ADVERTISEMENT
ADVERTISEMENT

Q. How can I manage chronic idiopathic constipation?

Answered by
Dr. Noushif. M
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 26, 2018

Hello doctor,

I am a 69-year-old male with 74 kg weight (constant for 45 years), 174 cm height, BMI 24 and nondiabetic. My blood pressure is under control, i.e., 130/70 mmHg with Temsan 40 mg one tablet a day and Metolar 25 two tablets a day. CBC, urea, creatinine, urine reports are all normal. Chest X-ray is normal along with ECG. I am suffering from chronic idiopathic constipation from the past 12 years. I have managed my constipation with fiber supplements, ayurvedic medicines, regular walk (8 km every day), good diet with fruits, etc., in the past. However, two years back, I had sinusitis and was given a heavy dose of antibiotics Cefuroxime Axetil 500 mg two tablets a day for 10 days. This heavy dose completely disturbed my motion, and I have not been able to pass stool normally for last 15 months even with fiber supplements and ayurvedic medicines. To overcome this, I have taken following medicines prescribed by the doctor:

  1. Lactifiber two to three spoons at night in warm water.
  2. Pegred 2 spoons at night.
  3. PEG fiber powder three tablespoons at night.
  4. Ganaton Total.
  5. Pruvict 2 mg (Prucalopride).

Above medicines were not at all helpful. Then, I was prescribed with the following:

  1. Tablet Cremalax one tablet at night.
  2. Pruvict 2 mg at lunch.
  3. Syrup Lactihep 3 tablespoons before bed.
  4. Movical sachet at night with glass of water.

The above combination worked like a miracle. I thought that my constipation problem is solved once for all. However, the effect lasted only for 4 to 5 days, and my system is back to abnormal. Currently, I am managing my constipation with tap water enema which I inject through the anus and wait for 5 to 10 minutes for the pressure to get generated and relieved. This allows emptying my bowl very well with great relief and a good appetite. I was in abroad for four months and has gained weight of around 3 kg. I walk every day around 6 to 8 km and do yoga to strengthen belly muscles. My fasting sugar was 65 mg/dl two weeks back. There is no fatigue. I have a good sleep during day and night, and currently, I take Shelcal 500 one tablet a day. Please let me know what course of action comes to your mind.

ADVERTISEMENT
#

Hi,

Welcome to icliniq.com.

Bowel frequency can vary from 3 per day to 3 per week. It can have individual variation. Its always better to reduce the amount as well as the frequency of laxatives. Dietary changes, liquid intake, etc., should constantly be maintained for sustained response.

You need to do a few tests if not done before as follows:

  1. Thyroid function test (serum T3, T4, TSH).
  2. Complete colonoscopy.

Regarding diet, avoid all constipating foods. Keep yourself well hydrated with around 2 to 3 liters of water daily.

For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
I am suffering from piles.Suggest me some homeopathy medicines.

Hello doc, Hope you are good. the collateral vein that was opened up to replace thrombossed vein is still the same. It grows double after masturbation With a burning sensation for around 12 hrs. I am very worried do this uncommon disease wcausewill ...   Read full

Is there any medication or laxatives to cure constipation?

Hello doc, Hope you are good. the collateral vein that was opened up to replace thrombossed vein is still the same. It grows double after masturbation With a burning sensation for around 12 hrs. I am very worried do this uncommon disease wcausewill ...   Read full

Should my hemophiliac son receive coagulant for colonoscopy?

Hello doc, Hope you are good. the collateral vein that was opened up to replace thrombossed vein is still the same. It grows double after masturbation With a burning sensation for around 12 hrs. I am very worried do this uncommon disease wcausewill ...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.