severe constipation

37/f C/o- constipation with abdominal pain. USG suggestive of faecolith. For the same complaint patient took tablet bisacodyl 10 mg of for 2 days. Please suggest line of treatment??

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"Dr.Nazrulhuda Momin" A Polyethylene glycol gut can dissolve Faecoliths. Other cause could be bolus as Ascariasis with obstruction or HIRSCHPRUNG's DISEASE. Cap.Rabikind-LS OD. Tab.metrogyl 400mg bd. Cap.Campicllin 500 mg bd. Tab.Eusspas bd. Mucain gel 10 ml tds. Avoid :-Oily,spicy,junk food. Intake more green leaf vegetables. Intake plenty more liquids.

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CONSTIPATION.. LEADING TO.. FECOLITHS.. NEED'S.. GLYCERIN SUPPOSITORIES.. LIQUID.. LACTULOSE..DAILY 2TSF..HS.. FIBRES RICH..FOOD.. VEGETABLES AND FRUITS..

Tnx Dr Shivraj Agarwal sir
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Constipation L Suggest lifestyle modifications like, daily exercise, high fiber diet ,and yoga. Rule out hypothyroidism and anal pathology like fissure. Suggest stool softeners , bulk laxatives .

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Habitual Constipation Tab. Bandy plus at bed time. Sy Liv52 10 ml BDAC X 10 days. Tab. Meftalspas SOS Omez insta 1 pack BD x 3 days. After 3 days 1 pack OD x 7 days. Electral / PRSL WITH PLENTY OF WATER INTAKE. REGULAR FIBER DIETARY SUPPLEMENTS WITH DIET CHARTS.

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Procto glycerine enama or nomotonic enema are good choices followed by bulk laxatives

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TAB vazilac DT TDS TAB xymex mps bid Cap rabez dsr od Syp duphalac 15ml hs

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