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does gabapentin cause constipation
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Nervous System Disorders
Question #25720
91 days ago
171

does gabapentin cause constipation - #25720

Myra

I am really worried because I started taking gabapentin a couple months ago for nerve pain after a surgery. At first, I thought it was helping, but then I noticed I was getting really uncomfortable and bloated, like, way more than usual. I mean, I’ve always had a bit of irregularity, but this was on another level. I hadn’t changed my diet or anything, and all of a sudden I’m having these long stretches where nothing happens... super frustrating! I keep hearing mixed stuff online about if gabapentin causes constipation or if it’s just a coincidence. I tried drinking more water and eating fiber, and while that helps sometimes, it doesn’t fix the problem completely. I asked my doctor, but he seemed kinda dismissive and said that it’s not a common side effect. I guess maybe that’s true? I just struggle trying to figure out if I should keep taking gabapentin or talk to him about switching meds. Does gabapentin cause constipation for more people? Like, how do you even know if it’s the meds or just me, you know? I just want to feel normal again without worrying about going to the bathroom. Any thoughts or experiences would really help!

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Doctors' responses

Gabapentin can in fact cause constipation, though it might not be among the most commonly mentioned side effects. Many individuals do experience gastrointestinal symptoms, and constipation is one that patients sometimes report. There’s a chance that this could be contributing to the bloating and irregularity you’re experiencing. Given that you haven’t changed your diet or routine, it’s reasonable to suspect the gabapentin. It’s important to weigh the benefits you’re experiencing from gabapentin against these side effects. Since it’s prescribed for nerve pain, you should consider how much relief it provides and whether any alternative medications could offer similar benefits without the digestive discomfort. Discuss your symptoms with your physician, emphasizing the impact they have on your daily life. A comprehensive review of your medication might help determine if an adjustment or a switch to another medicine is warranted. If you’ve increased fiber and water intake already, consider incorporating regular physical activity too, as it can help stimulate bowel movements. Over-the-counter options like stool softeners or mild laxatives might also be useful, but it’s best to use these under supervision to avoid dependency. Keeping a symptom diary to note when symptoms arise and relate them to your medication schedule can provide useful insights to your healthcare provider. If possible, also discuss with your doctor about trying a lower dose or gradually tapering off, to see if symptoms improve, while monitoring pain levels to keep them in check. Don’t discontinue any medication abruptly without professional advice, especially gabapentin, as doing so can lead to withdrawal symptoms and can exacerbate conditions it was initially meant to treat.

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