Conversation: The conversation between human and AI assistant.
[|Human|] for the past 5 months i have been taking tri-sprintec birth control and have noticed a severe case of constipation. i feel the pills may be the causing because i did not have this problem before taking the pils. i also experience hot flashes, sleep difficulty and anxiety. my main concern is the constipation. can this possibly be coming from the pills?
[|AI|]  Hi, Hormonal pills can cause bloating, diarrhea or constipation. Any history of abdominal pain, yellow discoloration of eyes or clay colored stools can indicate liver damage. Liver function tests should be done. Laxatives such as lactulose ca be taken at night. High fiber diet and adequate HY Chat Doctor.  Other causes of constipation such as hard stools, anal fissures or hemorrhoids should also be ruled out. Take care. Hope I have answered your question. Let me know if I can assist you further.