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Sluggish bowels since years, on laxatives, feel pressure in anal area, dissatisfied after BM, avoid movement when the urge arises. Help?

sluggish bowel for 20yrs. Have to use laxatives daily. Some pressure in anal area, and feeling of not emptying fully after a bowel movement . No blood. No abdominal pain . No fatigue . No back pain . I probably don t drink enough water. When I do have the urge to go I m usually at work, and cannot (I am a nurse and busy with patient care). So, the urge goes away and no BM. What now?
Asked On : Sat, 8 Sep 2012
Answers:  1 Views:  35
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General & Family Physician 's  Response

Constipation refers to the infrequent or difficult passing of stool.
The definition of constipation includes the following:
infrequent bowel movements (typically three times or fewer per week)
difficulty during defecation (straining during more than 25% of bowel movements or a subjective sensation of hard stools), or
the sensation of incomplete bowel evacuation.

The most common cause for constipation is a diet poor in fibre and low in fluid intake

Treatment of constipation depends on the underlying problem. Various kinds of laxatives are available to treat the condition. But they must be used only as the last resort

Managing constipation also includes lifestyle changes. A balanced diet with loads of fibre, fruits and vegetables along with the regular intake of 8 glasses of water a day and moderate exercises can do wonders to manage the condition.

also u can start with these simple things.
Don't suppress urges to defecate. When the urge comes, find a toilet.

Increase the fiber in your diet by consuming more fruits, vegetables, and whole grains. (There are other health benefits from this recommendation as well.)

It may be difficult to get enough fiber in the diet to effectively treat constipation, so don't hesitate to take fiber supplements if necessary (wheat bran, psyllium, etc.).

Use increasing amounts of fiber and/or change the type of fiber consumed until there is a satisfactory result.

Don't expect fiber to work overnight. Allow weeks for adequate trials.

If constipation is a continuous rather than an intermittent problem, probably the safest laxatives to take on a regular basis are the hyper-osmolar laxatives

Stronger stimulant laxatives usually are recommended only as a last resort after non-stimulant treatments have failed.

Answered: Sat, 8 Sep 2012
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