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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Abdominal Pain With Severe Constipation. Laxative & Enema Of Little Help. What Does It Indicate?

Hello, I am 29/f and I have major pain in the lower side of my gut. it came on rather suddenly last night and I thought it may have been constipation as I hadn't had a bm all day and usually I have runny stools at least 2 times a day. Last night I took stool softeners and this morning I took stool softeners too. I was still unable to go, so I took an enema and had some success but not much. This afternoon I took a laxative because I was still in a lot of pain. I was finally able to go, and it was runny just like it always is (sorry for the details). I am still having severe pains in the lower left part of my abdomen or gut area. I haven't had any recent surgery, I haven't changed my diet or done anything strenuous. If I don't move the pain is just kind of throbbing or a kind of bloated cramping feeling kind of like menstrual cramps only more targeted to my left side. When I move however it is a sharp almost tearing feeling on the left side. When I cough, or blow my nose it has a sharp sudden pain too, though when I sneeze it isn't as painful as the cough. I hope this is enough details for you. I am thinking I will have to go to the clinic tomorrow when it opens. I just don't want to go and have them say that I just really need to poo. Thank you for your help
Thu, 14 Nov 2013
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General & Family Physician,  's  Response
Hello dear,

The causes of constipation can be:
1. Any pathology/ sub acute obstruction in the Gastrointestinal tract
2. Irritable bowel syndrome- constipation predominant type.
3. Functional cause- due to decreased gastric motility
4. Inadequate intake of fluids and fiber rich diet.
5. Hormonal & Metabolic causes, etc.

Though symptomatic relief can be obtained by intake of Laxatives, their regular use is not advised.
And as long as the underlying cause is not treated, symptoms will keep recurring.

So, kindly consult a Gastroenterologist & get a proper physical examination done.
Investigations like complete blood count, Ultrasound scan of abdomen, Colonoscopy & contrast studies will be helpful to rule out any pathological cause for your symptoms.

There is no need to worry, you will be fine.
Till then, maintain adequate hydration & proper nutrition status.
Take care.
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Severe Abdominal Pain With Severe Constipation. Laxative & Enema Of Little Help. What Does It Indicate?

Hello dear, The causes of constipation can be: 1. Any pathology/ sub acute obstruction in the Gastrointestinal tract 2. Irritable bowel syndrome- constipation predominant type. 3. Functional cause- due to decreased gastric motility 4. Inadequate intake of fluids and fiber rich diet. 5. Hormonal & Metabolic causes, etc. Though symptomatic relief can be obtained by intake of Laxatives, their regular use is not advised. And as long as the underlying cause is not treated, symptoms will keep recurring. So, kindly consult a Gastroenterologist & get a proper physical examination done. Investigations like complete blood count, Ultrasound scan of abdomen, Colonoscopy & contrast studies will be helpful to rule out any pathological cause for your symptoms. There is no need to worry, you will be fine. Till then, maintain adequate hydration & proper nutrition status. Take care.