Hi.
Thank for your query.
Noted the history of having to pass stool several times to empty bowels in the morning, can not pass in one go, suffering from a long time. Already done
colonoscopy twice and upper GI
Endoscopy, which were normal. Hence have to wake up at 4 am as have to go for duty by 7 am.
Since you have not mentioned about any other times of needing to go for passing bowel motions, the problem looks to be only in the morning.
The causes are:
Faulty bowel training.
IBS, that is
irritable bowel syndrome.
The other causes have been ruled out by 2 colonoscopy.
I would advise you the following:
First of all you have to get control over your
stress and
anxiety as these look to be the major cause.
Bowel training.
Find out the foods and beverages that help normalize your bowel habits and continue these.
Also make a practical list of the all the factors, foods and beverages that cause such a problem and you have to stop them altogether.
With all these measures you can get control over your existing problem.