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Suggest Treatment For Chronic Constipation
Question: hello Dr.
I've been having a problem with my bowel movement for a while and its getting worse through out the years. its just ruining my life in every way possible!
I rarely to never have a complete evacuation and even if i do it takes the whole day going in and out of the toilet for me to feel it, sometimes it takes 2 days! it very very hard for me to pass the rest and get it all out !
when i enter the toilet at first I pass a good amount but the feeling of emptiness is not present.
so i keep going in and out through out the whole day until im done and yes through out those times there is coming out! i dont go to the toilet every day i do it every other day.
Few years back i had this problem but i was done in an hour or a bit more but not like now ! im sacrificing a whole day and sometimes 2 just to finish! this is way too much! im missing out on work, i cant go out and in the days i dont have a movement im so tired from the day before (being in the bathroom and finishing so late at night) i get very little sleep during work days and sometimes NO sleep ! so i just get back home from work and sleep! so as you can see i have no life and im very depressed! and to top all that, hemorrhoids are becoming a part of my life too! they come and go but im always under that threat of aggravating the situation.
few monthes back i used to wash up and try to pull the remains out with my fingers and its so frustrating because sometimes i cant reach but i do feel the edge of it hanging in! so after a while i started to apply water inside and push the water out to get the hanging remains out with the push !! i know its bad but seriously im going crazy being sick of it!! but now the applying water method is getting to be very annoying but i couldnt stop it because its the only way i feel empty! but it is very very hard to wash up and make sure that all the water is out !!
I take fiber in my food, i Drink a lot of water and i use the Normacol Fiber plus the night before my bowel movement day! i use the squatty potty stool so that i push in that position! i tried enmas but not regularly! i have an athletic figure 174cm tall, 71kg. I exercise but lately i cant guarantee myself to go anywhere with that problem holding me back from anything and everything! like i said lately i have no life and its really depressing me!
Please Dr. i need your Help and opinion on where to start or how! just anything because im really starting to not see any worth in this life im living!
I've been having a problem with my bowel movement for a while and its getting worse through out the years. its just ruining my life in every way possible!
I rarely to never have a complete evacuation and even if i do it takes the whole day going in and out of the toilet for me to feel it, sometimes it takes 2 days! it very very hard for me to pass the rest and get it all out !
when i enter the toilet at first I pass a good amount but the feeling of emptiness is not present.
so i keep going in and out through out the whole day until im done and yes through out those times there is coming out! i dont go to the toilet every day i do it every other day.
Few years back i had this problem but i was done in an hour or a bit more but not like now ! im sacrificing a whole day and sometimes 2 just to finish! this is way too much! im missing out on work, i cant go out and in the days i dont have a movement im so tired from the day before (being in the bathroom and finishing so late at night) i get very little sleep during work days and sometimes NO sleep ! so i just get back home from work and sleep! so as you can see i have no life and im very depressed! and to top all that, hemorrhoids are becoming a part of my life too! they come and go but im always under that threat of aggravating the situation.
few monthes back i used to wash up and try to pull the remains out with my fingers and its so frustrating because sometimes i cant reach but i do feel the edge of it hanging in! so after a while i started to apply water inside and push the water out to get the hanging remains out with the push !! i know its bad but seriously im going crazy being sick of it!! but now the applying water method is getting to be very annoying but i couldnt stop it because its the only way i feel empty! but it is very very hard to wash up and make sure that all the water is out !!
I take fiber in my food, i Drink a lot of water and i use the Normacol Fiber plus the night before my bowel movement day! i use the squatty potty stool so that i push in that position! i tried enmas but not regularly! i have an athletic figure 174cm tall, 71kg. I exercise but lately i cant guarantee myself to go anywhere with that problem holding me back from anything and everything! like i said lately i have no life and its really depressing me!
Please Dr. i need your Help and opinion on where to start or how! just anything because im really starting to not see any worth in this life im living!
Brief Answer:
add polyethylene glycol and get a rectal exam.
Detailed Answer:
Hello XXXXXXX
I have gone through the history you have given.
It seems you are suffering from chronic constipation along with Obstructive defecatory disorder and now have developed depression secondary to the above problems.
I would suggest getting a thyroid function test done.
I would advise you to consult a physician or surgeon and get a rectal examination done to look for presence of hemorrhoids or rectal mucosal prolapse.
I would suggest adding polyethylene glycol powder to help with your bowel movements. Your doctor can prescribe this.
I would also recommend a consultation with a psychiatrist who will prescribe medications, which will help you with the stress as well as the sense of incomplete evacuation you have. In case your symptoms do not improve with these, I would suggest further evaluation like anorectal manometry.
Hope this helps.
Do get back if you have further queries.
Regards
Dr Samir Patil
add polyethylene glycol and get a rectal exam.
Detailed Answer:
Hello XXXXXXX
I have gone through the history you have given.
It seems you are suffering from chronic constipation along with Obstructive defecatory disorder and now have developed depression secondary to the above problems.
I would suggest getting a thyroid function test done.
I would advise you to consult a physician or surgeon and get a rectal examination done to look for presence of hemorrhoids or rectal mucosal prolapse.
I would suggest adding polyethylene glycol powder to help with your bowel movements. Your doctor can prescribe this.
I would also recommend a consultation with a psychiatrist who will prescribe medications, which will help you with the stress as well as the sense of incomplete evacuation you have. In case your symptoms do not improve with these, I would suggest further evaluation like anorectal manometry.
Hope this helps.
Do get back if you have further queries.
Regards
Dr Samir Patil
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Above answer was peer-reviewed by :
Dr. Shanthi.E
Answered by
