HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Urge To Defecate Immediately After Waking Up?

default
Posted on Thu, 2 Jul 2015
Question: In the Morning when I get up after about 15 to 39 minutes I get urge to have a bowel movement.It becomes urgent and at times i just make to the toilet Stools are normal. then after 15 to 20 later I get another urgent urge to go. at times it is all I can do to hold it until i get to the toilet . Now the stools become softer and less formed. this may happen a third time some days. The rest of the day if I get a urge fro a bowel movement it is not urgent like in the morning. This started 3 years ago after having external beam radiation for Prostate Cancer.It improved after sometime.then in the last couple months it came back. Don't have Diarrhea . Some minor bright red blood at times after the first bowel movement. from internal Hemorrhoid verified by anoscope exam. What can I do or take to fix this problem
doctor
Answered by Dr. Dr. Klerida Shehu (13 hours later)
Brief Answer:
Following answer to your query.

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

Your symptoms are a common side effect of radiation therapy. The radiation therapy cause cell damage on the structure around prostate including small and large intestine, causing postradiation collitis.

Collitis is manifested with softened stools diarrhoea in the morning, bowel spasm etc.

I would like to suggest the following measures in order to relieve your symptoms:
- Avoid diets reach on fatty, spicy, chilly foods.
- Eat a healthy diet reach on fibers fresh vegetables and white meat.
- Use probiotics
- Stay more than 30 minutes on toilets in order to completely evacuate your bowels.
- Avoid unnecessary stress
- Discuss with your doctor about starting Linzess

Hope this was of help!
Wish you health!
Dr. Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Klerida Shehu (2 hours later)
Thank you for your answer. I take probiotic 20 billion active cultures per Tablet.
How many should I take a day? I take Metamucil 4 caps a day ,How many should i take. I will ask my DR about Linzess. I am trying to stay on healthy diet. I take Hydrocortisone aceate suppositories 25 MG 1 every other day . for minor blood at times when I need to. Is their any harm taking suppositories long term.
doctor
Answered by Dr. Dr. Klerida Shehu (20 hours later)
Brief Answer:
Following answer to your queries.

Detailed Answer:
Hi back,

You should take two tablets of probiotics per day. You are taking the right dose of metamucil and you don't need to increase the dosage.

My opinion is that you should continue to take the hydrocortisone suppositories every other day in order to relieve symptoms , with minimal side effects.

However you should monitor blood pressure, blood count and glucose levels every month in order to prevent in time hypertensive crysis and diabetes.

Wish you health!
Dr. Klerida
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Urge To Defecate Immediately After Waking Up?

Brief Answer: Following answer to your query. Detailed Answer: Hi and thank you for asking! I read your query and understood your concerns. Your symptoms are a common side effect of radiation therapy. The radiation therapy cause cell damage on the structure around prostate including small and large intestine, causing postradiation collitis. Collitis is manifested with softened stools diarrhoea in the morning, bowel spasm etc. I would like to suggest the following measures in order to relieve your symptoms: - Avoid diets reach on fatty, spicy, chilly foods. - Eat a healthy diet reach on fibers fresh vegetables and white meat. - Use probiotics - Stay more than 30 minutes on toilets in order to completely evacuate your bowels. - Avoid unnecessary stress - Discuss with your doctor about starting Linzess Hope this was of help! Wish you health! Dr. Klerida