What Causes Constant Urge To Defecate And Loose Stool?

Posted on Sat, 15 Oct 2016

Question: I am 33 m/170cm/71 Kg in Weight. My Problem is related to Bowel Moments for the past many Years. I goes to Washroom twice at least in the Morning. And the Urge is too much after Sleep that it sometimes feel difficult to reach the Washroom. Even if I wake up at 4 AM then also the same urge. The bowel is like Watery and it flows very soon or you can say Diarrhoea. Also there is a Sound like Farting in the Loo. Sometime the bowel is also Very Irritable .In addition to this the urge to bowel pass Is very random ie at one time I feel normal and then Suddenly after 5 min required to go to Loo. So, I think that my Problem is Bowel Incontinence with IBS. I tried almost lot many Ayurveda and Homeopath medicine but no Advantage. Due to this I am afraid of going to go to Public Places and I feel nervous . Even after Lunch or dinner i go to Loo. The main concern is the Urge and sometimes unable to control the motion. Diet: Low Salt, Pure Veg Diet, Lots of Nuts, Fruits ,Low in Spices food I take.

Answered by Dr. Geeta Sundar (2 hours later)

Brief Answer:
Hi XXXXXXX I think you have irritable bowel syndrome predominantly Diarrhoea

Detailed Answer:
Hi XXXXXXX I think you have irritable bowel syndrome predominantly Diarrhoea type. Please continue a soft diet. Avoid kabuli chana, Rajma, groundnuts, and anything with too much fat and sugar or anything that can cause a lot of gas.Reduce your nut intake. Black tea/green tea should suit you instead of tea with milk. You can try soya milk. It should suit you. You can take a tablet with Loperamide before going out anywhere where you may not have access to a bathroom. There are many drugs for IBS that can be prescribed by an allopathic doctor. And you can get a colonoscopy done to rule out other causes. You can revert back with your opinion of my advise or a follow up question. Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Geeta Sundar (1 hour later)

Thanks for your Response Doctor.
As per your Opinion I have only IBS Problem or Fecal incontinence due to IBS ? I am totally Vegeterian and avoid take lotof Fatty ,Salty or Sugary Things that can increase my Gas Level.
I do not have any complaint about Gas and already Endoscopy Done few Years Back and Please find the Snipplet for the same.
Findings: Small Hiatus Hernia. Small Partially Healed Ulcer in distal end of esophagus. No Varices.
Gastric Ulcers partially healed, Multiple Linear Ulcer noted in antrum.

My most important concern is about not Proper Bowel in the Morning and the urge which can occur anywhere.

Please also let me know what Exactly dose of Loperamide should I take and when ie MG and what other medication till what schedule. Do I need to take my whole life in addition to diet Control and Yoga.

Answered by Dr. Geeta Sundar (1 hour later)

Brief Answer:
Hi XXXXXXX I think it is IBS that is leading to this sudden urge.

Detailed Answer:
Hi XXXXXXX I think it is IBS that is leading to this sudden urge. Since you also have history of gastric ulcer, you can take an Omeprazole containing preparation for one week every month. Loperamide comes as Lomotil and is a standard mg. You can take it as and when you require. There is no course.
To rule out faecal incontinence you will have to see a surgeon who will do some tests to rule it out. Also, sometimes the external opening is loose (sphincter). Maybe if it is loose, it can be repaired and it may solve your problem. However, the diet I have suggested will definitely help both your ulcer and bowel problem. Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Geeta Sundar (46 hours later)

Ok Doctor.

So, i need to Take Omeprazole 20 mg for 1 week every month till the problem doesnt solve with Diet Control.Empty Stomach or after Breakfast??

Then,
Lomotil (Not Contains Loperamide )
or
Lopamide (Contains Loperamide )

Please confirm which to take

Regards,
XXXX XXXXXXX

Answered by Dr. Geeta Sundar (25 minutes later)

Brief Answer:
Hi XXXXXXX you can take Omeprazole half an hour before evening meal.

Detailed Answer:
Hi XXXXXXX you can take Omeprazole half an hour before evening meal. Yes you are right. Lomotil (contains diphenoxylate) and Lopamide ( contains loperamide)--these are similarly acting drugs. I normally use lomotil, so I suggested that. Regards

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Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar