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I have prostatitis and have been treated with Menlo I am and ciprofloxacin for the last 3 weeks with a slight improvement.

I have prostatitis and have been treated with Menlo I am and ciprofloxacin for the last 3 weeks with a slight improvement . Either the condition or the treatment has given me constipation. What is the next step in its treatment and what do you recommend for my constipation?

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The answer

Thank you for contacting health at hand.

Prostatitis is usually managed by immediately initiating patients on a 28 day course of antibiotics e.g Ciprofloxacin 500mg twice daily. Alongside antibiotic treatment they tend to recommend pain relief to help with any accompanied pain. Then they review treatment/ condition at some point, either during the treatment process or following recovery.

Constipation is not known to be a side effect of ciprofloxacin, therefore it may be a good idea to run these symptoms past your doctor.

In the meantime, there are a number of options to help alleviate your constipation.

The following lifestyle changes have been known to help:

  • Increasing amount of fibre in diet (30g per day) e.g. fruit, vegetables, cereals, wheat bran etc.
  • Drinking 6- 8 glasses of water per day
  • Regular moderate exercise

If lifestyle changes haven’t helped, here are options of laxatives available:

  • Bulk forming laxatives e.g. ispaghula husk- work simlarly to dietary fibre by bulking the stools helping them retain fluid, encouraging stool excretion. Usually start to work after 2-3 days. These are recommended initially to treat constipation.
  • Osmotic laxatives e.g. lactulose – increases water content in bowel making them easier to pass. Start to work after 2-3 days
  • Stimulant laxatives e.g. Senna, bisacodyl – stimulates muscle nerves lining the digestive tract, leading to increased motility. Start to work within six to 12 hours
  • Stool softener laxatives e.g. arachis oil, docusate sodium – increases eater content in dry, hard stools

If no improvement is seen after using laxative treatment for about a week, speak to your doctor for further assessment of symptoms.

We hope that is of some assistance to you.

Answered by the Health at Hand nurses