Drs. Banny Wong and Michael Camilleri on Chronic Constipation

Mayo Clinic Medical Edge Weekend on Saturday, August 20th, featured Mayo Clinic gastroenterologists, Dr. Michael Camilleri and Dr. Banny Wong on chronic constipation.

Medical Edge Weekend 8-20-11

To see Dr. Camilleri on YouTube, click here.

5 Comments

  1. Teri
    Posted August 13, 2011 at 11:40 pm | Permalink

    My 17 month old hasn’t been officially diagnosed with chronic constipation, but is often constipated and in pain, she screams at every bm. She bleeds and had developed a possible hemmeroid. Her doctor didnt give me much advice except keeping her stool soft. I give her plum smart juice daily, but it still hurts her, isthere anything else I can do to help her? Thank you in advance for your help.

  2. Abdulkadir
    Posted August 15, 2011 at 4:03 pm | Permalink

    Through the internet research I discover that I am suffering from gastroparasis. How do I treat this?

  3. Dena Gustafson
    Posted August 19, 2011 at 4:05 pm | Permalink

    I have had many health issues that have caused chronic constipation.Years of peritoneal dialysis, two kidney transplants, diabetes and gastroparesis. After 15 yrs of health issues and pain meds I stumbled onto a cure while being hospitalized for a major infection — I now take a probiotic acidophilus capsule everyday and am a fairly regular yogurt eater. Have not had a bout of constipation since starting this regimen almost two years ago — hooray!

    Dr. Camilleri says, “Acidophilus and other probiotic bacteria may indeed alter colonic function and relieve chronic constipation. The main probiotic bacteria studied to date are bifidobacteria, lactobacilli (including acidophilus) and certain strains of E. coli. They are generally VERY safe but you need to be careful if you are on immunosuppressive medications as part of your anti-rejection therapy for transplant. The only two randomized controlled trials of probiotics for irritable bowel syndrome (not exactly constipation) conducted in the USA to date were conducted at Mayo CLinic and showed benefit on colonic movement of content and on bloating and gas.”

  4. Posted August 20, 2011 at 7:45 am | Permalink

    I have a couple of questions:

    1. I know that Prucalopride is currently being used to treat chronic constipation in the UK. Do you know if it’s being considered for FDA approval?

    2. Many people with gastroparesis often end up with chronic constipation. In your opinion, is this likely due to the motility disorder progressing or something else?

    Thank you for covering this topic!

    Dr. Camilleri says”1. Prucalopride is being discussed by the companies that own the “rights” in different continents (Johnson and Johnson and Shire). There is a rumor that discussions with FDA are starting.

    2. Constipation is exceedingly common and it may be a coincident problem in patients with gastroparesis; therefore I would NOT assume that the development of constipation in a patient with gastroparesis implies involvement of the colon by the same disease that causes the gastroparesis.


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