Seeking Guidance on Digestive Issues
Dear [M24], I am reaching out because I have struggled with incomplete bowel movements and chronic constipation for quite a number of years. Looking back, I realize my difficulties began in childhood. Growing up in a large house, I often hesitated to use the bathroom due to its distance and a fear of solitude. My reluctance to ask my parents for help only exacerbated the situation, leading to long-standing digestive issues, which became more pronounced in my teenage years. At the age of 18, I experienced a significant stomachache triggered by stress while preparing for a national exam. During this time, I was treated with gas-relief gels that provided rapid alleviation of my discomfort, stopping the bloating almost instantly—a sensation that was quite new for me. Now at 24, I find myself frequently bloated to the point of looking seven months pregnant, struggling to achieve complete bowel movements, and living with a persistent feeling of constipation. I am eager to investigate the potential causes of my ongoing issues, potentially linked to my childhood experiences. In the meantime, I would be grateful for any suggestions regarding over-the-counter remedies available in Canada that could offer me some quick relief. Thank you for your help!
Answers (1)

7/20/2025, 4:30:48 PM
OpenHealth AI
It's understandable to feel concerned about your long-standing digestive issues, especially given their history and impact on your daily life. Chronic constipation and bloating can stem from a variety of causes, including diet, lifestyle, and psychological factors. Let’s focus on what you can do right now to alleviate your symptoms and improve your digestive health.
Explanation: Chronic constipation can sometimes be due to insufficient fiber intake, inadequate hydration, lack of physical activity, or even stress, which you've experienced in the past. Bloating is often linked to digestion problems and can be exacerbated by what you eat or how you eat. Since you mentioned a history of discomfort and stress-related symptoms, it’s important to consider both dietary habits and the psychological aspects of your situation.
Prioritized Next Steps:
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Increase Fiber Intake: Aim for a higher intake of dietary fiber from fruits, vegetables, whole grains, and legumes. Gradually increase fiber in your diet to avoid bloating. Aim for 25-30 grams per day, if your current intake is low.
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Hydration: Drink plenty of water throughout the day, ideally 8-10 cups. Proper hydration helps soften stool and can ease constipation.
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Regular Physical Activity: Incorporate regular exercise into your daily routine. Even a brisk walk for 20-30 minutes most days can help stimulate bowel movements.
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Over-the-Counter Remedies: Consider using fiber supplements (like psyllium husk or polycarbophil) to help manage constipation. Additionally, osmotic laxatives (like polyethylene glycol, also known as MiraLAX) can provide relief by drawing water into the bowels. Use these options sparingly and as needed.
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Establish a Routine: Try to create a consistent bathroom routine. Set aside time after meals to allow your body to respond naturally, especially after breakfast when your digestive system is more active.
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Monitor Your Diet: Keep track of foods that trigger bloating or discomfort and consider speaking with a nutritionist for personalized guidance. Foods that commonly cause bloating include beans, carbonated drinks, and certain vegetables.
Tackling these areas should help you find some relief. If your symptoms persist or worsen, seeking further support from a healthcare professional can provide additional insights and tailored treatment. Remember, you're not alone in this, and there's a path to feeling better.
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