Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

How To Treat Acute Rectal Tenesmus?

Use of purgatives (sodium picosulfate) as a laxative after OTC laxative regimens have failed. This is the only thing that seems to work reliably. Clean colonoscopy. Female. BMI 22. IBS. Intermittent inability to empty rectum unassisted by manual (intravaginal) or contact (enema). Medications: cipralex, diazepam, lactulose (30ml bid), metamucil (1tbsp am). 1000-1300 calories a day. What should ask my gastroenterologist?
Fri, 10 Jun 2016
Report Abuse
General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history you having constipation and only Sodium picosulfate works. Colonoscopy clean- normal, intermittent inability to empty rectum without assistance as by intravaginal pressure or contact by enema, a known IBS-C.
Wants to know what to ask to the Gastroenterologist.
- You have to ask for the following:
What type of IBS is this.
Which medicine to be tried and to be continued and for how much length.
Are there any studies to decide the exact problem.
Role of anxiety and/ or stress or any other psychological condition that can instigate or enhance the problems.
What are the foods and beverages that you have noticed to cause the constipation.
The answers to these will help one to get the proper diagnosis and the treatment is successful only after the basic causes are tackled with.
I find this answer helpful
Note: For further follow up on digestive issues share your reports here and Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Lactulose


Loading Online Doctors....
How To Treat Acute Rectal Tenesmus?

Hi. Thanks for your query. Noted the history you having constipation and only Sodium picosulfate works. Colonoscopy clean- normal, intermittent inability to empty rectum without assistance as by intravaginal pressure or contact by enema, a known IBS-C. Wants to know what to ask to the Gastroenterologist. - You have to ask for the following: What type of IBS is this. Which medicine to be tried and to be continued and for how much length. Are there any studies to decide the exact problem. Role of anxiety and/ or stress or any other psychological condition that can instigate or enhance the problems. What are the foods and beverages that you have noticed to cause the constipation. The answers to these will help one to get the proper diagnosis and the treatment is successful only after the basic causes are tackled with.