instruction: i took an antibiotic a year and a half ago and I have had digestive issues ever cents I crave sugar often and mostly eat carbohydrates like bread and chocolate I recently started to have a green smoothies that had two big handfuls of spinach in them with protein powder every morning for four or five days plus eating regular meals some being salads and some being more protein based its been about a week since I started this and I feel like I have not fully gone to the bathroom since I feel somewhat of a pain in my stomach and I wake up feeling like I have a fever and I am just afraid somethings not right and that I am very constipated constipation was one of my main issues this past year and a half and I am here is if make an appointment with my gastroenterologist and if I need to get this removed thank you
output: hi there thanx for the query I can understand ur concern according to ur statement you had digestive problem and you took antibiotics for one and half year that antibiotic name is not mentioned here now you have been suffering from constipation for one and half year and for the seven dayser it has become very severe firstly exact causes should be found out and then treat the causes the causes of constipation vary such as dehydration or eating foods with too little fibres again more serious cases it can be result of stress hormonal changes spinal injuries muscle problems carcinoma and other structural problems affecting the digestive tract you should try the following quick treatment to make ur moves take fibre supplements like calcium polycarvophil fibercon psyllium metamucil konsyl methylcellulose etc eat a serving of high fibre food like oats whole grain bread or cereal fibrous veggies and fruits rice and beans etc proper dehydration typically at least eight ounce glasses of clear liquid per day is necessary for normal bowel movement take a laxative stimulants designed to force a bowel movement by squeezing the intestines like bisacodyl dulcolax ducodyl senna sennosides senokot etc take an osmotic laxative is designed to help move fluids through the colon like magnesium hydroxide phillips milk of magnesia polyethylene glycol miralax lactulose kristalose etc try a lubricant laxative such as mineral oil add a slick coat to ur intestine walls allowing stool to move through ur colon and out of ur body more easily use a stool softener such as docusate sodium colace or ducosate calcium surfak can moisten the stool by pulling water from intestine try an enema include sodium phosphate fleet soapsuds tape water enemas etc rectal suppositories like glycerin bisacodyl etc help encourage bowel movements by softening stool try to perform light exercise regularly try colonic massage you should undergo us of a mri of spine thyearoid test to ash abc etc to find out the causes responsible for ur chronic constipation please inform me after taking above mentioned measures and undergoing investigations then I will be able to treat you further