Suggest Treatment For Chronic Constipation

Posted on Wed, 26 Nov 2014

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

Wed, 26 Nov 2014 Answered on

Mon, 22 Dec 2014 Last reviewed on

Question : I have had two surgeries lately. The first was hemorrhoid remove were the Dr removed three columns. All went well but ended up getting a fissure and it would not heal on its own, which lead to my second surgery. The Dr. fixed the fissure plus removed another hemorrhoid and skin tags on the outside due from first surgery. When i was about 12 or 13 they discovered my intestines were twisted and done a lads procedure for this. So ever since i was little if always had problems with constipation. Since the last surgery which was last Monday the 17th Ive been taking Miralax which has been recommended to me several times but once i finally started to have a BM this week its turned very watery and leaks out all the time. I use the Miralax just like it say to use on the bottle. I also eat the normal stuff. What do i need to do and please tell me its not gonna lead to another surgery. That was already my 9th one and im only 27. Thanks So Much

Answered by Dr. Het Ram Bishnoi (3 hours later)

Brief Answer:
Change lifestyle

Detailed Answer:
Hello Welcome to Health Care Magic

I have read your query and I can understand your problem. You had surgeries for Hemorrhoids and then for fissure. You have chronic constipation. I would like to tell you that one of main reason for haemorrhoids and fissure is constipation. If you can prevent constipation then you can avoid surgery. I would advise you to-

-You should be aware of this, have high fibre food. Take plenty of vegetables like cucumber, salads, leafy vegetables in food.

-Drink plenty of fluids, water, juices to soften the stools.

-Avoid excess use of miralax as it will increase the tolerance. But for some time you can use it daily, after some months gradually reduce the doses.

-Dont strain during defecation, also don't hold for long. This increased the risk of constipation.

-Exercise daily and increase activity level which will decrease constipation.

-If you want to avoid miralax you can use natural methods like castol oils.

- Certain exercises help in strengthening the anus like Torso Circle Exercise. Practice it daily and next surgery will be prevented. You can take help of youtube for that.

-Drinking lukewarm water about 1 hours before defecation time will instantly soften the stools and risk will decrease.

Thanks, follow these steps and you will be alright. Ask again for more doubts.

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

Follow up: Dr. Het Ram Bishnoi (35 minutes later)

You Rock Thank So Much. I will try all of this. I do have one more question though.
What would you recommend to a person that does not eat veggies? Ive tried multiple times and i can not do it. I can taste the iron and the different textures, i just cant get passed them.

Answered by Dr. Het Ram Bishnoi (17 minutes later)

Brief Answer:
Non plant sources of fibres

Detailed Answer:
Hello thanks for asking again

If you don't eat much plant foods then I would advise you to-

- Have fish, chicken more than other foods as they don't worsen the constipation.

- You can take whole wheat bread, multi grain breads. These will improve the constipation.

- Eat at least on banana per day along with lukewarm water. This will help to soften the stools.

- Nuts like walnuts, peanuts are good source of fibres so if you can take it then that will be wonderful.

- Some powder laxatives are relatively safe to take for long as compared to medicinal laxatives. These consist of fibres only, but are difficult to take orally.

- Avoid excess iron and calcium tablets as they just worsen the symptoms.

Thankyou. Hope this helps you.

Above answer was peer-reviewed by : Dr. Shanthi.E