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Constipation and pain while passing stools - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1725 Questions
Doctor :   Hi
User :   hello
Doctor :  
How can i help you?
User :   its kind of embarassing
Doctor :  
Please proceed.
User :   but i think i am extremly constipated when i try to go to the bathroom it hurts really bad and some stuff leaks out but it feels like theres a harder pice that doesnt come out and its very painful
Doctor :  
May i know your age and gender?
User :   i am 16 male
Doctor :  
SInce when are you having these symptoms?
User :   about 135 pounds
User :   past 2 days
User :   i havent really gone to the bathroom at all
Doctor :   Are you passing blood with stools?
User :   no nothing really comes out at all
User :   its to painfull to push out
Doctor :  
Ok.
Doctor :   Do you have vomiting?
User :   none
Doctor :  
Ok.
Doctor :  
I shall explain it to you?
User :   yes please
User :   idk what to do
Doctor :  
You may be having a fissure in the lower gi tract which may be the cause for the pain.
Doctor :  
Or it could be a impacted stool.
Doctor :   Fissures usually go away on it own over 3 to 4 days of time.
Doctor :  
If it is an impacted stool it has to be removed either by an enema or manual removal.
User :   should i try to push it out or could that hurt really bad
User :   how can i tell?
Doctor :  
If the cause is a fissure then you will be doing more harm by trying to push it.
User :   ok
Doctor :  
If you are not able to pass some quuntity of stool then the cause could be fissure.
Doctor :   I can suggest you the measures to prevent this from happening n the future.
User :   ok please
Doctor :  
But the treatment for the present scenario can be treated correctly
Doctor :  
only after an examination.
Doctor :  
Have you followed?
User :   the other day i did realse a small pie it was small and very hard to push out
Doctor :  
For prevention
Doctor :  
It could be more of a fissure that is the cause.
Doctor :  
But like i said it can be diagnoses only after a per rectal examination by a doctor.
Doctor :  
The measures for preventions are
User :   should i see a doctor?
Doctor :   For the treatment of the present scenario it is recommended that you have a per rectall examination done by your doctor.
Doctor :  
I will be able to suggest measures for prevention only
Doctor :  
Have you followed?
User :   yes
Doctor :  
For the prevention
Doctor :  
1. You need to include include high fibre diet in your meal
Doctor :  
The sources of high fibres are vegetables
User :   i recently had my wisdom teth pulled could it be the painkiller narcotics?
Doctor :  
Pain killers do not affect the lower GI tract
User :   ok
Doctor :  
It could have been because of a spicy food however.
Doctor :   SO that is the second prevention
User :   oh
Doctor :  
2. Decrease consumption of hot and spicy food.
User :   is there anyway i can remove the stool
Doctor :  
This should do.
Doctor :   If you are not able to see a doctor now.
Doctor :  
Then you can try lignocaine gels.
User :   what are those?
Doctor :   This is a gel available as an OTC
Doctor :  
They are for local applications
User :   oh
Doctor :  
You need to apply this gel over the anal margins
Doctor :   Three times a day
Doctor :  
This will reduce the pain
User :   should i try to use the bathroom? or no
Doctor :  
And if it is a fissure will help in reduction of the pain,
Doctor :   The treatment measure suggested for the present problem is only an a alternative
Doctor :  
only if you are not able to visit the doctor.
Doctor :  
If you are able to consult a doctor
Doctor :   You can take his opinion on what has to be done now.
User :   ok i want to see one now i really have to go but it hurts to much to go
Doctor :  
If you can use the bathroom or you need to wait.
Doctor :  
You can try this gel for pain relief now.
User :   ok
Doctor :   And get a per rectal examination done.
Doctor :   Have you followed?
User :   yes thank you very much
Doctor :  
Do you have any other query?
User :   no thats it thanks
Doctor :   Please fill the feed back form too.

Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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