Lactulose is a synthetic sugar used as a laxative to treat constipation. It is also used to treat high levels of ammonia in the blood, which is a complication of hepatic encephalopathy (liver disease). It draws water into the large intestine, thus making the stool soft and preventing constipation.

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My wife could notice blood in her stools.Could you please advise us with proper guidance?

Query: Hello doctor, My wife (age 33 years) has been suffering from piles related issues since last 10 years. It occurred after her delivery (in 2003) and was harmless at that time. We are having an eleven year old daughter. Recently she started experiencing pain and itching while going to toilet. Also sh...  Read Full »

Dr. Jaydeep Tripathy

Answer: Hello, Welcome to I understand your concern. It seems like your wife has second degree hemorrhoids which has also led to her fissure. The good news is that it can be managed medically. The first line of management is medical management. Itching is a very common manifestation, which is a...  Read Full »

Why do I have a small strand of skin near the anus?

Query: Hi doctor,There is about a quarter inch long strand of skin going away from the anus and I think it is a hemorrhoid. Also, that is dark purple in color. I am in need of your help.  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns.  Read Full »

I had a green stool after taking Lactulose for constipation. Please help.

Query: Hello doctor, I have been having constipation for seven days, and there is blood in my stool. All the time, it was normal poop, but when I took the Lactulose medicine yesterday, I had a green stool from today. I am really worried. Thanks.  Read Full »

Dr. Ghulam Fareed

Answer: Hello, Welcome to I understand your concern. I have reviewed your case history in detail. My opinions are the following. 1. Constipation is the most common cause of per rectal bleeding. It can be due to hemorrhoids or anal fissures mostly. Hemorrhoid bleeding is painless, and anal fi...  Read Full »

Is there any medication or laxatives to cure constipation?

Query: Hello doctor, I am suffering from constipation. Stool is so hard and has got stuck in the colon. I am on keto diet. So, fiber intake is low which may be the reason. Is there any medication or laxatives that I can take?  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to You seem to be suffering from constipation, and you should increase fibers in the diet. I would advise you the following: To get a thyroid function test done as hypothyroidism might be the cause of constipation that you are having. To take laxative like Lactulose in ...  Read Full »

Kindly suggest an ointment for pain around the anus.

Query: Hi doctor, I am an obese person. I have hemorrhoids, which is slightly between outer and inner anus. I have pain around the anus occasionally during passing stool. Can you suggest any ointment? I am also suffering with constipation. Please help.  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to You seem to be having constipation related anal tear and hemorrhoids that can cause pain around anus. I recommend the following to my patients after performing proctoscopy. Lignocaine 2% gel to be applied around the anus 15 minutes before passing stools. ...  Read Full »

My back pain, abdominal pain, and constipation have aggravated after using Lactulose syrup. Why?

Query: Hello doctor, I am a 26-year-old male. My height is 5 feet 6 inches. I have had severe back pain, abdominal pain, and constipation for a long time. However, recently, they have been aggravated and are causing a lot of discomfort. I have also been diagnosed with IBS. I was given Magnesium Citrate, L...  Read Full »

Dr. Mashfika N Alam

Answer: Hello, Welcome to I understand your concern. Constipation can cause back pain as well as abdominal pain. Syrup Lactulose causes abdominal cramps to help in bowel movements and pass the stool. However, since it is bad, as you say, it is probably an impacted stool causing a subacute ob...  Read Full »

How can hemorrhoids be treated?

Query: Hello doctor, I am a 47-year-old female. I have hemorrhoids that are really causing me to pain these days. Can you suggest to me any over-the-counter creams or medications? Do I really need to see a doctor?  Read Full »

Dr. Penchilaprasad Kandikattu

Answer: Hello, Welcome to If it is external hemorrhoid or if thrombosed or thrombophlebitis, it may cause pain. Eat a high-fiber diet. Avoid spicy food and alcohol. Do regular exercise and drink plenty of water. Use syrup Lactulose 30 ml at night. If symptoms have not improved, please cons...  Read Full »

My 5 year old has continuous stomach pain, especially at night. Why?

Query: Hi doctor, My son is 5 years and 2 months old. He has got continuous stomach pain, especially at night time. During the day he is fine. Can I give him Albendazole?  Read Full »

Dr. Simy Mathew

Answer: Hello, Welcome to You can give a dose but that is not the main cause of his stomach pain. Most of the kids have stomach pain due to constipation. They say they pass stool regularly, but stool keeps getting accumulated. To confirm, you can just take an X-ray of the erect abdomen. We c...  Read Full »

I have applied more Lignocaine gel than advised on my kid. Please help.

Query: Hello doctor, My 2-year-old son has hard motions. He has just had his circumcision surgery. My friends advised me to apply Lignocaine Hydrochloride gel between his buttocks. By mistake, I applied more. I am very much worried. I hope it is not harmful. Please advice.  Read Full »

Dr. Simy Mathew

Answer: Hello, Welcome to Lignocaine (Lidocaine Topical) gel is a local anesthetic so even if you have applied more there is nothing to worry. If he is having constipation, I suggest you give him syrup Looz (Lactulose) 10 mL twice daily. This is a stool softener and you can give him until h...  Read Full »

I feel a little flesh near the anus. Is it piles?

Query: Hi doctor, I am a 35 year old male. The problem is that for the last 6 months or so I feel a little flesh near the anus area. There is no pain or itch and I do not experience any bleeding or discomfort. Sometimes, it is virtually suppressed and sometimes I can feel it. I am afraid that it is somethi...  Read Full »

Dr. Srivastava, Sumit

Answer: Hi, Welcome to I have gone through your complaint. Flesh near the anal region that can be suppressed most probably suggests piles (hemorrhoids). Although, some other condition like anal warts, skin tag, cyst and boils have to be ruled out. This is possible only after proper examinat...  Read Full »

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