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Mark is a 66 year old male. He is a retired physical trainer. He was…

- - - - This is kind of embarassing but I haven't been able to pass a bowel movement in a while
        
        No need to be embarassed. when did you have your last bowel movement?
        
        a week ago i think
        
        Do you experience pain during bowel movements
        
        Ya I do
        
        what is that severity of the pain
        
        about 4/10
        
        that happens
    - - This is kind of embarassing but I haven't been able to pass a bowel movement in a while
        
        No need to be embarassed. do you drink enough fluids throughout the day?
        
        No, I think i need to work on that
        
        it sounds like you are constipated, is it okay if I go over some interventions
        
        Interventions
        
        Include water (1-2 glasses) at all meals and also a glass of water to swallow medications (2) (19) versus providing a ‘mini cup’ of water.
        
        Try warm liquids, especially in the morning, to stimulate the bowels. Warm liquids, especially in the morning, can aid the contractions and relaxations in the digestive tract, which helps the stool to pass
        
        Decrease or discontinue intake of alcohol and caffeinated beverages; they have a diuretic effect. This can lead to dehydration making constipation worse
        
        Do you exercise reguarly
        
        yes i go on daily walks
        
        it sounds like you are constipated. is it okay if I go over some interventions
        
        interventions
        
        continue going on regular walks
        
        add probiotics to your meal
        
        increase your fibre intake
        
        it happens
- - - - no, the pain is gone
    - - I have been drinking water with my meals and adding more probiotics and fibre to my diet