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Sir , I Am 20 YO Male . Sir ,

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Posted on Wed, 24 Jun 2020
Question: Sir , i am 20 YO male .

Sir , i have problem in bowel and urination . Sir i feel shy speaking these things , so i’ve written symptoms as brief and detailed as possible.

Bowel problems :
Feeling as though fecal matter is coming through some obstruction . Fissure was found some time back. Sometimes (once a day) i feel like i want to poo but cannot . When this happens , because i am exerting quite some pressure on pelvic region , i then have very painful small spurts of urine . Pain mostly in penis and region near penis . This pain is very acute , as though spikes in penis , but goes away itself in 10 - 30 min mostly . Also some irritable feeling near asshole after pooping .
Sometimes when i consume fats like butter , cream in amounts more than average , next day i have hollowish excreta which floats . Else , normal excreta on most days but above symptoms .

Urine problem:
Frequent urination . Cloudy , bubbly urine , which i’ve read is indication of UTI . Pus was found in earlier urine test . But no UTI found in subsequent test . Could be infection in Prostate ? because sometimes uneasy feeling in region near prostate and anus .
As mentioned earlier in bowel problem , when i feel like pooping but cant poop , obviously i exert pressure in pelvic region due to which very painful small spurts of urine come , which causes acute pain in penis .

Uneasy feeling of as if something in region near anus . Not constant , sometimes is there , sometimes not

Sir please help me . When this pain thing happens once in a day , the pain is very acute , though short lived , 10 to 30 mins . Sir am i gonna die ?? Is this some cancer or stuff ??

Earlier tests:
Blood sugar (fasting) : 92



Normal values in urine and stool analysis.
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Follow up: Dr. Ramesh Kumar (0 minute later)
Sir , i am 20 YO male .

Sir , i have problem in bowel and urination . Sir i feel shy speaking these things , so i’ve written symptoms as brief and detailed as possible.

Bowel problems :
Feeling as though fecal matter is coming through some obstruction . Fissure was found some time back. Sometimes (once a day) i feel like i want to poo but cannot . When this happens , because i am exerting quite some pressure on pelvic region , i then have very painful small spurts of urine . Pain mostly in penis and region near penis . This pain is very acute , as though spikes in penis , but goes away itself in 10 - 30 min mostly . Also some irritable feeling near asshole after pooping .
Sometimes when i consume fats like butter , cream in amounts more than average , next day i have hollowish excreta which floats . Else , normal excreta on most days but above symptoms .

Urine problem:
Frequent urination . Cloudy , bubbly urine , which i’ve read is indication of UTI . Pus was found in earlier urine test . But no UTI found in subsequent test . Could be infection in Prostate ? because sometimes uneasy feeling in region near prostate and anus .
As mentioned earlier in bowel problem , when i feel like pooping but cant poop , obviously i exert pressure in pelvic region due to which very painful small spurts of urine come , which causes acute pain in penis .

Uneasy feeling of as if something in region near anus . Not constant , sometimes is there , sometimes not

Sir please help me . When this pain thing happens once in a day , the pain is very acute , though short lived , 10 to 30 mins . Sir am i gonna die ?? Is this some cancer or stuff ??

Earlier tests:
Blood sugar (fasting) : 92



Normal values in urine and stool analysis.
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Detailed investigations are required to diagnose cause if problem.

Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details my dear patient.
I would like to assure you that you won't die from all the symptoms you are having...Stay calm and composed...All you need is a proper diagnosis which could be made after investigating you thoroughly....So stay calm and have faith in your doctors.Ups and downs are a part of life and they come in life of every person.

As per the details given by you fissure was diagnosed.What treatment was given for it?
An untreated fissure may alone be the cause of all the problem you are having.
An infected fissure may cause infection and inflamation to spread in near by pelvic floor muscle. A large amount of nerves arising from vertebral column(called sacral plexus and coccygeal plexus) passes through the same area. Any untreated inflamation in this area may cause inflammation of surrounding nerves and muscles and hence can mimic all the symptoms you are having.
History of exerting pressure while defecating also supports the fact that a possible Inflammation could be there.
Suggestions-
Few tests have to be done like
MRI sacro illiac joint and MRI pelvis-yo rule out involvement of nerves and inflamation.
Complete blood count-Infection marker.
Fecal calprotectin-to rule out inflamation of intestines.

Medicine suggested till then are-
Tab Nucoxia MR one tablet twice daily.
Tablet Pregabid M 75 mg one tablet once daily at night time.
Syrup lactulose(looz) -15 ml twice daily.
Both medication are not over the counter.
Follow up with reports.
Rest assured you would be fine soon.
Hope I was helpful.
Thank you!

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Ramesh Kumar (0 minute later)
Brief Answer:
Detailed investigations are required to diagnose cause if problem.

Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details my dear patient.
I would like to assure you that you won't die from all the symptoms you are having...Stay calm and composed...All you need is a proper diagnosis which could be made after investigating you thoroughly....So stay calm and have faith in your doctors.Ups and downs are a part of life and they come in life of every person.

As per the details given by you fissure was diagnosed.What treatment was given for it?
An untreated fissure may alone be the cause of all the problem you are having.
An infected fissure may cause infection and inflamation to spread in near by pelvic floor muscle. A large amount of nerves arising from vertebral column(called sacral plexus and coccygeal plexus) passes through the same area. Any untreated inflamation in this area may cause inflammation of surrounding nerves and muscles and hence can mimic all the symptoms you are having.
History of exerting pressure while defecating also supports the fact that a possible Inflammation could be there.
Suggestions-
Few tests have to be done like
MRI sacro illiac joint and MRI pelvis-yo rule out involvement of nerves and inflamation.
Complete blood count-Infection marker.
Fecal calprotectin-to rule out inflamation of intestines.

Medicine suggested till then are-
Tab Nucoxia MR one tablet twice daily.
Tablet Pregabid M 75 mg one tablet once daily at night time.
Syrup lactulose(looz) -15 ml twice daily.
Both medication are not over the counter.
Follow up with reports.
Rest assured you would be fine soon.
Hope I was helpful.
Thank you!

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar (1 hour later)
Sir fissure was diagnosed just 2 months back. I was given potassium cheomate water sittings and some medicine for making stools loose .
But sir I've had this painful spurts of urine problem since like 10 years ago , but i ignored it because it wasn't that frequent.
But now this painful spurt after not being able to empty bowels is becoming frequent.

So please explain me about this painful urine spurt . I got ultrasound done yesterday, i have no stones and prostate size was normal.

So please help me
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Follow up: Dr. Ramesh Kumar (0 minute later)
Sir fissure was diagnosed just 2 months back. I was given potassium cheomate water sittings and some medicine for making stools loose .
But sir I've had this painful spurts of urine problem since like 10 years ago , but i ignored it because it wasn't that frequent.
But now this painful spurt after not being able to empty bowels is becoming frequent.

So please explain me about this painful urine spurt . I got ultrasound done yesterday, i have no stones and prostate size was normal.

So please help me
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Could be Prostatitis...Tests required.

Detailed Answer:
Hello and thank you for follow up my dear patient,
Ultrasound is too basic a test for a person having a history of 10 years.
Some tests that should be done are-
Urine test and culture - to find out presence of any untreated bacterial infection.
Stool test and culture
A MRI scan of Pelvis.

You are having a history of 10 years and that is too long a time.
Chances are that it could be Prostatitis (infection of prostrate gland) or some problem in pelvis.
Basic tests are required before making any comment on a person with having a problem from a decade.
Ultrasound is just a baseline test and with such a long history you need more investigations.
Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Ramesh Kumar (0 minute later)
Brief Answer:
Could be Prostatitis...Tests required.

Detailed Answer:
Hello and thank you for follow up my dear patient,
Ultrasound is too basic a test for a person having a history of 10 years.
Some tests that should be done are-
Urine test and culture - to find out presence of any untreated bacterial infection.
Stool test and culture
A MRI scan of Pelvis.

You are having a history of 10 years and that is too long a time.
Chances are that it could be Prostatitis (infection of prostrate gland) or some problem in pelvis.
Basic tests are required before making any comment on a person with having a problem from a decade.
Ultrasound is just a baseline test and with such a long history you need more investigations.
Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2807 Questions

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Sir , I Am 20 YO Male . Sir ,

Sir , i am 20 YO male . Sir , i have problem in bowel and urination . Sir i feel shy speaking these things , so i’ve written symptoms as brief and detailed as possible. Bowel problems : Feeling as though fecal matter is coming through some obstruction . Fissure was found some time back. Sometimes (once a day) i feel like i want to poo but cannot . When this happens , because i am exerting quite some pressure on pelvic region , i then have very painful small spurts of urine . Pain mostly in penis and region near penis . This pain is very acute , as though spikes in penis , but goes away itself in 10 - 30 min mostly . Also some irritable feeling near asshole after pooping . Sometimes when i consume fats like butter , cream in amounts more than average , next day i have hollowish excreta which floats . Else , normal excreta on most days but above symptoms . Urine problem: Frequent urination . Cloudy , bubbly urine , which i’ve read is indication of UTI . Pus was found in earlier urine test . But no UTI found in subsequent test . Could be infection in Prostate ? because sometimes uneasy feeling in region near prostate and anus . As mentioned earlier in bowel problem , when i feel like pooping but cant poop , obviously i exert pressure in pelvic region due to which very painful small spurts of urine come , which causes acute pain in penis . Uneasy feeling of as if something in region near anus . Not constant , sometimes is there , sometimes not Sir please help me . When this pain thing happens once in a day , the pain is very acute , though short lived , 10 to 30 mins . Sir am i gonna die ?? Is this some cancer or stuff ?? Earlier tests: Blood sugar (fasting) : 92 Normal values in urine and stool analysis.