dey's ) 10-15 ml In Milk Or Juice At Bedtime .
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A proper assessment can identify the cause and choose an effective long term treatment rather than repeatedly causing watery stools.
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Do Colonoscopy To Rule Out Any Pathology In Large Bowel.If Already Done And It's Normal , May Be You Are Suffering From Irritable Bowel Syndrome.
Next Steps
Consult Any Physician Or Gastroenterologist
Health Tips
You Can Take Probiotic And Lactulose ,It Will Help Relieve Your Symptom.Once IBS is Confirmed Then Management Will Be Accordingly.Stay Hydrated.
Thank You
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
Kindly visit general surgeon
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