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Started stomach ache and gastritis. Getting constipated. Can you give any advice?

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Practicing since : 1962
Answered : 693 Questions
Hi I have a fairly constant belly ache with a lot of farts and a need to poop
I was constipated over the weekend and admit to using a analduche to aid the process of relieving myself. It worked, but since then I get a stomach pain and need to poop with constant farts. When I do go to the toilet, I have a lot of gas and very little in the way of stool that wants to come out, usually small thin and looks fairly soft.
I feel like this around 3-4 times a day. It can feel like my anas is reaching, similar to when ill and sick trying to reach every last drop.
I eat fairly well, staying away from too much carbohydrates. Can you give any advice?
Posted Tue, 16 Oct 2012 in Digestion and Bowels
Answered by Dr. Charles S Narasi 1 hour later
You are a young male with recent history of constipation
and bloating with gas problems. I see that you used an
enema (Anal Duche ) for relief.
Stomach pains can certainly be related to presence of gas
and your sensitivity to the amount of gas in the intestines.
Irritable Bowel Syndrome , even though more common in
women as previously thought, we know now it can occur
in young men as well .
The cause is partly related to hormone serotonin that has
effects on the contraction of intestines and passage of stools.
It is also aggravated by dietary habits, especially lack of fiber.
I want you to start eating more whole grain cereals, fresh
fruits and drink enough liquids daily. You can start taking
Metamucil or Effersyllium 1-2 teaspoons daily mixed with
water or juice daily and adjust the dosage depending on the
consistency of your stool. Regular exercises three or four times
a week would also help.
If tomato based suaces, spicy foods, citrus fruits, milk, cheeses
bother you, you may have acid problems.
Cut back on caffeine, alcohol.
You can try taking Omeprazole 20 mg. once a day about an
hour before meals to see if that helps.
If the problem persists, you may need to see a gastroenterologist
for additional work up.
Wish you well.
Above answer was peer-reviewed by
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