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Dr. P. Jyoti
Dr. P. Jyoti, Consultant MD
Category: Health
Satisfied Customers: 8940
Experience:  17 yrs experience in treating OPD & Emergency patients.
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Im constipated and bloated. This has been going on for 4-5

Resolved Question:

I'm constipated and bloated. This has been going on for 4-5 days now. I'm drinking enough liquids and eat plenty of fiber. The bloating and gas occurs right after I eat. I've had a few bowl movement but they are small. Seems like the older (44) I get the more often I become constipated. What can I do? I think my diet is ok and I get enough exercise. Will constiaption cause instant gas/bloating/discomfort after I eat.
Submitted: 5 years ago.
Category: Health
Expert:  Dr. P. Jyoti replied 5 years ago.
You could be having Irritable Bowel Syndrome.

This is a condition where the bowels are in a hyperirritable state. It presents in different ways, including bowel movements after every meal, nausea, diarrhoea, constipation, bloating of the stomach, excessive flatulence, etc.

It is an easily treatable condition, and will require some lifestyle changes, and specially some changes in your diet. You need to adopt a proper diet. Please look below for some sites which can give you some very useful tips on diet and other factors. you must also consult your doctor for advise regarding this. Discuss about Irritable Bowel Syndrome with him and the steps you need to take.

You also need to consult your doctor to rule out two other conditions which are similar, but which do not seem likely in your case, ulcerative colitis and Crohns disease.

You can look up these sites for more info:
http://www.mayoclinic.com/health/irritable-bowel-syndrome/DS00106
http://digestive.niddk.nih.gov/ddiseases/pubs/ibs/



I hope my answer has helped you. Please click on the green 'accept' button below for accepting this answer. Feedback/Bonus will be appreciated.

Customer: replied 5 years ago.

After reading the information from the websites on IBS, I'm not sure what's the difference from just being constipated or having IBS. In the past I have mentioned to several doctors about being constipated and they have all responded the same way....eat fiber and drink water. Well, I do, but it seems like I experience this 2-3 times a year. Should I go ahead and take a laxative, watch my diet for the next several days and see how I feel?

Expert:  Dr. P. Jyoti replied 5 years ago.
Being constipated is one part of the IBS syndrome, but if the symptoms are very chronic and the gas, etc. is more than you would expect in a normally constipated person, it would be termed IBS.

But the treatment as you say is more or less the same.

The most important steps to treat constipation are:

Diet: a high fiber diet is undoubtedly the most important. Have plenty of vegetables and fuits like banana.

Water: Drinking enough water is also very important.

Bowel habits: good bowel habits including having a regular time set apart for bowel movements and not ignoring the urge for a bowel movement.

Exercise: Sedentary people suffer much more from constipation than those who exercise regularly.



Besides these measures, you can try with laxatives.



You can try initially with oral laxatives like bulk-forming laxatives like methylcellulose (Citrucel), polycarbophil (Fiberco), psyllium hydrophilic mucilloid (Metamucil), and malt soup extract (Maltsupex).



Stool softeners that are available OTC include Colace, Surfak, and pharmacy or store-branded products containing docusate. hThey are taken orally.



You can also take a stronger laxative like Bisacodyl, available OTC as Dulcolax and Correctol. It is available in oral pill form and works within 6-8 hours.



However, if you are very uncomfortable, you can use enemas or suppositories. Examples of enemas and suppositories include Microenema, which contains docusate, Ducolax Suppository, which contains bisacodyl, and Fleet Enema, which contains sodium phosphate. Bowel movement will occur within an hour.




You can look up here:

http://digestive.niddk.nih.gov/ddiseases/pubs/constipation/

http://www.mayoclinic.com/health/constipation/DS00063


You can look up here for laxatives:
http://www.medicinenet.com/laxatives_for_constipation/page4.htm#7stimulantlaxatives







I hope my answer has helped you. Please click on the green ‘accept' button below for accepting this answer. Feedback/Bonus will be appreciated.

Dr. P. Jyoti, Consultant MD
Category: Health
Satisfied Customers: 8940
Experience: 17 yrs experience in treating OPD & Emergency patients.
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