I love it's form factors and its battery #Giveaway #OPPOF31Series #SmoothAndPowerful #TechnologyGyan

💩 Constipation : The Complete Clinical Guide Constipation is more than “not going.” It’s a symptom, a syndrome, and often a signal of deeper disease. Let’s understand it from basics to advanced management 👇 🧠 Definition: ➡️ Textbook: Fewer than 3 bowel movements per week ➡️ Practical: Any change from normal pattern causing discomfort like straining, hard stool, or incomplete evacuation 🎯 Always identify the reason before starting laxatives. 🔍 Think LMNOP to remember causes: L (Lifestyle): Immobility, low fiber diet, poor hydration. Even light walking can stimulate bowel movement. M (Metabolic): Hypercalcemia slows gut and dehydrates, hypokalemia impairs muscle function, hypomagnesemia causes spasm, hypothyroidism slows transit (TSH >10). N (Neurologic): Seen in Parkinson’s disease, multiple sclerosis, dementia, spinal cord injury — these patients often need regular bowel regimens. O (Obstructive): Colon cancer, fissures, or strictures. Always rule out bleeding, weight loss, or new-onset constipation after age 50. P (Pharmacologic): Tricyclic antidepressants, calcium channel blockers, antipsychotics, antispasmodics, GLP-1 analogues, iron, calcium, and aluminum antacids. 💊 Don’t forget over-the-counter drugs like antihistamines, which are frequent hidden causes. 🥦 Non-Pharmacologic Management Fiber: Soluble fiber (psyllium, oats, methylcellulose) softens stool by retaining water. Insoluble fiber (bran) can worsen bloating. Start with 3–4 g/day and titrate to 20–30 g/day. ⚠️ Take with adequate water or it can worsen constipation. 💊 Psyllium should be taken 2 hours apart from thyroid or mineral supplements. Hydration: 1.5–2 L/day is adequate; more adds little benefit if already hydrated. Dietary Aids: Prunes outperform psyllium in mild constipation. Kiwi slightly increases stool frequency. Physical Activity: Even 15–20 minutes of daily walking improves motility. 💊 Pharmacologic Management ⚖️ Combine drugs with different mechanisms instead of repeating one type. Osmotic Laxatives: *Polyethylene Glycol (PEG) is safe, gentle, and works in 1–3 days. *Magnesium citrate or oxide acts faster but is risky in renal dysfunction. *Lactulose works in 1–2 days but can cause bloating and gas. 💡 Colonoscopy preps like GoLytely are high-dose PEG and can help in fecal impaction. Stimulant Laxatives: Senna or Bisacodyl act in 6–12 hours and are best taken at night for a morning bowel movement. 🌿 Chronic use doesn’t damage the colon or cause dependence. 🧴 Rectal Therapies (Suppositories and Enemas) Suppositories dissolve in the rectum while enemas instill liquid to soften stool. Lubricant (mineral oil) coats stool and bowel wall. Osmotic (Fleet, glycerin, lactulose) pulls water into the rectum but avoid in CKD or elderly due to electrolyte imbalance. Irritant (tap water or soap suds) promotes peristalsis by mild irritation. 👩‍⚕️ Enemas are labor-intensive and messy, plan them early in shifts. 💉 Opioid-Induced Constipation (OIC) Opioids slow gut, tighten sphincters, and reduce secretions. 1️⃣ Adjust opioid formulation if possible (fentanyl patch less constipating than oral morphine). 2️⃣ Start osmotic and stimulant laxatives. 3️⃣ If refractory, use PAMORAs like Methylnaltrexone. These block gut μ-opioid receptors without reversing pain control. Work within ~1.3 hours. Side effects include abdominal pain or diarrhea. 🩹 Stop other laxatives before starting PAMORA; restart if no relief. 🧩 Key Takeaways ✅ Always search for reversible causes using LMNOP. ✅ Avoid stacking drugs from the same class; combine logically. ✅ Soluble fiber and hydration are the foundation. ✅ Avoid phosphate enemas in CKD and elderly. ✅ For opioid users, PAMORAs can be lifesaving. ✅ Encourage movement and a fiber-rich diet to prevent recurrence. #Constipation #GutHealth #InternalMedicine #USMLE #NEETPG #Gastroenterology #ResidentLife #MedTwitter #EvidenceBasedMedicine

Upcoming smartphone launches: 1. OnePlus 15 2. realme GT8 Pro 3. OPPO Find X9 series 4. iQOO 15 5. vivo X300 series 6. Lava Agni 4 Which giveaway are you the most excited about? 😎

Alright then. 600 likes and I'll definitely giveaway the iQOO 15 😍 Quote repost with #iQOO15 #BetheGOAT

And, which color variant of the iQOO 15 would you want me to giveaway? 🤩 A. Legend B. Alpha #iQOO15 #BetheGOAT

Born of metal. Guided by intelligence. Launching on 20.11.25🔥🔥🔥🔥 #Agni4 #ComingSoon #LavaMobiles

Your POCO F7 Pro deal is ready… Don’t miss out during the POCO 11.11 Mega Sale!

Finally, coming back to India today 😍 Have brought plenty of stuff for the #stufflistingsarmy as well, so be ready 🤩 And sorry for being unavailable, will get some rest today and will be back in action from tomorrow onwards ❤️

Two finishes, two attitudes - Lunar Mist or Phantom Black. Which one is your pick? Launching on 20.11.25 🔥🔥🔥🔥 #Agni4 #ComingSoon #LavaMobiles

Some dino-zoom portraits

Say NO to plastic 🚫 Launching on 20.11.25 🔥🔥🔥🔥 #Agni4 #ComingSoon #LavaMobiles

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🧾 Special offers printed just for you! Grab your POCO F7 at an unbeatable price during the POCO 11.11 Mega Sale! 🎉

Precision in Symmetry🔥🔥🔥🔥 #Agni4 #ComingSoon #LavaMobiles

iQOO 15: color variants confirmed so far for India.

Offline store guy said, Lava achha bik jata hai udhar. Under 20k would be a good price.. Under 25k, too much competition.

Forged from metal—because plastic dreams shatter 🔥🔥🔥🔥 #Agni4 #ComingSoon #LavaMobiles

Philips smartphones coming to India 👀

Simply Stunning. #Agni4 #ComingSoon #LavaMobiles

moto g67 Power launching on November 5th in India. - 50MP LYT-600 - 7000mAh battery - Snapdragon 7s Gen 2

moto g67 Power key features.