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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Having Regular Bowel Movements

I have never had regular bowel movements ever, and I've tried laxatives before with minimal success but still Some progress and yet I still feel as though I'm not " finished" when I get up. This week I tried again with no results I feel like I have 30 lbs of waste in my belly I'm miserable what can I do to help.
Mon, 8 May 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Irregular bowel movements in spite of laxatives and feeling like not finished yet after passing stool is indicative of some inflammatory process in the large bowel, particularly the descending and sigmoid colon and the rectum called as procto-colitis. T
This can be diagnosed by the following:
Stool tests for three consecutive days.
Tests of blood and urine.
X-ray of the abdomen in standing position to see for fecoliths and any other condition like bowel obstruction, the partial can cause similar symptoms.
This will help to get a proper diagnosis and a plan of management which can be in the form of an antibiotic, anti-inflammatory medications, laxatives to be continued.
If this is not sufficient for relief, you will need the further investigations like a CT scan of the abdomen and colonoscopy with biopsy to get accurate diagnosis and a plan for treatment.
You may need to have a proper observation for the foods and beverages that instigate or enhance the problems and to stop them altogether.
Patients with procto-colitis may be most affected by a stress and anxiety hence needing to following the advise of your Doctors to get further evaluation and management.
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Suggest Treatment For Having Regular Bowel Movements

Hi. Thanks for your query. Noted the history and understood your concerns. Irregular bowel movements in spite of laxatives and feeling like not finished yet after passing stool is indicative of some inflammatory process in the large bowel, particularly the descending and sigmoid colon and the rectum called as procto-colitis. T This can be diagnosed by the following: Stool tests for three consecutive days. Tests of blood and urine. X-ray of the abdomen in standing position to see for fecoliths and any other condition like bowel obstruction, the partial can cause similar symptoms. This will help to get a proper diagnosis and a plan of management which can be in the form of an antibiotic, anti-inflammatory medications, laxatives to be continued. If this is not sufficient for relief, you will need the further investigations like a CT scan of the abdomen and colonoscopy with biopsy to get accurate diagnosis and a plan for treatment. You may need to have a proper observation for the foods and beverages that instigate or enhance the problems and to stop them altogether. Patients with procto-colitis may be most affected by a stress and anxiety hence needing to following the advise of your Doctors to get further evaluation and management.