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Difficulty in bowel movements - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
Doctor :   Hi How can I help you
User :   Hello
User :   this is a real doctor?
Doctor :   Yes it for Real..
Doctor :   Are you there?
User :   ok, I am having problems with my bowel movements, this has been going on for about 2 years not and it stoped for a short time and it still continues.. I am 19 years old and I am in very good shape. I do not eat junk food. Ive had a colonoscopy and everything checked out, the doc thinks it all in my head but it is defently not and i am wondering what my next step should be
User :   sorry if spelling is messed up
Doctor :   Now what is the Trouble with your Bowel if you can mention and has that progressed since the start and how regular are you with the Bowel..
User :   my bowel movements are very soft and hard to wipe, I have about one bowel movement a day. The whole thing has made me thinking i am un clean an is affecting my life
Doctor :   Does it stink And tough to wash away from the Come out..
User :   yes
Doctor :   What color is it..
User :   brown
Doctor :   Any medical illness that you have..
Doctor :   Have you had any child hood illness like..
User :   i had a hernia when i was young
Doctor :   Inability
User :   the kind where they did something to my scrotom
Doctor :   To take in Any Foods like milk or aNy Particular
User :   no i can drink milk ok
Doctor :   Ok..
User :   no food alergies
Doctor :   Ok..
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often?
User :   i chew, no alcohol, i use to do drugs but not anymore; ive been away from drugs for little over a year, and i font know what betel nut is
User :   i chew every day
User :   dont*
Doctor :   Chew what If you can Tell..
User :   snuff
Doctor :   Ok..
Doctor :   And alcohol..
User :   none
Doctor :   Since when are you Chewing..
User :   i have been chewing for years... long before any of this
Doctor :   Ok..
Doctor :   They will have a Cumulative effect on your Body and then
Doctor :   the symptoms can vary and never be specific..
User :   from the tobacco?
Doctor :   Yes It will Certainly have An Impact on the Bowel too. Especially the Chewing one..
Doctor :   Now the Trouble is that you are having the Bowel Like they are Tough to clean form the Trough and the Stink.. and
Doctor :   Are you there?
User :   yea i am here
Doctor :   Do you take a Lot of Caffiene..
Doctor :   In any Form..
User :   some, to make me have a bowel movement
User :   like in the morrning a cup of coffee
Doctor :   Do you have Constipation Also..Since you have mentioned that the Stools Were Soft..
User :   if you been my hard stools no
User :   always soft
Doctor :   What is your Routine Diet if you Can Mention..
User :   sometime feels like my bowel movements are incomplete
User :   well lately i havent been eating much cause i think im loading my body with food and not having bowel movements afterward, but mostly meat and veggies
User :   i drink water and juce
User :   juice*
User :   i have a very clean diet
Doctor :   Do you have the Habit of Enema any time in the Past to clear your Bowel..
User :   i've tried them but only once or twice
User :   ive tried laxatives maby a handfull of times
Doctor :   You must leave experimenting with the Laxatives na d then concentrate on the diet since that will help you in thelong run..
User :   i really dont think its my diet. I use to be a very active in weight lifting before all this an ive really never eat a unhealthy diet
Doctor :   Take a diet Rich in the Fiber and Plenty of Fluids that will help ease your Bowel in the Morning and reduce the Smell
Doctor :   Ok..
User :   yes, i just dont understand why there so soft
Doctor :   Fluids Almost 4-5 Liters do you take that..
User :   could it be a medial condition
User :   yea
User :   i drink about half gallon of water a day
Doctor :   the Colonoscopy being normal there is nothing like that to suspect about..
Doctor :   Ok..
Doctor :   Any other History tat You feel You can Provide us with..
User :   so if thats normal its not medical thats what u are saying
User :   the only thing that was ever wrong with me was i was 2 months pre mature an the hernia
Doctor :   Since that is an Invasive investigation and that has been normal adding to the situation that we do not hav any examination it would be that i have to go wit it..
User :   the chewing?
User :   an diet?
Doctor :   Yes that will only Help you improve on your Bowel condition and may be even Relieve you completely..
Doctor :   Please fill this form I send, While I type the necessary information, and do inform me when done.
User :   if it isnt diet, tobacco, and colonocopy is good. is there any kind of tests or exams
User :   because it was hard for me to talk to my doc about this and i think i explaned it to you beter than him
Doctor :   Well A Complete Examination By the Surgeon only will
Doctor :   Help later as to what the next strep forward will be..
Doctor :   Have you filled up the feedback form I sent?
Doctor :   Are you tere?
User :   yes
User :   i got the rating screen
User :   i thought you stoped chat
Doctor :   Ok..
Doctor :   No you can go on..
User :   so a surgeon in a hospital?
Doctor :   Yes .
User :   my problem is i do not have medical insurance so I have to take the right steps or im wasting money
User :   what kind of exam would they do?
Doctor :   Complete Physical Examination And the Anal Examination too Then they will be able to help you Further.
User :   as far as the anal exam wouldnt the colonospy cover that?
Doctor :   Yes but there are afew things that the Doctor might want to Rewieww.
User :   im sorry if im keeping you but.... as far as diet goes a few years ago i eat the same diet i do now, no change and had very healthy clean bowel movements
User :   3 bowel movements a day
User :   then this all came up
Doctor :   ok.. But since there is not much that i am being able to arrive at it would be ideal that you consult the Surgeon as there Is alo the Possiblity of Irritable Bowel Syndrome.. where tere is no specific pathology of the bowel..
User :   my specialist who did the colonosopy said i have irritable bowel but to my understanding that could be almost anything
Doctor :   Yes since there is no specific pathology then it would fall into the IBS nly.
User :   so theres really not alot i can do about ibs?
User :   if i am keeping you i can let you get back to other people
Doctor :   There is not much that you can but with the Advancements in Science there is always the possibllity of improvement.
User :   with medication?
Doctor :   Yes it can be Kept under check..
User :   an can i get this from my regular family doc?
Doctor :   Yes he will Certainly help You with Regard to this condition..
User :   ok well thank you, you have been very helpfull
Doctor :   Bye for Now..
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