I am having constipation which is not resolving with laxatives - #10370
I am multi myeloma patient have undergone bone marrow transplant. For some days Iam having constipation and gastric problem which is not resolving what should I do as I gen laxatives are not working I have taken creamafin plus , Duphalac and pruvict tablet
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Doctors’ responses
Investigation if not done:
CBC, CRP – to rule out infection or neutropenic enterocolitis Serum Electrolytes, Calcium, Creatinine – to check renal/gut function Abdominal X-ray (erect) – to rule out obstruction or fecal impaction Stool occult blood & routine/microscopy
RX, 1) Tab dulcoflex 1 or 2 tab at bedtime for 3 days 2) Peg fibre powder 1 tablespoon in one glass of warm water 3) Tab Darolac 1 cap after lunch for 10 days
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Hello dear Please be aware I think due to weaken immune system body is not working properly I suggest you to please go for natural laxatives like yog hurt and curd Avoid fried and refined food There may be requirement of change in diet therapy Take adequate fruits like banana and guava Regards For further details you can consult dietician if no improvement occurs
Watch for Danger Signs: Severe abdominal pain or bloating Inability to pass gas or stool for more than 3 days Nausea or vomiting Swollen abdomen or reduced appetite Blood in stool or black stools If any of these are present, visit your doctor or emergency immediately
Diet Modifications
Start the day with 1 glass of warm water + 1 tsp ghee on an empty stomach Eat soft, easy-to-digest foods like khichdi, dal soup, oats, and boiled vegetables (lauki, spinach, pumpkin) Avoid fried, processed, spicy, and maida-based foods Completely avoid tea, coffee, and cold drinks in the morning Add soaked raisins, figs, or prunes to your daily routine Eat smaller, frequent meals rather than heavy meals
Take ishbugol with warm water
Post bone marrow transplant, constipation and gastric issues can result from medications, diet changes, or gut motility problems. Since laxatives like Cremafin Plus, Duphalac, and Pruvict are not effective, increasing fiber intake, hydration, and gentle physical activity may help. Please consult your oncologist or gastroenterologist promptly to adjust your treatment safely and rule out any serious complications.
In your case, experiencing constipation that doesn’t resolve with the usual laxatives like Creamafin Plus, Duphalac, and Pruvict might suggest several things. Given your history of multiple myeloma and bone marrow transplant, there are specific angles we need to consider. First, medications or therapies you’re on, such as pain medications or chemotherapy, can slow bowel movements. It’s worth checking if any of your current medications contribute to this issue. Secondly, maintain adequate hydration; that part can play a big role–ensure you’re sipping enough water throughout the day. Beyond hydration, diet plays a part too. Increase your fiber intake gradually with options like whole grains, fruits, and vegetables if there are no dietary restrictions from your treatment. However, keep in mind, adding too much fiber too quickly can sometimes do the opposite, so do this carefully. Gentle physical activity, like short, frequent walks, can also help stimulate bowel action if you’re able to. Nonetheless, what’s truly imperative here is to identify potential underlying issues that might be specific to your condition. Persistent constipation could signal an obstruction or another gastrointestinal motility issue, which warrants immediate evaluation. Additionally, if you notice any red-flag symptoms like severe abdominal pain, vomiting, or even blood in your stool, seek immediate medical attention. It would be prudent to inform your healthcare provider rapidly; they might want to perform further diagnostic tests such as an abdominal x-ray or consider a more potent intervention, possibly under medical supervision. Always prioritize safety—given the complexity of your health condition, medical input becomes crucial at this point.
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