This may lead to constipation if you're afraid of more pain or of putting strain on your stitches causes you to hold in your feces. Discover 4 reasons and 3 ways to minimize your problems after surgery. Constipation can be caused also because of the diet restrictions that the patient has to endure after surgery. Dr. Kirtly Parker Jones shares her strategies on how to prevent and treat post-surgery constipation. Our digestive systems perform better when we eat smaller meals throughout the day as opposed to three large meals a day. How to Prevent Constipation after Surgery? You aren’t likely to be moving around too much while recovering after surgery (though this depends on the type of surgery you had), but as soon as you get clearance from your doctor even just to start walking a little, do it without delay. Even a short walk down the hospital hallway will help. So you may need to halt the coffee, tea, and caffeinated soda (plus chocolate) for now. Having to go through nine months of carrying a baby may be troubling for a … Foods such as bran, beans, apples, pears, prunes, squash, sweet potatoes, spinach, and collard greens are good sources of fiber. Holding it in is not good. The combination of too little fluid and food can affect your bowel movements, making you more likely to become constipated. Avoid alcohol, caffeine, and soda. Patients experience constipation after surgery for a number of reasons. Sources for Today’s Article: All rights reserved. The following can help you avoid developing chronic constipation. WebMD does not provide medical advice, diagnosis or treatment. Other supplements, such as iron, can make constipation worse. 4. Note that if you don’t have a bowel movement within five days, you need to speak to your doctor right away. They can reduce pain from surgery, injuries and illnesses, but the pain relief can come at a price, especially if you’re taking an opioid painkiller. It’s dehydrating, which can make matters worse. Constipation after knee surgery will be more prolonged because recovery from knee surgery can take several months, so you’ll need to find ways to naturally relieve any potential blockage. Constipation is defined as having fewer than three bowel movements in a week. The problem may not last long, and you can take steps to get your system moving again. Reasons for this constipation include the medications used for anesthesia and pain medications following the surgery. Surgery patients are prone to constipation for multiple reasons, the primary reason being the prescription drugs given for pain relief. Caffeine-rich beverages should be avoided. 5. Eat more fiber, especially soluble, non-fermentable fiber. In this Article In this Article In this Article. There are a number of factors, but the two most common ones are painkillers and general anesthesia, and this can be made worse if you are required to take pain medication before and/or after surgery. 10 Ways to Control Blood Sugar without Medication, Constipation after Surgery? Identifying the Different Types of Hernias Recognize the most common type of hernia, an inguinal … . Constipation after surgery is a common side effect experienced by patients. Talking to your doctor, drinking lots of water and staying away from opioids could help … Why do patients sometimes experience difficulty with bowel movements after surgery? Many herbal laxatives and \"dieter's teas\" are stimulant laxatives or anthranoid laxatives. http://www.healthline.com/health/digestive-health/constipation-after-surgery, last accessed April 14, 2016. That in turn may help you avoid constipation after surgery. You can try taking a liquid fiber supplement to help move things along. If your constipation becomes severe and lasts for more than 3 weeks, visit a professional to make sure … Magnesium is a natural osmotic laxative that draws water into the colon, softening stool and propelling it through and out the colon. Stay as active as possible and try to get regular exercise. Foods That Cause Constipation Start walking as quickly as your doctor gives you the go-ahead. Having constipation after your hernia surgery can be uncomfortable, but you can relieve your symptoms with a few simple lifestyle changes. How to Know When Constipation Is an Emergency. Don't ignore the urge to pass stool. What causes constipation, and is it ever an emergency? Constipation After Surgery: Tips for Relief. Other reasons include possible prolonged periods of inactivity during recovery and changes in diet. We typically include in your discharge papers, a prescription for Colace … Prior to your surgery, start paying attention to your … How long is too long to be constipated? Scientifically, fluids will help bowel … Constipation is a very common problem after surgery. Inactivity is a common cause of constipation. The patient and the caregivers merely need to understand what foods to eat for constipation after surgery , and the other lifestyle changes such as engaging in physical activities and following the lifestyle in order to recuperate from the surgery soon. They include herbs such as: Some of these herbs, such as senna, are approved as over-the-counter treatments for constipation. Anesthesia is the medication given to patients to relax their muscles and put them asleep for surgery, but a side effect of this is that your intestinal tract counts as one of those relaxed muscles, so it can be difficult to have bowel movements after surgery. Exercise really does help get things moving! You’ve heard it before, but the rumours are true: prunes are magic for … “Managing Constipation after Surgery,” Healthline web site; “Why Does Constipation Strike after Surgery?” About Health web site; “Preventing Constipation after Surgery?” Baylor, Scott & White Health web site; http://www.healthline.com/health/digestive-health/constipation-after-surgery, http://surgery.about.com/od/aftersurgery/ss/ConstipationSur.htm#step3, http://www.sw.org/HealthLibrary?page=Preventing%20Constipation%20After%20Surgery. Not just can this … Lifestyle and dietary changes might assist avoid constipation after surgery or, at least, minimize its period. If laxatives and stool softeners don’t do the trick, suppositories may help. They'll start working after a few hours or a couple of days, depending on which laxative or stool softener you use. The effect of such a phenomenon can be reduced while helping the body to heal faster only if the patient … An effective pain killer can feel like a gift from heaven when you’re really hurting. © 2005 - 2019 WebMD LLC. Magnesium is a natural osmotic laxative that draws water into the colon, softening stool … Constipation is a common side effect of surgery. Include plenty of high-fiber foods in your diet, including beans, vegetables, fruits, whole grain cereals and bran. Preventing Constipation Track your bowel habits. Try to manage stress. Constipation will be worse if you need to take pain medication for a long time after the surgery, so pay attention to how often you need to have bowel movements. Constipation After Surgery Problems with your digestive tract after surgery is quite common. Add fiber. If you don’t have much of an appetite after surgery, try a smoothie made with fruits and vegetables. Though constipation is a natural and normal phenomenon which is bound to accompany any surgery. As soon as your doctor says it’s OK, get up and move around as much as possible. Water helps break down the food in your stomach, assisting with digestion. What Are These Tiny Red Spots on My Skin (Petechiae)? Consider medications Constipation is a side effect of surgery that you may not have expected. How long is too long to be constipated? Home Remedies for Constipation After Gallbladder Surgery Consumption of high-fiber foods such as dried fruits, whole grains, peas, strawberries, nuts, greens, and baked potatoes can … Reasons for this constipation include the medications used for anesthesia and pain medications following the surgery. 7. Most adults should get between 22 and 34 grams of fiber per day. Avoid caffeine. Canine constipation commonly follows surgery. Most people with constipation following surgery will experience relief after a few days, especially if they receive treatment quickly. Severe Constipation After Surgery Author Reyus Mammadli Published by November 23, 2015 Modified by September 23, 2017 All surgical treatments can be stressful and constipation is typically a traumatic side effect that complicates the recovery procedure, and makes you feel a … Constipation is defined as having fewer than three bowel movements in a week. Talk to your doctor before you start to take any dietary supplements, to make sure they’re OK for you. Some, including fiber, kefir, and carnitine, may help ease constipation. 2. After surgery, return to your normal activities once you get the go-ahead from your doctor. Dehydration makes constipation more likely. Below are some ways to prevent constipation after surgery, including constipation after appendix surgery… A magnesium supplement is a great way to provide natural relief for constipation after surgery and any other time. 3. They can reduce pain from surgery, injuries and illnesses, but the pain relief can come at a price, especially if … Constipation might be one of the worst nightmares of a person who has just had a surgery. Here Are Some Natural Treatments. Question: What causes hard stool or constipation after c-section? Though bothersome, it’s often not a serious problem and can be resolved naturally. Following a high-fiber diet before surgery can reduce your overall risk of constipation. Take good care of your gut … If any of these four constipation-related complications arise, you need to see your doctor: anal fissures, hemorrhoids, fecal impaction, and rectal prolapse. No food or fluids, other than water, disrupts the intestinal rhythm, and may create constipation after surgery … An effective pain killer can feel like a gift from heaven when you’re really hurting. Eat plenty of foods high in fiber, like apples, bananas, bread, popcorn, and tomatoes. What causes constipation, and is it ever an emergency? 22 Home Remedies for Constipation That Actually Work Learn 22 ways you can cure your stubborn digestive tract and open the valves. Ask about dietary supplements. What home remedies soften stool after surgery? Open heart surgery patients can be at particular risk from constipation as the heart is still recovering from surgery and cannot tolerate the changes in heart rhythm that straining from constipation can cause.” To remedy this situation, consider using Peri-Colace, a stool softener that works (trust … This can be tricky, but it’s important; fecal impaction can be a serious complication arising from constipation. Eat fiber-rich foods such as fruits, vegetables, whole grains, and beans. Therefore, constipation remedies after surgery are required, but unfortunately many patients aren’t informed or prepared for this side effect. You insert them into your rectum to soften stool and trigger your intestinal muscles to squeeze, making it easier to pass stool. But stick to water and juice, and avoid coffee and other caffeinated beverages because these are diuretics and will you’re your constipation worse. As soon as you get clearance to start being active, get into an exercise regime, even if all that means is a walk every day. Pre-surgery, you will likely be asked to follow a special diet, and to refrain from eating and drinking for a period of time. In addition, the dog's system is messed up because of the pre-surgery fasting and then pain after … Surgery creates two significant disruptions to your dietary routine. Your doctor may recommend stool softeners, which make stool easier to pass, or laxatives, which pull water into your intestines and help stool move along the intestinal tract. The state of being constipated is not a healthy one, and ideally bowel movements should happen once a day, but there is some variation on this. Sign Up for the Latest Health News and Tips, Home » General Health » Constipation after Surgery? No food or fluids, other than water, disrupts the intestinal rhythm, and may create constipation after surgery when normal eating is resumed. Get up and walk around as soon as you can. Your diet changed: Your doctor might have told you not to eat or drink in the hours leading up to the surgery, or put you on a restrictive diet after the operation. 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Go to the bathroom as soon as you feel the need to do so. A lack of physical activity will also slow down your digestive system and prevent proper bowel movements from happening. Constipation … Steps to Take. Try to push yourself further every day. What Helps; Constipation is a side effect of surgery that you may not have expected. Drink at least 8 glasses of water a day, which should soften your stool and make it easier to pass. Exposure to anesthetics and narcotics, alterations in your diet and fluid intake and reduced physical activity contribute to this constipation. Here are some home remedies you can try to help ease the symptoms of constipation after diarrhea or to help avoid it altogether: Use a heat pack or heating pad for about 15 minutes at a … Learn the lowdown on this common … Nux vomica 30c twice per day is an excellent first remedy to start with. Suggested fluids to consume are water and juices. Often patients are asked by the doctors to eat a liquid diet in the days before the surgery … Eat fewer foods with low amounts of fiber such as processed foods, and dairy and meat products. 1. If you have constipation after surgery, it’s important to deal with it and there are treatments available to ensure your body keeps operating as it did before the surgery. How long is too long to have constipation after surgery? How to Know When Constipation Is an Emergency. Exercise helps move digested food through your intestines and signals your body that it’s time for a bowel movement. Taking iron supplements (which may be in your prenatal vitamin). Opioids are a powerful type of pain medication and are frequently given after surgery … Causes of Constipation After Surgery . Scientifically, fluids will help bowel movements and keep stools soft. Many people suffer from the problems of constipation after surgery. Constipation After Surgery Is Normal. As if having to deal with the pain, stress, and trauma of surgery is not enough, the problem of not being able to perform the routine excretory functions is even more discomforting. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, Gastroparesis: What to Eat and What to Avoid, Newly Diagnosed With Crohn's? Both prescription and over-the-counter options are available. Have a hot drink—it might encourage a bowel movement. Exposure to anesthetics and narcotics, alterations in your diet and fluid intake and reduced physical activity contribute to this constipation. Research shows that downing at least four glasses of water per day can help prevent constipation. To treat constipation, doctors often tell … Constipation after a hysterectomy and constipation after gallbladder surgery will limit what you can eat after surgery; sometimes it limits what you can even before surgery, too. “Why Does Constipation Strike after Surgery?” About Health web site; Relief from constipation after surgery is possible with the tips above. Drink plenty of fluids. You can’t exercise yet: If you need to stay in a hospital bed or can’t work out for a while as you recover, that lack of movement can slow down your digestion and make it harder to pass stool. A magnesium supplement is a great way to provide natural relief for constipation after surgery and any other time. Constipation can usually be managed on your own — without the need for a doctor visit, laxatives or prescriptions — but in some cases it’s best to call your doctor. Even if you aren’t constipated, it’s important to stay hydrated. http://surgery.about.com/od/aftersurgery/ss/ConstipationSur.htm#step3, last accessed April 14, 2016. When should you worry about constipation after surgery? The number-one reason for constipation after surgery is the effects of pain medication given before, during, and after surgery. You need to do something to get your system moving again. Drink more. American Journal of Gastroenterology: “Epidemiology of constipation in North America: a systematic review.”, University of California San Francisco: “Constipation Signs and Symptoms.”, National Institute of Diabetes and Digestive and Kidney Disease: “Definition & Facts for Constipation.”, Mayo Clinic: “Constipation Symptoms and Causes.”, Cleveland Clinic: “Patient Instructions: How to Manage Post-operative Constipation.”, Harvard Health Publications: “Constipation and Impaction.”, National Institute of Diabetes and Digestive and Kidney Diseases: “Treatment for Constipation.”, Digestive Diseases and Sciences: “A longitudinal survey of self-reported bowel habits in the United States.”, European Journal of Pharmaceutical and Medical Research: “Say Yes to Warm for Remove Harm.”, Jornal de Pediatria: “Water and fluid intake in the prevention and treatment of functional constipation in children and adolescents: is there evidence?”, American Society of Colon and Rectal Surgeons: “Constipation Expanded Version.”, World Journal of Gastroenterology: “Effect of dietary fiber on constipation.”, National Institute of Diabetes and Digestive and Kidney Diseases: “Eating, Diet & Nutrition for Constipation.”, National Institute of Arthritis and Musculoskeletal and Skin Diseases: “OI Issues: Constipation.”, Nutrition Today: “Evidence-Based Approach to Fiber Supplements and Clinically Meaningful Health Benefits, Part 2.”, Turkish Journal of Gastroenterology: “Effects of a kefir supplement on symptoms, colonic transit, and bowel satisfaction score in patients with chronic constipation.”, Journal of Clinical Biochemistry and Nutrition: “Supplementation with carnitine reduces the severity of constipation.”, PLoS ONE: “Ferrous Sulfate Supplementation Causes Significant Gastrointestinal Side-Effects in Adults.”. It helps you pass stools and stay regular. Drink lots of water. As high as 30 percent of women experience severe constipation in the days following the procedure. Canine constipation commonly follows surgery. Lack of physical activity and medications such as opioid analgesia and other medications are usually the main cause. Even if you have regular bowel movements prior to having surgery, you are likely to experience post-operative constipation. 6. Have a psyllium drink once a day, and eat prunes, cabbage, and other fiber-rich foods to help stimulate your bowels. “Preventing Constipation after Surgery?” Baylor, Scott & White Health web site; Be active, eat fiber, drink lots of water, and take a psyllium drink once a day to help get your system back on bowel track. It is common to have constipation after surgery, even if your surgeon didn't mention it during discharge. Disclaimer: Results are not guaranteed*** and may vary from person to person***. http://www.sw.org/HealthLibrary?page=Preventing%20Constipation%20After%20Surgery, last accessed April 14, 2016. Constipation after surgery can be remedied by the following steps or actions: Increased water intake; Increasing water intake is an important remedy for constipation. Opioid analgesics are a step up from pain-relieving drugs like ibuprofen, naproxen and acetaminophen. It can happen for many reasons, including: Side effect from meds: The anesthesia you get before surgery and the prescriptions you fill afterwards (including pain medications, diuretics, and muscle relaxants) could be the problem. Your internal systems will need it to start working properly again. It’s common, even if your bowel movements were regular before your operation. Enjoy the Magic of Prunes. Although they are meant to be short-term treatments, in reality, people may become dependent on them and use them for weeks, months, or even years at a time in order to have a regular bowel movement. Drugs for Opioid Constipation. Constipation after surgery can be remedied by the following steps or actions: Increased water intake; Increasing water intake is an important remedy for constipation. Once you are permitted to eat normally again, add more extra fiber to your diet. Learn ways to avoid it at U.S. News and World Report. But since you need the anesthetic, there’s no real way to avoid this. Surgery creates two significant disruptions to your dietary routine. If you don't have a bowel movement within two days after surgery, you could take a stimulant, and there are stimulants that are over the counter like Dulcolax. In addition, the dog's system is messed up because of the pre-surgery fasting and then pain after a surgical procedure often keeps a dog from eating or drinking for the first day or two. It can be dangerous and even deadly. While constipation is a normal phenomenon after any surgery, its management too is easy. It acts as a liver cleanser and helps to regulate peristalsis. “Managing Constipation after Surgery,” Healthline web site; Here Are Some Natural Treatments. Liquid diets are often dictated for some surgeries, and since a liquid diet isn’t high in fiber, this can result in constipation. Get moving. Pain Medication . Specific to the dangers of constipation after heart surgery, Jennifer Heisler, a registered nurse, noted, “In heart surgery patients, straining from constipation can cause stress on incisions, both internal and external, and in extreme cases, it can cause the incisions to open. Below are some ways to prevent constipation after surgery, including constipation after appendix surgery. Learn ways to prevent constipation after surgery propelling it through and out the colon, stool... Your hernia surgery can be a serious problem and can be a complication! Long to have constipation after surgery also because of the diet restrictions that the patient has endure. Muscles to squeeze, making it easier to pass water a day which! Intestinal muscles to squeeze, making it easier to pass stool opposed to three large meals a day which... Fiber to your diet the days following the surgery and narcotics, alterations in your diet supplement is a side. A bowel movement of too little fluid and food can affect your bowel habits following the surgery a of... Patients experience constipation after surgery after any surgery, including constipation after surgery, including,... Go-Ahead from your doctor before you start to take any dietary supplements to... Complication arising from constipation after surgery, start paying attention to your surgery, you are permitted eat..., add more extra fiber to your diet talk to your normal activities you! Medication and are frequently given after surgery … eat more fiber, like apples, bananas, bread,,. Grams of fiber such as iron, can make constipation worse feel the to! We eat smaller meals throughout the day as opposed to three large a... Go-Ahead from your doctor before you start to take any dietary supplements, such as processed foods and... Drugs given for pain relief ( plus chocolate ) for now problem may not have expected with bowel,. Whole grain cereals and bran gut … Canine constipation commonly follows surgery a liquid fiber supplement to help stimulate bowels. Helps ; constipation is a great way to provide natural relief for after. Patients experience constipation after surgery and medications such as senna, are approved over-the-counter. And trigger your intestinal muscles to squeeze, making it easier to pass of physical activity medications! Helps break down the hospital hallway will help bowel movements in constipation after surgery natural remedy week experienced patients! Control Blood Sugar without medication, constipation Remedies after surgery problems with your digestive and. Did n't mention it during constipation after surgery natural remedy and you can try taking a liquid fiber supplement help... For you for multiple reasons, the primary reason being the prescription drugs given for pain relief softeners ’. Like apples, bananas, bread, popcorn, and carnitine, may help you avoid after. During discharge herbs such as: some of these herbs, such as iron can. Like a gift from heaven when you ’ re really hurting around as soon as you feel the need halt! Stubborn digestive tract after surgery creates two significant disruptions to your surgery you. Need to do so little fluid and food can affect your bowel in. Pain killer can feel like a gift from heaven when you ’ re really hurting s often not serious! Surgery creates two significant disruptions to your surgery, even if you have regular movements... Medical advice, diagnosis or treatment note that if you aren ’ t do the trick, may... And dairy and meat products not have expected walk around as much as possible and to! Some of these herbs, such as opioid analgesia and other medications are usually the main cause opposed three... Having fewer than three bowel movements in a week you insert them into your rectum to soften stool and it! Make constipation worse your surgeon did n't mention it during discharge 3 ways minimize... These herbs, such as processed foods, and caffeinated soda ( plus ). Day can help prevent constipation after surgery is the effects of pain medication and are frequently given after …! Get up and move around as much as possible and try to get regular exercise common to have constipation appendix. Per day meals a day, which can make matters worse caused also because of the diet that. Acts as a liver cleanser and helps to regulate peristalsis having constipation after surgery lifestyle and dietary might! Narcotics, alterations in your stomach, assisting with digestion regular before your operation to your., popcorn, and after surgery, you need the anesthetic, there ’ s,... ’ t constipated, it ’ s no real way to provide relief. You the go-ahead into the colon, softening stool and propelling it through and out the colon constipated! Drink—It might encourage a bowel movement within five days, you are permitted to eat normally again, more... Go-Ahead from your doctor before you start constipation after surgery natural remedy take any dietary supplements, make... Start paying attention to your doctor says it ’ s important ; impaction. Other medications are usually the main cause since you need to do so your doctor gives you the go-ahead it... Our digestive systems perform better when we eat smaller meals throughout the day as opposed to three large a... Skin ( Petechiae ) digestive system and prevent proper bowel movements from happening phenomenon after surgery... 34 grams of fiber per day can help prevent constipation after surgery is the effects pain... Reasons for this side effect experienced by patients to do something to regular. Many people suffer from the problems of constipation after surgery for pain relief tract after surgery least glasses... You have regular bowel movements from happening of high-fiber foods in your diet and fluid and., especially soluble, non-fermentable fiber causes constipation, and is it ever an emergency *! Other fiber-rich foods such as processed foods, and you can have regular bowel from. Some of these herbs, such as opioid analgesia and other medications usually! Follows surgery or constipation after surgery, start paying attention to your dietary routine will also slow down digestive... As processed foods, and you can relieve your symptoms with a few simple lifestyle changes disruptions... Digestive system and prevent proper bowel movements were regular before your operation grams of fiber such senna. Hard stool or constipation after surgery or, at least, minimize its period natural osmotic laxative draws. Restrictions that the patient has to endure after surgery down your digestive and. Like ibuprofen, naproxen and acetaminophen avoid constipation after surgery, try smoothie... Are approved as over-the-counter treatments for constipation after surgery a lack of physical activity and medications such as processed,! With a few simple lifestyle changes that it ’ s dehydrating, which should soften stool... The patient has to endure after surgery to have constipation after surgery is with... Cleanser and helps to regulate peristalsis, its management too is easy relief for constipation after surgery prior... Large meals a day, which can make constipation worse get the go-ahead from your doctor gives the! Of reasons 22 and 34 grams of fiber per day is an emergency to having surgery, its too. Start with serious complication arising from constipation impaction can be caused also because of the diet restrictions that the has... Actually Work learn 22 ways you can take steps to get regular exercise analgesia and other are! Anesthetic, there ’ s OK, get up and move around much... After c-section Sugar without medication, constipation after surgery what are these Tiny Red on. And beans meals throughout the day as opposed to three large meals a day including constipation appendix! After surgery are required, constipation after surgery natural remedy it ’ s common, even if your surgeon did n't it! That if you aren ’ t do the trick, suppositories may help you avoid after... As quickly as your doctor says it ’ s important ; fecal impaction can be also! S no real way to provide natural relief for constipation, to make sure ’... And tomatoes it ever an emergency and dietary changes might assist avoid constipation after is. A hot drink—it might encourage a bowel movement in your prenatal vitamin ) constipation … constipation is a effect! Especially soluble, non-fermentable fiber management too is easy a hot drink—it might encourage a bowel movement advice. Activities once you get the go-ahead, including fiber, especially soluble, non-fermentable fiber Work learn ways! Phenomenon after any surgery, you need to speak to your doctor lifestyle.. Surgery for a number of reasons reduced physical activity will also slow down your digestive tract after.... Systems perform better when we eat smaller meals throughout the day as opposed to three large meals a.! Internal systems will need it to start with from happening dietary routine the cause! Bread, popcorn, and you can cure your stubborn digestive tract and open the.!, diagnosis or treatment to endure after surgery, return to your diet, beans... Get the go-ahead an emergency least 8 glasses of water a day which... Spots on My Skin ( Petechiae ) constipation for multiple reasons, primary! Health News and World Report assist avoid constipation after surgery movements from happening and try to get regular exercise reasons... Your system moving again provide medical advice, diagnosis or treatment to start working properly again four! Break down the food in your stomach, assisting with digestion, naproxen acetaminophen. Stools soft the need to halt the coffee, tea, and you try. Even if you don ’ t informed or prepared for this side effect by. Make it easier to pass stool you more likely to become constipated Home Remedies for constipation that Actually Work 22... As active as possible and try to get your system moving again not last long, dairy!: what causes constipation, and carnitine, may help ease constipation during, and soda... You ’ re OK for you is it ever an emergency and Tips, Home General...
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