Psyllium derived from the plant Plantago ovata is primarily effective in treating constipation. It is also used to treat mild diarrhea. It is a soluble dietary fiber and has its effect in lowering blood sugar and cholesterol levels, aids in weight reduction, and is good for the heart. It absorbs water and becomes viscous that aids in excretion. Hence more water intake is necessary. This laxative has an added prebiotic effect.

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I have been having diarrhea and constipation for about four weeks now. Can you please help me?

Query: Hello doctor, I have been under stress lately and have been having diarrhea and constipation for about four weeks now. I am under investigation for IBS and will have a colonoscopy in a few weeks. I have gallstones and a cyst in my ovaries. Blood tests on kidneys and liver are normal. I do not have c...  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to I can understand your concern. It looks like Irritable bowel syndrome (diarrhea-predominant subtype). I would recommend you discuss with your doctor to prescribe you Mebeverine, which helps smooth muscles relaxation and reduces diarrhea. It usually gives good results. ...  Read Full »

I am straining to pass my feces and gas. What should I do?

Query: Hello doctor,I am a 20-year-old male with a suspected fecal impaction or bowel obstruction. It feels like there is a poop or something in my rectum. I can barely pass gas, I have slight abdominal pain, and have liquid stools and diarrhea. I have had a dingleberry that has been stuck to the hairs for...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hello, Welcome to I have reviewed your health query and can understand how worried you are regarding constipation issues. As it is a longstanding issue, some time is needed for it to get resolved. It has been less than a week or so that you started the medications which your phy...  Read Full »

What is the reason for itching and drops of blood in the anal area?

Query: Hello doctor, I am a 22 year old male. A day or two ago after a bowel movement, I felt an itch in the anal area. I tried to get at it with a tissue but, it got worse and I could see small pellets of blood on the wipe. I am not on any medications.  Read Full »

Dr. Chandra Prakash Tanwar

Answer: Hello, Welcome to Blood streaks on the wipe after an episode of itching could be due to an anal fissure. Bleeding per rectum in an otherwise healthy young male could be due to hemorrhoids or anal fissure. A fissure is a tear in the anal canal due to constipation or repeated friction. It...  Read Full »

Will recurrent UTI occur due to holding urine for a prolonged time?

Query: Hello doctor, I am a 35 year old male. I did a urine test today, there is no UTI or any infection, but the RBC count was 0 to 1. I did a test six weeks back, which showed the RBC count to be 4 to 6. I still feel there is a block to the urine flow, and I have to go every 15 minutes or every one hou...  Read Full »

Dr. Choudhary Devendra

Answer: Hi, Welcome to Your history suggests that you have very frequent urination and poor flow with recurrent UTI (urinary tract infection). I would like to know the following. Do you have constipation or numbness of the sole? How frequently do you get up at night? Has any catheter been put ...  Read Full »

Can consumption of fiber supplements for constipation cause bezoar?

Query: Hi doctor,I have been experiencing a low WBC count for many years. My constipation started about three years ago when with the help of fiber (Psyllium Husk) to flush out my hard stool. Constipation has gotten progressively worse over the last few months. Presently can only pass after taken Magnesium...  Read Full »

Dr. Ajeet Kumar

Answer: Hi, Welcome to Unfortunately, the images file which you uploaded is corrupted and can not be opened. You need to upload it again. And please upload the report of the CT (computed tomography) scan as well since the images and their magnification maybe not suitable to comment on the d...  Read Full »

My constipation problem got worsened after undergoing cervical spine surgery. What can I do?

Query: Hi doctor, I suffer from severe constipation for the past three years. I have undergone cervical spine surgery before two years back. Post surgery constipation problem still got worsened. Presently, I am taking Baclofen 5 mg three times a day for the spasticity in legs. Please help.  Read Full »

Dr. Ana Karen Pulido

Answer: Hi, Welcome to The first option for treating constipation is starting with Sennosides tablets. Take two tablets every night. If there is no improvement in two days, you can take two tablets for every 12 hours. This medication can be taken for now and on. Sometimes you may need more fi...  Read Full »

Can soft stools cause pruritus ani and anal itching?

Query: Hi doctor, I have had pruritus ani for about three years now. Recently, it has been worse. I am allergic to trees and cold urticaria. I am also prone to sinusitis. Other than allergies, I am in very good health. My GP ruled out hemorrhoids, parasites (was not tested but no symptoms), and I got tes...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to I can understand your concern. According to your statement, you have been suffering from pruritus ani for three years. You are an allergic person. Pruritus ani may result from contact dermatitis, atopic dermatitis, seborrheic dermatitis, psoriasis, lichen planus, liche...  Read Full »

Please suggest treatment for painful bleeding piles.

Query: Hi doctor,I am suffering from bleeding piles with pain. Please help.  Read Full »

Dr. Deep Dutta

Answer: Hi, Welcome to You need to take a sitz bath twice daily. I suggest you apply Faktu ointment (Cinchocaine and Policresulen) twice daily for anal pain. Also, I suggest Naturolax powder (Psyllium) four tablespoons twice daily in a glass of water to keep your stool soft. Consult your docto...  Read Full »

Why do I vomit if I drink too much liquid on an empty stomach?

Query: Hi doctor, Nearly two years ago, I got a bad cold and vomited badly. It continued for days leading me unable to hold down any foods or liquids until I checked into the hospital and given IVs, which made me better. However, since then, I am more prone to getting close to vomiting if I drink too much...  Read Full »

Dr. Ramesh Kumar S

Answer: Hello, Welcome to The infection you are suffering from is called gastroenteritis or stomach flu. In gastroenteritis, the mucosa of the intestine is severely inflamed causing symptoms like loose stools, indigestion, and vomiting. The tests suggested are as follows: Ultrasound abdomen to ...  Read Full »

Why there is recurrence in piles even after surgery?

Query: Hello doctor,My mother is 50 years old and had piles for six years. It turned severe, with heavy bleeding and pain. We did surgery to cure it. Now two months completed still, she is having the piles problem with bleeding and pain whenever she uses her restroom and also has pain on urination. Please ...  Read Full »

Dr. Aastha Midha Likhyani

Answer: Hello, Welcome to For piles, the first and most important thing is to avoid constipation and spicy meal. Take a high fiber diet. Drink plenty of fluids, about three liters per day. Take Isabgol (psyllium) powder three tablespoons with milk twice a day. Take Dobesil (Calcium Dobisi...  Read Full »

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