How to manage frequent movement? - #15527

Hello dear See as per clinical history it seems combination of constipation and diarrhoea It is usually associated with either ibs or metabolic combination disorder I suggest you to please get following tests done for confirmation Serum ferritin Serum TSH Hbaic CBC Esr Sigmoidoscopy Colonoscopy anas copy Kindly get these tests done and share result with gastroenterologist or your doctor for better clarity Kindly don’t take any medication without consulting the concerned physician Regards

Hello Barik By going through your history and evaluation of your health status I must say that Constipation that doesn’t respond to usual treatments, especially with diabetes and low potassium, can sometimes be due to diabetic autonomic neuropathy (nerve damage affecting gut movement), electrolyte imbalance, or even medication side effects. Elevated liver enzymes and low vitamin D may also contribute to general weakness and gut symptoms.

I am. Suggesting you following advice as follows - 1. See a endocrinologist soon:You may need a review of your diabetes management, potassium levels, and possibly a referral to a gastroenterologist. 2. Further tests: do following tests like abdominal X-ray, colon transit study, or even a colonoscopy and report me further 3. Medication review:Some diabetes or other medications can worsen constipation—bring a list of all your medicines to me 4. Continue dietary fibre and hydration:But since fibre and laxatives aren’t helping, don’t increase them further.

Thank you

The challenges you’re experiencing seem to be interconnected, influenced by your type 1 diabetes and recent diagnoses. Hypokalemia, or low potassium levels, can lead to a range of symptoms including muscle cramps, weakness, and can also impact bowel function, potentially contributing to constipation. Elevated AST and ALT indicate liver stress or damage, which can have a variety of causes from medication effects to diabetes-related liver issues. The low vitamin D level you mentioned might link to bone health and energy levels, but it’s not likely the primary cause of your other symptoms. The need for frequent bathroom visits can be frustrating, especially if laxatives and fiber aren’t effective. It might be worth checking if your potassium levels are back to normal, as they can play a role in bowel movements. If that’s addressed and issues persist, some other investigations might be helpful. It could be beneficial to review how you’re taking laxatives, since overuse or mismatch to your specific needs can paradoxically lead to worsening constipation due to colonic sluggishness. A balanced hydration status is key too, as dehydration can exacerbate constipation, despite fiber intake. You may find benefit from a particular type of laxative, like osmotic ones which draw water into the bowel, rather than bulk-forming ones which rely on adequate fluid intake. Your inability to sit comfortably should be explored further; it could be linked to muscle spasms or issues with the lower back or pelvis, given the potassium levels. A more tailored approach with your healthcare provider, perhaps involving medication adjustments, focused liver evaluation, and a detailed plan to address the low vitamin levels, may be valuable. Always pay attention to any significant changes or new symptoms, which might require urgent attention, particularly given your pre-existing conditions. Consider discussing with your doctor the potential causes of elevated liver enzymes and any possible link with your current medication regimen or any recent changes in health.