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Need Help for Weight Loss and Constipati
I am a 34-year-old female suffering from chronic constipation with incomplete bowel emptying, bloating, and gas for the past 8 years since pregnancy. I have bowel movements daily, but I never feel completely emptied. Over the last year, my weight increased from 58 kg to 63 kg despite trying diet changes, home remedies, and Siddha treatment. I also spent a significant amount on treatments and abdominal and pelvic scans, which were normal.
My recent blood tests showed HbA1c 5.8%, TSH 5.7 with normal T3 and T4, and low iron levels. Liver, kidney, cholesterol, and blood counts are normal. I cannot tolerate high-protein diets as they worsen my bloating and gas.
Could my long-standing constipation be contributing to my difficulty losing weight? I would like to lose around 8 kg and would appreciate guidance on managing chronic constipation and achieving healthy weight loss.
Answers (15)
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Your labs give important clues â a TSH of 5.7 is borderline high (subclinical hypothyroidism), which directly causes constipation, slows metabolism, and leads to weight gain even with normal T3/T4. Your HbA1c of 5.8% is in the prediabetes range, which also promotes fat storage and makes weight loss harder. Low iron adds fatigue to the picture. Chronic constipation from slow gut motility (made worse by hypothyroid tendency) is definitely contributing to bloating, discomfort, and difficulty losing weight. The good news is these are all addressable causes.
Next Steps
Discuss the TSH of 5.7 with your doctor â even borderline hypothyroidism is often treated in symptomatic patients and can significantly improve constipation and weight. Address iron deficiency and prediabetes lifestyle changes (low glycemic diet, walking). Please consult me directly on Practo for a detailed evaluation.
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You need to have a good control of your thyroid levels
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Since you have low iron level, so
Cap Iron preparation
Fiber diet and plenty of fluid
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Constipation can be managed by dietary correction tion.if not next steps can be done.
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Hypothyroidism
Is one of the cause.
FIRST OF ALL
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST.
USE OF ISABGOL HUSK TWO TEASPOON DAILY SLOWLY CLEAN YOUR GUT.TILL THAN U CAN USE
DUPHALAC SYR15 ML AT NIGHT AFTER DINNER
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Need some more history from your side to give you better treatment plan and advice on your case
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Your bowel symptoms could be a part of IBS
Low iron levels is very common in indian population
Depending upon how low it is supplements may be needed
Before planning for weight loss , we need to know if weight loss is really required, whether it is appropriate for your height and weight and what is your waist -hip ratio which is more reliable than BMI
Crash diets leads to burn out easily,so don't try it
Next Steps
management of IBS requires personalised approach
you can contact me on practo/ 87five4564964
if you want personalised treatment
regards
wishing you a healthy life
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Fibre rich diet and isabgol may help a lot .
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Chronic constipation and weight issues are common and will improve.
Borderline TSH and low iron contribute gut motility.
A consultation would allow a safe, personalized plan. Feel free to book one.
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I need more detailed history
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If all the previous scans are normal. You may consult a nutritionist so that you can get customised plan and it does work in cases of indigestion.
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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
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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
Do connect and consult
Will help you
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Fibre rich food helps
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