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.
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