How do I manage constipation and abdominal pain at 65?

Question

Hello doctor,

As a 65-year-old male, I have been dealing with recurring constipation (about once a week). My doctor previously prescribed Cremaffin syrup for one week, which provided relief, but the issue would return within a fortnight.

Recently, I experienced shifting abdominal pain on the left side, which prompted another consultation. My doctor has now prescribed Normaxin MB (twice daily for 30 days) and Pegred powder (once at bedtime).

Given my age, I am concerned about the implications of prolonged medication use and would like to confirm whether this treatment plan is suitable for me.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

The diagnosis is most likely chronic functional constipation, possibly with an irritable bowel component.

At sixty-five, recurrent constipation with shifting left-sided abdominal pain is commonly due to slow bowel movement and colon spasm rather than something serious, especially if there is no weight loss, bleeding, anemia, or persistent severe pain.

Normaxin MB contains Chlordiazepoxide, Clidinium, and Dicycloverine. It reduces intestinal spasm and the gut–anxiety component and is usually safe for short-term use.

Pegred powder contains Polyethylene glycol, which draws water into the stool and is considered one of the safest long-term laxatives, even in older adults. It does not cause dependency like stimulant laxatives. Using Pegred nightly for some time is generally safe, especially if monitored. The main side effects can include bloating, loose stools, or mild cramps.

Normaxin MB for thirty days is usually acceptable. However, in older adults, prolonged use of Chlordiazepoxide can cause drowsiness, confusion, or imbalance. If you experience excessive sleepiness, unsteadiness, or memory issues, inform your doctor.

At your age, it is also important to rule out structural causes, especially if the constipation is new or worsening. A colon evaluation may be considered if it has not already been done.

Most likely, this treatment plan is appropriate and medically reasonable. However, lifestyle measures are equally important. Increase daily water intake, add natural fiber such as vegetables, oats, and fruits, and engage in regular walking to help bowel movement. Avoid excessive tea consumption or low fluid intake.

Seek urgent medical review if you develop blood in the stool, unexplained weight loss, persistent vomiting, severe abdominal distension, or pain that does not settle.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.