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Chronic Atonic Constipation

Gastrointestinal Disorders
Vasudevan NamboothiriGender: MaleAge: 72 years (Elderly) Chronicity: 8 years

Presenting Complaints & History

  • No urge to pass stool for 3-4 days
  • Hard, dry, knotty stools passed with extreme straining
  • Feeling of incomplete evacuation
  • Loss of appetite and abdominal fullness

Clinical Assessment

A 72-year-old retired priest from Triprayar suffering from chronic atonic constipation for 8 years. Due to age-related intestinal sluggishness and low physical activity. Dependent on daily herbal laxative powders, which had caused bowel tolerance (sluggish colon).

Diagnostic Investigations: Digital rectal exam showing no rectal mass; normal blood electrolytes.

Homeopathic Therapeutics & Management

Alumina was indicated for complete lack of rectal urge even with soft stools and dry mucous membranes, while Bryonia resolved dry, hard stools.

Selected Constitutional Remedies: Alumina and Bryonia Alba

Lifestyle & Nutritional Support

Drink warm water every 2 hours; include fiber-rich papaya and oats in the diet; perform light daily walks.

Clinical Outcome

Follow-up Period: 1 year
  • Laxative dependency resolved; first natural urge occurred on Day 12 of treatment
  • Stools became soft and daily bowel evacuation established by Month 2
  • Appetite restored and abdominal fullness cured by Month 4
  • Stable bowel motility and health at 1-year follow-up
Medically reviewed by Dr. Navaneeth K. Unni
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