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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29245
Experience:  MD
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What to do for extreme constipation....

Customer Question

what to do for extreme constipation....
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.

This is Dr. David

I am sorry you are having extreme constipation.

most likely soda with warm water won't help too much

better to use stool softeners and laxatives and enemas and make sure you drink plenty of water and fluids and gadorade to stay hydrated.

laxatives and enemas pull water from your blood system into your bowels to help you move your stools

if you are dehydrated and don't have enough water in your blood system, enemas and laxatives won't work.

many 66 year old patients don't drink enough water or liquids or gadorade

if you have stool in your rectum which is hard, you might also need to see a doctor or nurse at the ER or urgent care center for disimpaction of the stool with a gloved finger to get your stools to start moving.

you can also try 1/4-1/2 cup of strong laxative magnesium citrate as well which is over the counter once or twice a day to help your bowels move

if these methods don't work, you have to see a doctor at the hospital for stronger treatments.

let me know if you have questions.

Expert:  Dr Basu replied 2 years ago.

Hi there,

This is Dr Basu, experienced Internal Medicine Specialist.

I am here to address your concerns and provide great service.

The fastest acting stool softeners or laxatives will be:

1. Bisacodyl 5 mg 2 tablets taken with mag citrate liquid 10 to 20 ml at a time.

2. Miralax powder 2 scoops with 2 bisacodyl tablets.

Severe constipation can be due to the bowel obstruction.

This possibility should be ruled out with a CT scan of the abdomen with contrast.

Besides that, sometimes, intestine may not contract well causing this problem.

Also increased pressure in the anal sphincter can cause constipation.

Linactolide is one such medication which helps with chronic constipation.

YOu should follow a high fiber diet.Foods high in fiber include vegetables,fruits, nuts, legumes (beans, peas and lentils), whole-wheat flour and wheatbran.

Probiotics also help to promote good colonhealth.

Probiotic substitute the bad bacteria in thecolon with friendly bacteria.

Culturelle is a good one available over the counter.

Best wishes,

It was my pleasure to help you today.

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