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Kindly advise the treatment for severe constipation.

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Kindly advise the treatment for severe constipation.

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

Medically reviewed by

iCliniq medical review team

Published At March 13, 2019
Reviewed AtAugust 1, 2023

Patient's Query

Hi doctor,

I am 22 years old and severely constipated. I have a bowel movement once every week and a half, or even two weeks. I eat normal foods as any 22 year old would. I love fruits and drink lots of water, etc. I am on my fourth day of Miralax and nothing has happened. The only thing that has worked is when I got an enema in the ER.

My biggest issue right now is excessive gas. I am a student. When I get nervous before a presentation in class, just being in class in general, I get excessive gas and it is so bad that it makes terrible noises and sends me running from the classroom. Then when I get out of the classroom, it is as if it goes away. So my anxiety before presentations I believe makes it worse, therefore my doctor prescribed Xanax .25 mg as needed before those events. However, I know that my constipation is contributing to this. I am in desperate need of a solution. My doctor wants me to get a colonoscopy. What foods and what can I take to help with my constipation and decrease gas during class so that I can focus and earn my degree.

Hi,

Welcome to icliniq.com.

You seem to be suffering from an acid peptic disease associated with functional constipation. I would recommend you the following:

1. A combination of Pantoprazole (proton pump inhibitor) and Levosulpride (prokinetic) once daily. This would help you with bloating and reduce gurgling sounds.

2. To take syrup Lactulose 20 ml (antacid) in the night.

3. To take smooth muscle relaxants like Mebeverine.

Another important aspect is that have you got your thyroid profile done?

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

Dr. Anshul Varshney
Dr. Anshul Varshney

Internal Medicine

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