instruction: hello doctor I am a 58 year old male I am 180 am in height and weigh about 85 keg I have frequent constipation issues I am currently on obimet so 500 glimisave m1 pinot 40 my pivasta my and clopilet 75 my
output: hello would you please answer few of my following questions how frequently do you pass stools per week have you felt any blood in stools do you feel pain in the anal area while passing stools have you noticed anything coming out from the anal area while passing stools have you noticed any loss of weight if yes then how much any abdominal pain do you strain while defecating any feeling of incomplete evacuation after passing stools have you used any medication for constipation any change in drugs for diabetes and hypertension in the past six months do you have alternating diarrhea with constipation do you feel bloated I will start symptomatic treatment and some workup for constipation please feel free to ask anything and answer my questions abc complete blood count hba1c glycated hemoglobin ash thyearoid stimulating hormone serum calcium digital rectal examination ispaghol husk two teaspoons in a glass of water every night polyethylene glycol sachet in a glass of water every night for two weeks take plenty of water do 20 30 minutes walk daily