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Constipation feeling, abdominal bloating, painful anus inspite of regular bowel movements. Suggestion?

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General Surgeon
Practicing since : 2008
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37 year old male. Bowel movements usually normal and daily. Feeling of constipation for a few weeks but still a daily movement. Abdomen feels bloated - also have a hemerrhoid next to my anus. Anus is mildly painful and often feels as if it is 'stuck together'. Any advice welcome
Posted Mon, 3 Jun 2013 in Abdominal Pain
Answered by Dr. Grzegorz Stanko 36 minutes later

Thank you for the query.

The most common reason of constipation at your age is diet. Lack of fiber XXXXXXX products, lack of mineral water intake, fatty foods, no physical activity are most probable factors of constipation. Diet should be considered as first reason of your symptoms. Other known reasons are chronic bacterial infection, medicines ( antidepressants, ca-blockers), thyroid diseases, large intestine diseases like polyps or cancer (less possible at your age).
Hemorrhoids are a result of constipation. Getting rid of constipation will help with hemorrhoids.

I suggest you to follow this steps:
- Increase increase fiber XXXXXXX products, mineral water intake, physical activity;
- Avoid fatty foods;
- Do not push hard on stool, use stool softener if necessary;
- Wash your rectum after every stool;
- OTC suppositories for hemorrhoids should be also helpful.

Such treatment should help in a week or so. If it wont, you should have some diagnostics. Abdominal ultrasound, blood work, thyroid tests and stool test should be first. Next should be colonoscopy.

Hope this will help. Feel free to ask further questions.

Above answer was peer-reviewed by
Follow-up: Constipation feeling, abdominal bloating, painful anus inspite of regular bowel movements. Suggestion? 3 hours later
Very helpful thank you. I have had these symptoms (which pretty much came on overnight) for a few weeks now and will look to change my diet as suggested.

I feel quite bloated at the moment but there are no 'sinister' symptoms like blood in stool or otherwise which is hopefully a good sign? I am a little worried though so hopefully should feel a change in a week or so?

Will suppositiories help with the sensation of 'stickiness'?

Kind regards
Answered by Dr. Grzegorz Stanko 2 hours later
No blood in stool is a good sign. However sometimes blood is not visible (its occult). It can be detected with special test FOBT (fecal occult blood test). But at your age it is rather hardly possible for such blood to be present.

So you should not be worried (stress will make your bowel movements even worse) and follow mentioned steps.

Suppositories should help with hemorrhoids symptoms. Stickiness can be the symptom of hemorrhoid, however it may be also caused by constipation. So yes, suppositories can be helpful with this symptom especially if you will follow other mentioned steps as well.

Hope this will help.
Above answer was peer-reviewed by
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