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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure In Lower Abdomen Along With Bowel Incontinence?

hello i am having pressure in my lower abdomen like the pressure before a period. i am postmenopasal. the pressure starts after i have been up about two hours. then i feel weak, tired along with the pain, need ibuprofen and rest. i am also having bowel incontenince about 2-3 times /week
Tue, 16 Jun 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,
There are many potential causes of bowel incontinence, including:

Diarrhea (possibly due to an infection or IBS),
Impacted stool,
Inflammatory bowel disease (Crohn's disease or ulcerative colitis)
and very rarely Nerve damage (due to diabetes or spinal cord injury).

You may need some tests like routine blood,ESR,electrolytes,ultrasound abdomen etc.

Diet changes may be helpful:

1) Eat 20 to 30 grams of fiber per day.
This can make stool more bulky and easier to control.

2) Avoid caffeine. This may help prevent diarrhea if you had.

3) Drink several glasses of water each day. This can prevent constipation.

4) Medications. Try these medicines to reduce the number of bowel movements and the urge to move the bowels:

Imodium
Lomotil
Hyoscyamine
Methylcellulose can help make liquid stool more solid and easier to control.

For people with a specific cause of diarrhea, such as inflammatory bowel syndrome, other medications may also help for which you need to consult general surgeon.

Regards,
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What Causes Pressure In Lower Abdomen Along With Bowel Incontinence?

Hi, Welcome to health care magic, There are many potential causes of bowel incontinence, including: Diarrhea (possibly due to an infection or IBS), Impacted stool, Inflammatory bowel disease (Crohn s disease or ulcerative colitis) and very rarely Nerve damage (due to diabetes or spinal cord injury). You may need some tests like routine blood,ESR,electrolytes,ultrasound abdomen etc. Diet changes may be helpful: 1) Eat 20 to 30 grams of fiber per day. This can make stool more bulky and easier to control. 2) Avoid caffeine. This may help prevent diarrhea if you had. 3) Drink several glasses of water each day. This can prevent constipation. 4) Medications. Try these medicines to reduce the number of bowel movements and the urge to move the bowels: Imodium Lomotil Hyoscyamine Methylcellulose can help make liquid stool more solid and easier to control. For people with a specific cause of diarrhea, such as inflammatory bowel syndrome, other medications may also help for which you need to consult general surgeon. Regards,