Suggest Remedy For Difficulty During Bowel Movements After Using Synprotik

Posted on Sat, 20 Jun 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 20 Jun 2015 Answered on

Wed, 15 Jul 2015 Last reviewed on

Question : My father age is 80 years. By testing regularly his creatinine value is 2.0. The Nephrologist prescribed Synprotik and Alpha Ketoanalogue each 3 daily. He says Diarrhoea or Bloat may develop and asked me to use 5 days if not observed the above symptoms asked me continue for 30 days. After using this he is suffering with severe constipation. The stool becomes very hard to come out. The same informed to the doctor and advised to use Duphalac 30 ml twice daily. A little bit improvement is there, but no free motion is observed. Earlier there will no motion problem to my father. He use to go daily without any difficulty. Then I use Ispagool Husk twice daily. 30 to 40 % improvement observed. The same informed the doctor to withdraw the above medicines or to reduce the dosage but he advised to use Cremaffin 15 ml daily upto regular motion and there after 15 ml at bed time. Kindly advise me through my mail id mentioned here.........XXXXXXX YYYY@YYYY

Answered by Dr. Prakash H Muddegowda (2 hours later)

Brief Answer:
Modification of lifestyle and increased hydration necessary.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:

1. Both synprotik and alpha keto analogue are not known to cause constipation.
2. Possibly additional factors like low fiber diet, dehydration, inadequate sleep and sedentary lifestyle could be the causes.
3. Taking a laxative is definitely helpful during these times. However, other modifications are necessary.
4. Adequate hydration, at least 4-6 liters of water, if necessary more along with diet rich in fruits and vegetables to increase fiber is essential. Sleep should be there for at least 8-9 hours at nights between 10-6 minimum. Early morning warm water intake and mild walking exercises could help in improving gastrointestinal motility.
5. Cremaffin is known to be helpful, particularly if any previous cardiovascular risk is present. You can start with cremaffin along with lifestyle changes as above. It should be helpful. If not and fiber intake is low, then isphagulla husk can be restarted.
6. Remember, bowel movements, twice a week is also adequate. If stools are hard, can be softened with increased hydration and if necessary, cremaffin.
7. No need to stop any medications.
Hope it helps.
Any further queries, here to help again.

Thanks and regards.

Dr. Prakash HM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar