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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Medical
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Experience:  Medical Doctor Trained at a Top Academic Institution
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I am a healthy 88 yr. old woman. BUT for the last month, my

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I am a healthy 88 yr. old woman. BUT for the last month, my normal bowel movements have ceased. At first, my bowel was impacted. I successfully voided my bowel. My doctor prescribed 10 mg docusate sodium 2 tken in A.M. and 2 P.M. I find this of little effect. I get little indication of an oncoming bowel movement. I need to strain and at the beginning I have a very hard small stool - very light in color which is followed by a darker more normal movement. Lately I've noticed that most of my stool is composed of "pebble like" size. Any information you can give me will be greatly appreciated. Thank you. JDF
Hello. I'm Dr. Phil, licensed and practicing Internal Medicine Physician. Excellent service is my goal.
Thanks for this question
I'm sorry about this problem
You need something stronger orally like miralax.
Docusate is not strong enough.
I do recommend that you talk to your doctor first but miralax OTC should help.
I think you will be fine with this.
I hope this helps. If you have more questions, just reply. :)
Customer: replied 3 years ago.

Is this a permanent condition and using a laxative is permanent? Any information on what causes this ?

It could be your meds.
If you are on other meds sometimes they cause constipation. Like some pain meds or blood pressure pills
Also, as you get older, the transit of stool through the colon slows down. This allows the colon to reabsorb more water and hardens stool
So it may be permanent. The meds should be examined closely for constipation.
If you have recurrent constipation, you may need a colonoscopy to look for obstruction
Customer: replied 3 years ago.

Thanks. I suggested a colonoscopy but he said it was not recommended for anyone my age. He seems unconcerned about my problem but, since this is the first this has occurred, I am concerned. Anyhow, Dr. Phil I'll pass on this info to him.

Thanks Jo.
Please don't forget an excellent rating. I appreciate it. :)
Dr. Phil, MD and 4 other Medical Specialists are ready to help you
I appreciate the excellent rating.
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