My mother who is 55 years old has constipation issues though she always does exercise on daily basis and have fruits. She is diabetic from the age of 35. Kindly help how do I help her. Inspite of all her efforts this problem is getting worsened.
Answers (25)
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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
Next Steps
Review her diet in detail (fiber and water intake), medications, and blood sugar control. She should consult a doctor for evaluation and may need fiber supplements, osmotic laxatives, or tests such as thyroid profile if symptoms are worsening.
Health Tips
Ensure adequate water intake (not just fruits), fixed toilet timing after meals, and avoid frequent use of stimulant laxatives. Seek medical advice if there is weight loss, blood in stools, severe pain, or recent change in bowel habits.
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
Next Steps
For further guidance and treatment planning, please contact me directly on Practo.
Dr. RS Pankaj
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.
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.
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
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
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.
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