Anthony Bray MD : Hello!
Hello thank you for agreeing to help!
Anthony Bray MD : i would advise that you start with Miralx plus 8 on uncles of water daily for a week...
Anthony Bray MD : ( you may have tried this but perhaps not for long enough time...)
What about food? Should I keep eating extra-fiber and taking supplements? Also, how long should I try to sit on the toilet for?
Anthony Bray MD : I would advise that you push fluids as this tends to help reduce constipation --- 8 ounces every two hours while awake....
Anthony Bray MD : Take a stool softener daily and do this as an ongoing habit---- options would include Surfak, Colace, or docusate one capsule daily or mineral oil one tablespoon daily... One of these would be good to continue daily indefinitely ...
Anthony Bray MD : if you have increasing bloating or abdominal pain --- especially greater than 6/ 10 which interferes with sleep... Then you are advised to seek further medical evaluation.
Anthony Bray MD : I hope that this information helps. Let me know if you have further questions and I will be happy to get back with you!
Anthony Bray MD : if my responses have been helpful and to your satisfaction then please remember to leave positive feedback. That would be very much appreciated ! Thank you and best regards,
Anthony Bray MD : Anthony Bray MD
OK will do - thanks for the help
Anthony Bray MD : You are very welcome and yes you should continue to eat!
Anthony Bray MD : PS if you have lower abdominal pain discomfort then you may try one to two Fleet's enemas and these may help...
Anthony Bray MD : I would try to avoid extended time string on the toilet and straining -- maybe about ten minutes and then rest and try again later....
Ok - so the feeling of having to go and feeling like i have more stool inside me - is that normal? Just try to ignore it?
Anthony Bray MD : Well it is not a normal feeling. If this persists then discuss this further with your doctor or gastroenterologist.. It may be reason to consider a colonoscopy....
OK then - so it is not an emergency situation at this point, but if these steps that you describe do not work then I should seek medical attention