Constpation related issue, i have been facing this since 2-3 month. - #12961

RX, 1) Tab pan D 1 tab before breakfast for 7 days 2) Syrup Lactulose 10–15 mL – at bedtime 3) Tab sprolac once daily after lunch for 10 days

Investigation Thyroid profile

Hello dear See as per clinical history it seems constipation which is occasionally due to indigestion or food alterations Iam suggesting some medication Please take them for atleast a week Tablet pantop D 40 mg once a day for 3 days empty stomach Take laxatives and curd/ yoghurt Take adequate fruit and salads Tablet febrex plus once a day for 3 days Avoid junk food and consume khichdi In case of no improvement in 1 week consult general physician ( medicine) for better clarification Regards

Hello Ankit By seeing your history i recommend you to go with some tips and rx . Firstly avoid food with oil and spice , secondly take small meals and fruits Thirdly drink plenty of water and avoid tea coffee too .

Treatment recommended - 1) Tab pantop Dsr 1 tab before breakfast for 7 days 2) Syrup Lactulose 10–15 mL – at bedtime 3) Tab sprolac once daily after lunch for 10 days

Further investigation- 1) thyroid profile 2) lactose intolerance test

Thank you

Hello

Possibly this can be GERD OR IBS or Poor gut motility. Please do Upper GI endoscopy Lactose intolerance test Thyroid profile

Rx;Duphalac 10ml once daily T.Domstal for vomitting (if needed) T. pantop d 40mg before breakfast

Eat high fiber foods- Papaya,Oats,Banana, Spinach etc KEEP HYDRATED Eat curd/ yoghurt / buttermilk etc

Avoid tea,caffeine, red meat, junk foods etc

Dont lie down immediately after food

I trust this helps Feel free to talk Thank you

Hello Ankit On the basis of your presenting complaints- Assessment: • Chronic functional constipation • No structural or metabolic abnormality detected on investigations • Likely dietary/lifestyle related

Plan of treatment -

1 . Syrp Lactulose 15 mL Oral, once daily at night, may increase to 2 times/day if needed - it will soften the stools and relieves constipation 2. Tab. Domperidone 10 mg Oral, before meals, 3 times daily for 5 days - For vomiting / nausea 3. Psyllium husk (Isabgol) 1 tsp Mix in warm water, once daily at night Bulk-forming fiber for regular bowel movements

General Advice: 1. Increase fiber intake: fruits, vegetables, whole grains 2. Drink 3-4L of water daily 3. Regular physical activity (walking 20–30 min/day) 4. Avoid excessive fast/junk food 5. Maintain regular bowel habits – do not ignore the urge to defecat

Constipation and vomiting together might suggest a few possibilities even when initial tests like KFT, LFT, and sonography appear normal. It’s crucial to look into other potential causes or contributing factors. One common cause could be dietary habits, such as insufficient fiber intake or inadequate hydration. Aim for at least 25-30 grams of fiber daily from whole foods like fruits, vegetables, whole grains, and legumes. It’s equally important to drink plenty of water—at least 8 cups per day—to support bowel health. Another aspect to consider could be the role of stress and lifestyle factors, since stress can significantly impact digestive function. Techniques like regular exercise, relaxation practices, or even mindfulness can be beneficial. Additionally, review any medications or supplements you’re taking, as some can contribute to gastrointestinal issues. Over-the-counter laxatives could offer temporary relief, but long-term use isn’t recommended without medical guidance. If you’re experiencing worsening symptoms, like severe abdominal pain, significant weight loss, or blood in stools, further investigation is necessary, as these could be red flags indicating a more serious condition. In such cases, discussing with a gastroenterologist might yield further insight, potentially involving tests like a colonoscopy. Until then, making some dietary and lifestyle changes might help alleviate your symptoms while you monitor for any new or worsening issues. Remember, persistent or severe symptoms should be addressed with professional medical assistance promptly.

Hello Ankit, thank you for sharing your concern. Since your reports are normal, you can take this prescription -

1. Tab. Albendazole 400mg single dose 2. Cap. Pantop + dsr before breakfast × days 3. Tab. Lactic Acid Bacillus twice a day × 7 days 4. Syp. Lactulose 15ml at night × 7 days 5. ORS powder sachet - mix 1 sachet in a Litre of water and drink plenty.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

1. Since your KFT, LFT, and ultrasound are normal, your constipation is likely functional or lifestyle-related, not due to an organ problem.

2. Drink 2.5–3 liters of water daily and start your day with warm water and a high-fiber breakfast (oats, papaya, soaked flaxseeds).

3. Include fiber-rich foods vegetables, fruits, whole grains, and curd to balance gut bacteria.

4. Avoid refined flour, spicy, fried foods, and skipping meals. Limit caffeine and alcohol.

5. Take isabgol husk or lactulose syrup (15–30 ml at bedtime) for a few weeks to soften stools.

6. Do 15–20 minutes of brisk walking or yoga daily physical activity improves bowel movement.

7. If vomiting persists or stool becomes pencil-thin or blood-stained, get a colonoscopy or gastroenterologist review to rule out IBS or motility disorder.

Thank you for sharing the details. Since your KFT, LFT, and sonography are normal, yet you continue to have vomiting of food and constipation, we need to look beyond basic lab tests to understand the cause. At your age, the main possibilities include functional gastrointestinal disorders, motility issues, or less common anatomical problems. 1. Gastrointestinal Causes Delayed gastric emptying (Gastroparesis): Food stays in the stomach too long, causing vomiting undigested food. Can occur even with normal labs. Bowel obstruction (partial): Sometimes missed on routine imaging. Could be due to adhesions (if prior surgery/miscarriage-related procedure) or congenital anomalies. Functional constipation / irritable bowel syndrome (IBS): Can cause chronic constipation and vomiting, especially after large meals. Diet and Lifestyle Factors • Low fiber intake, dehydration, or irregular meals worsen constipation and vomiting. • Certain foods can trigger nausea (fatty or spicy foods).

3. Red Flag Symptoms – Seek Immediate Care If Present • Blood in vomit or stool • Severe abdominal pain • Unintentional weight loss • Persistent vomiting leading to dehydration • Signs of electrolyte imbalance (muscle cramps, palpitations)

4. Next Steps for Investigation

Since basic labs and imaging are normal, consider: • Upper GI endoscopy: To check for esophageal or stomach issues causing vomiting. • Colonoscopy: If constipation is severe or long-standing. • Gastrointestinal motility studies: To check for delayed gastric emptying or slow bowel transit. • Stool tests: To rule out infections or malabsorption. • Food diary / symptom tracking: Helps identify triggers.

5. Symptomatic Relief • Small, frequent meals • Increase fiber gradually • Stay hydrated • Mild physical activity to improve bowel movement • Avoid foods that worsen

Hello Ankit First tip drink 400ml water early morning then go to washroom

Constipation is a common issue that can usually be relieved with simple lifestyle changes and home remedies — though persistent or severe cases may need medical attention. Here’s a comprehensive overview of treatments and remedies:

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🩺 1. Lifestyle & Dietary Remedies (First-line treatment)

These are the safest and most effective starting points.

a. Increase Fiber Intake • Goal: 25–35 grams of fiber per day. • Sources: • Fruits (apples, pears, berries, prunes) • Vegetables (broccoli, spinach, carrots) • Whole grains (oats, brown rice, bran cereal) • Legumes (lentils, beans, chickpeas) • Tip: Add fiber gradually to avoid bloating and gas.

b. Stay Hydrated • Drink 8–10 glasses of water daily (more if physically active or in hot weather). • Warm fluids (like lemon water or herbal tea) may help stimulate bowel movement.

c. Regular Physical Activity • Aim for 30 minutes of moderate exercise (walking, yoga, swimming) most days. • Movement stimulates intestinal activity.

d. Establish a Toilet Routine • Try going to the bathroom after meals, especially after breakfast. • Don’t ignore the urge to go — holding it in worsens constipation. Medial advice Tab rantac 150mg once a day Syrup looz 10 ml If you can’t do poop for more then 3 days then consult to surgeon Pc enema require Thanks