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Constipation , stomach pain
I have been constipated for 3 days , motion is not free, stomach pain near belly button upper side , gripping pain, that pain is not spearding any other side .i take duphlac syrup 10 ml once a day ,and I'm using pregain tablets for disc bulge in c- spine pain , How much duphlac syrup can I take in one day ?? Please any one answer me.
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I am Dr Shamoon. Thank you for the details. At 29 years, 3 days of hard, incomplete motions with a gripping pain just above the belly button that does not spread anywhere fits functional constipation with colonic gas and spasm rather than anything dangerous - the pain staying localised and non-radiating is reassuring. One important point specific to you: the pregabalin you take for your cervical (C-spine) disc bulge itself slows bowel motility and is a very common hidden reason constipation turns stubborn. Duphalac (lactulose) 10 ml once a day is a low dose; lactulose works by drawing water into the stool, so with low fluid intake it can actually increase bloating and gripping pain, which may be exactly what you feel now. With no other medicines or diagnosed illness and only a dust allergy, the focus should be on optimising the lactulose dose, water and fibre, and confirming the cause if it does not settle in a few days.
Next Steps
1) Duphalac can safely be increased from 10 ml to 15-20 ml at bedtime for a few days, and up to 30 ml a day if needed; take it with a full glass of warm water. Reduce back once motions are soft and daily. 2) Drink 2.5-3 litres of water daily - lactulose will not work without this. 3) Add fibre: soaked raisins or 2 soaked figs/prunes at night, papaya, guava, oats, whole wheat, cooked leafy vegetables; add 1-2 tsp isabgol (psyllium) in a glass of water at night. 4) A 20-30 minute walk daily and a fixed unhurried toilet time after breakfast - do not suppress the urge or strain. 5) For the gripping pain, warm compress over the abdomen helps; you may take a plain antispasmodic tablet if the pain is troublesome. 6) Discuss your pregabalin with the doctor treating your neck - it commonly slows the bowel and the dose or timing may need review; do not stop it on your own. 7) If not improved in 3-5 days, or the pain increases, get a clinical examination with abdominal ultrasound and basic blood tests including thyroid (TSH) and haemoglobin. You are welcome to consult me here on Practo for a detailed review, or in person at Synergy Multispeciality Hospital, Miraj.
Health Tips
Word of caution: seek urgent medical review if the pain becomes severe or constant, the abdomen becomes distended and hard, you vomit or cannot pass stool or gas at all, develop fever, bleeding from the back passage, black stools or unexplained weight loss. Do not use stimulant laxatives or enemas repeatedly on your own, and avoid straining as it can cause piles or a fissure.
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You can increase it upto 30 ml .. plenty of fluids and high fibre diet
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Kindly consult for appropriate treatment
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10 to 15 ml in night
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Add fibre rich foods in your diet like leafy vegetables Avoid spicy foods Plenty of water 15 mL/day
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10 to 15 ml at night.
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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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15 ml at bedtime
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You can Take Duphalac 15 to 20 ml Depending Upon Your Situation . Generally Take It Night With A Full Glass Of Water.Duphalac Generally Needs 24 hours to Show Its Effect.And Do Some Physical Activity It Will Help Relieve Your Symptoms Faster
Next Steps
If Duphalac Is Not Working ,You Can Take Cremaffin Plus,15 Ml Also For 5-7 Days.Do Not Make Habit Of Taking It.Cremaffin Plus Works Faster And Better.
Health Tips
If Your Symptoms Is Chronic And Do Not Improve On Taking Medicine,Kindly Consult A Gastroenterologist.You May Need Some Test Also. Thank You
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Requires a proper assessment to understand the underlying cause and guide you. Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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10 to 15 ml .
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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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Only 15 ml max at night after dinner Drink hot water Eat fruits and vegetables
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Use Duphalac syrup 20Ml and can further increase to 30 ML per day. If stomach pain is persistent please consult for further evaluation
Next Steps
consult for investigation.
Health Tips
Don't take Duphalac chronically the cause of constipation needs to be found.
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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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Need a few more details please consult for further evaluation and treatment
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Need few more details for further evaluation. Please consult
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Take 15-20 ml at night with luke warm water.
Next Steps
Need proper assessment by general physician along with usg w/a
Health Tips
Eat fibre rich food.
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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Do connect and consult Will help you
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Can help you , kindly consult and provide detailed history for proper diagnosis and further management
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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.