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Diagnosed with IBS. Bring out remnant of stools after bowel movements using finger. Eating healthy, high fiber foods, probiotics. Suggestions?

I was hoping someone could help me with an IBS-related problem that I ve been having for years. I ve suffered with IBS ever since I was in grade school ( I m 44 now ). My symptoms included pain, diarrhea and the unexpected immediate urgency to run to the bathroom. Years ago my folks took me to a doctor that diagnosed me as having IBS after a battery of tests. When I was in my early 20s.. I was actually symptom free for years. Then around 1990.. some of the symptoms returned and have not gone away. Now, only occasionally do I have the terrible pains I used to have. But I still have the unexpected urges, the cramping and the feeling that I have to have a bowel movement almost constantly. The worst thing now is the feeling that after a bowel movement, I feel that I m not finished. So one of the things I ve been doing for years is inserting my finger to get what s left out. I know this sounds awful.. and totally gross.. but I can t seem to break this habit. No matter how much fiber I take, or water I drink.. my bowel movements never feel complete . And they re not because there always DOES seem to be more left.. sometimes MUCH more. And I can only get it removed by using my finger. And I m _not_ constipated either, my stools are always very soft and even loose sometimes. But it s like the rest won t come out without me trying to remove it. Then there are times when I feel there s something there.. I have the cramping and urgency.. but when I insert my finger, there s nothing there. I ve been wondering that if by using my finger I m not just irritating things even more.. making the feeling of having to go to the bathroom even worse. As I said.. I m trying very hard to break this habit or find ways to alter my diet so that the feeling of having incomplete bowel movements goes away. I just want to be able to go to the bathroom _normally_. Has anyone here ever had this problem? If so.. were you ever able to overcome it? Any replies will be so greatly appreciated! m definitely going to try to follow your advice. I ve been _trying_ to do just that recently but it s just SO difficult because I ve been doing this for years and I guess I m just used to it now. There are times when I feel a really bad urgency to go to the bathroom, but nothing will happen until I use my finger to get things going. It s almost like the muscles inside of my rectum are all tight and won t allow anything to pass. Again, this just may be due to the fact that I m so used to going to the bathroom in this manner that my body may need some time to adjust ( so I m hoping ). Then there are times when I feel an urgency.. lower abdominal cramps and the feeling I need to have a bowel movement.. and there s nothing there ( maybe some mucous and a small amount of stool, but not enough to cause such an urgency ). And just within the last month I noticed what I think may be an internal hemorrhoid . In 30 years of having IBS symptoms I _never_ had a hemorrhoid. I m thinking it might have been caused by trying to make sure I was completely empty all the time. Back when I was symptom-free, I never had this unfinished feeling. I d have a normal bowel movement in the morning, I d feel empty and would be good for the entire day. I so hope I can get back to feeling that way that someday soon! I ve upped my fiber intake.. and am eating yogurt and taking probiotics. I m hoping that may make a difference in time. This is such an embarrassing subject, I remember years back when I went to the doctor for my IBS symptoms it was very difficult telling him the details of my problem. And this is definitely not something I d ever bring up with a friend. So being able to post this message and hearing from someone who know what it s like makes a big difference. Thank you again for your reply Lynn! And if anyone else has any advice or comments about this, I d really like to hear them!
Asked On : Tue, 29 Jan 2013
Answers:  1 Views:  85
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Proctologist 's  Response
I sure understand your problem and the embarressment.
Please be assured that this is not a rare thing and many people world over have this similar problem, just that they do not come out of the closet.
You have typical symptoms of O.D.S. (obstructive defecation syndrome). This means that the inner wall of your rectum has become loose and is sliding down during every motions, so you get the initial motions but then the sliding rectal inner wall blocks the outlet. Because of the sagging wall, you still feel that there is something in the rectum that needs to come out, so after passing the finger, you are actually displacing the sagging rectal wall and allowing the stools which were trapped above to come out.
when you have a false feeling of crapping and nothing comes out, it is the sliding rectal wall which you are feeling and one equates it as stools in the rectum and thereby an urge to pass motions.
Also once labelled as IBS, the tag goes on for life which needs to be re-confirmed.
I recommend you to undergo an MRI-defecography and Ano-Rectal Manometry at a tertiary G.I.Surgery / colorectal surgery / pelvic floor department / proctologist in your area.
Your problem can be cured by a surgery called STARR (stapled trans-anal resection rectopexy) if the MRI and the manometry reports indicate.
take care
wish you good health
Answered: Thu, 31 Oct 2013
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