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Have Frequent And Endless Bowel Movement Problem. Suggest Cure?

Posted on Fri, 18 Oct 2013

Question: Hi Doctor, I have bowel movement problem for the last 25 years that is very frequent and endless that I have to think about it consistently, and it is really rowing my life and I am over whelmed with stress, and nothing worked so far. I never have the relief feeling after I go to washroom. not sure if I can help please. just to give you background about how it all started. in 1985 I was waiting for a friend to pick me up to go to swimming pool, and I had to go to the washroom for no. 2 and I was worried that he could come any minute, and when he came I left home and I did not finish what I was doing, and after I came back that day, I found that it is very hard to go to washroom and unusual bowel movement till today.

thanks

Answered by Dr. Amit Jain (7 hours later)

Brief Answer:
Requires some details of the symptoms

Detailed Answer:
Hello! Thanks for putting your query in XXXXXXX I am a Gastroenterologist (DM).

I appreciate your concern. Will you please answer my few queries:
1. What is the frequency of bowel movement?
2. What is the consistency of stool?
3. Is there any abdominal pain?
4. Is there any loss of apetite or weight?

I hope you will not mind answering these details. Please upload these

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Amit Jain (4 hours later)

Hi Dr.

1- it is continues through out the day, there is always feeling to go, not urgently but there is movement it could be only gas but I never enjoyed the sense of relief, it is just like the "sand clock" keep happening, basically after all these years, my mind is focusing all day on this problem, and my nerve and muscle in big tense always especially around the rectum as a reaction for the repentance. what ever is on my mind is in addition to the bowel movement.

2- It feels like constipation, but it is not hard. and it is thin as a finger in shape.
normally in shape.

3- there is no abdominal pain, but I am always bloating like a balloon.

4- this problem has big negative effect on my daily life and it is causing trouble even in my sex life and over all emotions. it is been with me for a long time.

feel free to ask any question

thanks

Answered by Dr. Amit Jain (35 minutes later)

Brief Answer:
Please see the details

Detailed Answer:
Hello! thanks for feedback which I was waiting for

It seems that you are suffering from IBS-C (Irritable bowel syndrome constipation predominant)

So what all you have to do is:
1. You should take psyllium fibres at night with water
2. Lots of fibers in your diet by taking lots of fruits and vegetables
3. May add some laxative like syrup cremaffin plus which is the combination of liquid paraffin, sodium picosulphate, and milk of magnesia which will lead to decreased frequency and make your stool soft so that you don't feel incomplete evacuation
4.Avoid milk and milk products in any form if they worsen your symptoms
5. Avoid fatty meals
6. Do regular exercise aerobic at least 30 minutes per day
7. take some mild antispasmodic agent like mebeverine
8. take tablet Gasex by Himalaya company
9. take some antianxiety agent like clonazepam 0.5mg hs. It will relieve your anxiety
10. Believe me this all will help you and there is nothing to worry

Few facts about IBS:
1. Is a chronic disease which has relapsing and remitting course
2. It will never harm you even if it will persist for whole life
3. Stress, life events, and anxiety leads to aggravation of symptoms
4. Intestine becomes hypersensitive so even discomfort is perceived as pain
5. Increase gas production leading to abdominal fullness and bloating
6. No alarming features like weight loss, gastrointestinal bleeding, or fever

The most important is that it will never harm you

if you do not have any clarification , you can close the discussion and rate the answer. Wish you a good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Amit Jain (1 hour later)

thanks again Dr., I have couple questions please:

1- is there is any relation between the incident happened back in 1985 as I mentioned when I left washroom without finishing and went to swimming pool. is there is psychological effect or physical effect??

2- I used different type of medicines and nothing worked, I found using "Mylan Paroxetine 40 mg" helps little bit but not solving the problem, with bad side effect on sex drive.

thanks

Answered by Dr. Amit Jain (22 hours later)

Brief Answer:
Please see the details

Detailed Answer:
Hello! Sorry for delay.

Ans 1 : i don't think there is no relation between the incident. There may be only if present is psychological effect

Ans 2: Please take the medications I mentioned above, I hope they will relieve your symptoms

Wish you a good health

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar