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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Am I Not Having Bowel Movements After Abdominal Cramping?

Yesterday I had severe lower abdominal cramping. When these cramps happen I usually have to use the bathroom. However yesterday I could not. This is gonna sound funny, but it seemed like my butt wouldn't open up to go. Finally I took a suppository children's at that because I couldn't think of anything else and just wanted to go and stop the pain. I finally did go a few time after about a 5 hr period. I am on my period. However I almost never have these cramps or if I do they are not severe like these were. I am 39 yrs old and weigh 145 and 5 feet 9 inches
Mon, 14 Jul 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Undergone through your history carefully.
This is suggestive of colitis , where you have tenesmus- meaning pain and feeling like going to the toilet. but nothing comes out except for some mucus in some cases.
Due to the periods , there is congestion in the pelvic area, and this may add to the problem.
I would advise you to take a course of an antibiotic active against intestine and symptomatic treatment like anti-spasmodic tablets.
Take plenty of oral fluids.
If necessary the oral rehydration solution.
Wait and watch.
If the problem becomes recurrent you may need a colonoscopy and other investigations like ultrasonography / blood / urine and stool tests.
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Why Am I Not Having Bowel Movements After Abdominal Cramping?

Hi. Thanks for your query. Undergone through your history carefully. This is suggestive of colitis , where you have tenesmus- meaning pain and feeling like going to the toilet. but nothing comes out except for some mucus in some cases. Due to the periods , there is congestion in the pelvic area, and this may add to the problem. I would advise you to take a course of an antibiotic active against intestine and symptomatic treatment like anti-spasmodic tablets. Take plenty of oral fluids. If necessary the oral rehydration solution. Wait and watch. If the problem becomes recurrent you may need a colonoscopy and other investigations like ultrasonography / blood / urine and stool tests.