Suggest Remedies For Painful Constipation That Doesn't Alleviate Even After A Dose Of Miralax

Posted on Mon, 24 Sep 2018

Question: I have parkinsons, diag about y ago,on sinimet. varios slow bowles as one expectts but..
I haven't had a bm for a few days, and starting this morning developed fairly painfull cramps every 15 min or so. ttook mirilax 9am. 12 hours later no better and quite painfull. little gas passage.
I think I need action, should I wait any longer? btw did some lifting wednesday, no sign of hernia that I can tell

Answered by Dr. Chobufo Ditah (1 hour later)

Brief Answer:
Take another Miralax dose, preferable a suppository and wait another 6 hours.

Detailed Answer:
Hi,

I will recommend another dose of Miralax and further observation for 6 hours. Unless the pain become worse or you fail to pass stool with this time, I will not recommend an immediate visit for urgent care. In addition, drink much water.

If you fail to stool within 6 hours, I recommend an enema. If you can get that at home, great. If you can’t, then visit the closes hospital facility for added care.

Moving forward, prophylactic anti-constipation measures such as increased fruits, vegetable and fiber intake alongside increased regular exercise can be helpful. Persistence of constipation should warrant a standing prescription for stool softeners.

Hope I have answered your query.
Let me know if I can assist you further.

Regards,
Dr. Chobufo Ditah,
General & Family Physician.

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Above answer was peer-reviewed by : Dr. Yogesh D