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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Bowel Movement Sensation?

i have some kind of anal problem i have a bowel but it still feels i have to go again idont have this problem so much standing or being active, its when im sitting .cant ride in car for more then 10 minutes .i have colon checked with light had prostate checked had ultra sound on anal area put nitro/petrolatum on now they say i might have nerve problems i am very depress about this i have had this for year and half do have any idea what to do sounds like a lot of things could be wrong it a shame that mankind can not help other people out without money money the root of all evil people hurt i thought you cared
Mon, 11 Apr 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history of feeling like going to bathroom in spite you have passed bowel movement. You do not have this problem if you are standing or being active, but get the problem while sitting or in a car for more than 10 minutes. Got your colonoscopy, prostate examination applied nitro/petrolatum and so on. Now they say it may be a nerve problem as you have this problem over one and half year.
My thoughts:
Since you have this problem only on sitting it may be a problem locally with the anal canal or may be a nerve problem although the nerve problem would persist irrespective of your posture.
I would advise you the following:
You should consult a Surgical Gastroenterologist.
Per-rectal examination will give the maximum information about the tone of the sphincter, contractility, ability to hold, any rectal prolapse predisposing the condition and so on.
MRI of the thoracic and lumbar spine will give an idea about any compression on the spinal cord or nerve roots.
Further treatment will depend upon the findings.
Another point of importance is that you have to keep watch on the foods and beverages to find out any specific one causing or enhancing your symptoms.
If you have any stress and/or anxiety and thus causing IBS like symptoms, you have to keep them under control.
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What Causes Chronic Bowel Movement Sensation?

Hi. Thanks for your query. Noted your history of feeling like going to bathroom in spite you have passed bowel movement. You do not have this problem if you are standing or being active, but get the problem while sitting or in a car for more than 10 minutes. Got your colonoscopy, prostate examination applied nitro/petrolatum and so on. Now they say it may be a nerve problem as you have this problem over one and half year. My thoughts: Since you have this problem only on sitting it may be a problem locally with the anal canal or may be a nerve problem although the nerve problem would persist irrespective of your posture. I would advise you the following: You should consult a Surgical Gastroenterologist. Per-rectal examination will give the maximum information about the tone of the sphincter, contractility, ability to hold, any rectal prolapse predisposing the condition and so on. MRI of the thoracic and lumbar spine will give an idea about any compression on the spinal cord or nerve roots. Further treatment will depend upon the findings. Another point of importance is that you have to keep watch on the foods and beverages to find out any specific one causing or enhancing your symptoms. If you have any stress and/or anxiety and thus causing IBS like symptoms, you have to keep them under control.