Why has Laxido not helped my constipation problem?

Hi,

Welcome to icliniq.com.

I have read your query, and I am sorry for such discomfort. I would like to guide you in your case.

1. What was the colonoscopy finding?

2. Do you have any other symptoms along with constipation?

3. Have you done any workup regarding constipation?

4. Do you have any chronic medical conditions?

I would like you to take a chat or phone consultation with me to discuss your case and guide you accordingly.

Thanks.

Hi,

Welcome back to icliniq.com.

You have mentioned ' Do other symptoms' do you mean 'No other symptoms, ' right?

You have chronic constipation. For chronic constipation following workup should be done:

1. Do a colonoscopy.

2. Check calcium level for hypercalcemia.

3. Thyroid profile check FT3 (free thyroxine-3), FT4 (free thyroxine-4), TSH (thyroid stimulating hormone).

4. Medication, including calcium channel blockers and antidepressants.

5. Irritable bowel syndrome constipation is the predominant type.

6. Disorders of rectal evacuation like pelvic floor dysfunction and anismus.

Colonoscopy was normal means there is no structural disease like cancer or stricture, or polyp. Please work up for thyroid and hypercalcemia. Take a lot of fiber in the diet and plenty of water intake, about four to five liters a day. I hope you do not have any cardiac problems. Otherwise, fluid intake should be around two liters. Take Syrup Looz or Cremaffin Plus (Sodium Picosulfate and Liquid Paraffin) 20 ml twice a day for proper bowel evacuation. Also, if needed, a tablet of Dulcolax (Bisacodyl) 5 mg one tablet before bedtime as and when required.

1. Is there any recent weight loss?

2. Any alternating episodes of diarrhea with constipation?

3. Any abdominal pain?

4. Are you taking any calcium channel blockers or antidepressant medication?

Please reply to the above questions to guide you on what could be the cause of the present constipation problem and the likely treatment of constipation.

Take care.

Thanks.

Hi,

Welcome back to icliniq.com.

I do not think a repeat colonoscopy is indicated at this moment, as the first colonoscopy was done five months back and came completely normal. There is no other symptom of weight loss, abdominal pain, or blood in the stool, which is a positive sign and is very less likely to be cancer, and there are no thyroid problems. Do check your calcium level. I will not think of any major problems or changes in the diet. A proper, guided, and timely diet would resolve constipation problems.

If you strain for the expulsion of feces or you need to manually remove feces at the end of the motion, then anorectal manometry or defecography would be needed to check anorectal dysfunction. The above-suggested tests need proper medical assessment of symptoms explained by you to the treating doctor. In summary, do not worry.

First, stick to the initial treatment option of taking plenty of fluid, a lot of fiber in the diet, daily exercise, checking calcium levels, taking a liquid laxative, and adjusting the dose according to the form of stool. You can take 20 milliliters before bedtime or twice a day, depending upon the form of feces in the stool. As of now, no-repeat colonoscopy is needed to assess it again.

You can take a phone or video consultation with me (if you wish) to answer questions that I wanna ask to know what could be the likely cause and suggest a medical investigation to evaluate it better.

You can continue with chat consultation.

Hope I am able to guide you properly so far.

Thanks.

Hi,

Welcome back to icliniq.com.

Laxative does not interfere with stool for an occult blood test. Usually, constipation causes a streak of blood in the stool and does not cause any hidden blood. Hidden blood that is occult blood in the stool is usually indicative of some structural disease like neoplastic growth in the lower GI (gastrointestinal tract) tract. It will come negative for you. I can assess based on the reply of the symptoms you mentioned in the above chat.

The recommended guideline for repeat colonoscopy tests for the surveillance of colon cancer after a normal colonoscopy is ten years, except for individuals at increased risk for CRC (colorectal cancer). It is very common in the post-menopausal or peri-menopausal period for a person to develop constipation due to shifts in hormones causing constipation. At present, there is nothing to worry about and following the above-suggested treatment guidelines will help you to overcome your constipation problem.

You can follow up with me with any query regarding it anytime, and I will try my best to update you on guideline and treatment regarding it. Please follow up if you have any further related queries about it.

Take care.

Thanks.