HomeAnswersMedical GastroenterologyconstipationWithout laxatives, I am having difficulty in bowel movement. Please help.

I have diffculty in bowel movement without laxatives. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

Dr. Vinodhini J.

Published At May 15, 2020
Reviewed AtAugust 10, 2023

Patient's Query

Hello doctor,

I am 16 years old. My weight 191 lbs and 5'6 feet tall. It has been a year since I am not comfortable having bowel movements. I go to the toilet once a week and the stool is usually hard to pass without a natural laxative and I use AgioLax. I do not know if the use of this laxative is safe or not but it is working every time whenever I use it.

Answered by Dr. Ajeet Kumar

Hello,

Welcome to icliniq.com.

You have chronic constipation. There is possibility that your large bowel is functioning slow, or it may be a problem with the ejection of stools and not necessarily slow bowel. To differentiate between I need to have more information.

The laxative you use is safe, but it has the potential to develop tolerance i.e. it can lose its effect if uses for a long time. So as far as it is working fine you can use it.

The other complaint you mention of bloating and fullness after a small meal are secondary to constipation. Recently the FDA (Food and Drug administration) has approved some newer medications for primary constipation, you can use it. Take tablet Prucalopride 2 mg daily. You can stop other medications for constipation.

Let me know in a few days how you respond. If no improvement we can increase the dose or add some other medicines.

I hope this helps.

The Probable causes

Chronic idiopathic constipation.

Differential diagnosis

Defecatory disorder.

Treatment plan

Tablet Prucalopride 2 mg daily.

Regarding follow up

Follow up in one week.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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