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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Constipation Along With Anal Pressure And Pain?

For 48-60 hours I havent had a bowel movement to speak of. I am experiencing a pressure/pain sensation in the rectum, the urge to have a bowel movement every 30-75 minutes, the feeling of having fecal matter at the anal sphincter which will not come out, no matter how hard I strain, and if i feel my rectum while trying to strain, it feels like 1/2 cm of bowel is exteriorizing, which dissapears once i stop straining. The only matter I have been able to excrete is mucus, sometimes streaked red, and 2 watermellon seed sized fecal masses.
Thu, 7 May 2020
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General & Family Physician 's  Response
Hi,

Since your stools are hard and impacted due to not passing it for 2 to 3 days, laxatives should be used. Laxatives may sometimes not be sufficient.In that case, I would suggest you to visit your physician and do an enema.

The cause of constipation which could be piles, fissures or dietary causes which should be identified and treated. Maintaining healthy fibre diet and adequate hydration in the following days can avoid constipation.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Saranya Ramadoss, General & Family Physician
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What Causes Chronic Constipation Along With Anal Pressure And Pain?

Hi, Since your stools are hard and impacted due to not passing it for 2 to 3 days, laxatives should be used. Laxatives may sometimes not be sufficient.In that case, I would suggest you to visit your physician and do an enema. The cause of constipation which could be piles, fissures or dietary causes which should be identified and treated. Maintaining healthy fibre diet and adequate hydration in the following days can avoid constipation. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician