Conversation: The conversation between human and AI assistant.
[|Human|] Husband takes Avodart and Flomax. Currently he has become extremely constipated despite eating well and drinking lots of water and exercising. Cannot seem to have a bm without use of magnesium citrate (which he doesn t want to do) but is taking miralax daily. Also he is having to strain to urinate, which then causes a smeary mess around the rectum. Now he s convinced he has pancreatic cancer. Are going to call to schedule a gastro appointment tomorrow but are curious as to what could be going on here.
[|AI|]  Hi there, Thanks for using Chat Doctor. No pancreatic cancer is not associated with constipation and difficult urination. Difficult urination he has is due to prostate enlargement. This occurs during aging process. He is already on medications to treat prostate enlargement. If there is no improvement then I would suggest an uroflometry test to decide whether he needs surgery to correct his urination problem. As far his constipation is concerned, it may be again age related. A stool occult blood test and a colonoscopy test are to be done. He can take high fiber diet and continue taking MiraLax. Was that helpful?