16yr female covid positive 1month back have constipation non responding to lactulose wahts the mgmt


Covid 19 causes autonomic dysfunction. Sometimes sympathetic activity increases which manifest in variety of forms such as tachycardia, hypertension, constipation Sometimes parasympathetic activity increases which can manifest in variety of form such as bradycardia or diarrhoea Good part of it is that autonomic disturbance subsides with time Treatment of constipation in this case can be used of GASTROINTESTINAL motility agent T. Prucalopride 1 mg once a day Few other agents can be added to T. Prucalopride such as Domperidone, Itopride or Erythromycin

Evaluate for hypothyroidism Sr electrolytes Correction of potassium, Adv hydration Green leafy vegetable High fiber diet Consider PEG preparation, or PG enema.

Stimulant laxatives can be used. Find the other cause not responding to osmotic laxative.. Either due to improper dosage or intake may be.. From ayurvedic medicine.. sukhsarak vati has gd response in such cases..

Thanks for ur appreciation Dr Asad Munaf..


Dulcolux 1 hs Naturolax powder 2 tsf tds With Luke warm water Glass of milk at bed time

Thank you doctor

Figs guavas dates apricots pomegranatesmuskmelon raisins.ginger garlic little onions walnuts blue berries sunshine walk prayers alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages no vyasan... cold pressed coconut oil massage and in naval lime juice pineapple with black pepper sprouts kalijeeri green leafy vegetables beetroot coriander juice sweet potato...corn..under strict supervision of Doctor..

Prucalopride 2 mg hs Sy cremaffin 10 ml hs Increase roughage in diet 1/2 hr walking if possible

Try Cremalax tab.

Switch to bulk forming or stool softeners laxatives. Look for secondary causes like less intake of water or drug history or mental functions, puborecti muscle strengthening

Tab. Ganaton 50mg bd (itopride) Along with MOM and Na picosulfate

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