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What Causes Mild Constipation With Proctitis?

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Posted on Mon, 15 May 2017
Question: Hi,
I have problems in emptying my bowel.
The first bowel of my day is in good quantity but i feel i cannot empty that fully.
I am suffering from this problem for the last one year.
But now I think I have found out what is the exact cause of that and I am sure about.
The problem is that my rectum is very very tensed.
Please confirm if one finger inside ass is rectum.
I remember it all started when i started keeping my ass tensed as i had a fear one year back that the remaining stool causes smell. so it now became a involuntary habit of me to keep my ass specially rectum.
The morning stool is large in quantity so it is not difficult to pass, but i can clearly feel that at the end of the morning stool the last stool stuck there as the pressure is now low.
So removing the last part is only problem for me.
My Rectum is very very tensed and sometimes it is very hard to insert my finger into it. The walls of rectum gets pasted to each other, even leaves no space for gas to come out.
To know my actual problems and to find the actual part of my body having problem I inserted finger into my ass.
I found that small pieces of stool dried were stucked in my ass(at the length of one finger). After 3-4 hour I inserted the finger and i still found the same piece at the same area so there was no movement in that part.
so the main problem is that my rectum is very tensed. when I insert finger I Feel like I am inserting into a vacuumed thing as it is really very hard to insert.
I have started on my part to loosen it.
I take deep breath and it's very relaxing i really can feel that. but i will have to make it habit.
I am taking hot water bath at morning and night daily.
Few things i want to know.
1. I have heard magnesium is a very muscle relaxing agent so please prescribe me any solution, oil, powder which i can put in hot water and sit for an hour.
2. I remember that i got this problem psychologically on my own. but i just wanna know whether it is treatable or not. I am sure it is in rectum, above that i am not sure. Please confirm if this kind of thing happen in any disease or any psychological disorder. If yes, whether it can be treatable.
3. Also please clear my one doubt, it will make me very relax and i can continue relaxing it better- Does stool or stool piece in rectum or anus creates smell. I am asking as i have felt that.
Thanks
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Obsessive-compulsive disorder

Detailed Answer:
Hello Dear,
Thanks for choosing HealthcareMagic for your query.
I Have gone through all your details and i appreciate your concern.

As per your query over straining your rectal muscles while defecationg may cause internal trauma to rectal mucosa causing condition like proctitis. Mild constipation adds to the problem.While defecating you apply pressure on your rectal muscles.Overstraining causes pooling of blood into small terminal vessels in rectum which when can't hold such high pressures burst up and cause swelling and inflammation in surrounding area.If even a finger insertion is giving you pain then it can definitely be Proctitis.

To make stools loose take lactulose 15ml once daily at night.Its a laxative and would make your stool soft and easy to pass.
Over thinking and increased anxiety levels stimulates the autonomous nervous system causing involuntary contractions of rectal muscles leading to spasms.

While taking hot water bath put 2 drops of lavender oil and 2 drops tea tree oil in it. It will help calming down your nerves.

Mix,
10 drops XXXXXXX
10 drops lavender.
10 drops frankincense.
10 drops helichrysum.
5 drops geranium.
5 drops sandalwood.
2 tablespoons fractionated coconut oil.
And sit in it from 15 minutes daily twice.
It will help to soothe your nerves.

2)Basically you are suffering from-

Obsessive-compulsive disorder (OCD- It is an anxiety disorder characterized by uncontrollable, unwanted thoughts and repetitive, ritualized behaviors you feel compelled to perform(thinking again and again that rectum is tight).
If you have OCD, you probably recognize that your obsessive thoughts and compulsive behaviors are irrational—but even so, you feel unable to resist them and break free.

This requires proper evaluation and treatment by pyschiatrist.Therapy with SSRI'S like Paroxetine should be started at 25mg once daily and a maintainence doser of 50mg once should be given for atleast 6 months.SSRI's are the main stay of yopur treatment.


3)Anus and Rectum are tube like structure which contains heavy colonies of bacteria and helminths. Stools usually contains proteins and undigested food that is acted upon by those organism creating smell.So its but normal for stool to smell in rectum and anus.


Hope i answered your query well.
Regards.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar (3 days later)
hi.

thanks

you said rectum is tube like structure, so does it walls are sticked to each other any time. I mean to say is it like a plastic tube or it's like soft muscle tube whose walls are generally sticked but are soft enough to give way to stools.

Can you send me any video link of real rectum because i am not able to find any.

YYYY@YYYY
thanks
doctor
Answered by Dr. Ramesh Kumar (30 minutes later)
Brief Answer:
Follow up.

Detailed Answer:
Hi again,
As per your query rectum is like a muscular tube with small segments.Both the walls of the rectal canal never sticks to each other accept in case of few diseases.

https://www.yyyyyy.com/watch?v=uNYQvjfia6g
https://www.yyyyyyy.com/watch?v=6kNrhPnNFMM&t=102s
https://www.yyyyyyy.com/watch?v=nhMJoMfYO3o

See all the three links.

Regards.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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What Causes Mild Constipation With Proctitis?

Brief Answer: Obsessive-compulsive disorder Detailed Answer: Hello Dear, Thanks for choosing HealthcareMagic for your query. I Have gone through all your details and i appreciate your concern. As per your query over straining your rectal muscles while defecationg may cause internal trauma to rectal mucosa causing condition like proctitis. Mild constipation adds to the problem.While defecating you apply pressure on your rectal muscles.Overstraining causes pooling of blood into small terminal vessels in rectum which when can't hold such high pressures burst up and cause swelling and inflammation in surrounding area.If even a finger insertion is giving you pain then it can definitely be Proctitis. To make stools loose take lactulose 15ml once daily at night.Its a laxative and would make your stool soft and easy to pass. Over thinking and increased anxiety levels stimulates the autonomous nervous system causing involuntary contractions of rectal muscles leading to spasms. While taking hot water bath put 2 drops of lavender oil and 2 drops tea tree oil in it. It will help calming down your nerves. Mix, 10 drops XXXXXXX 10 drops lavender. 10 drops frankincense. 10 drops helichrysum. 5 drops geranium. 5 drops sandalwood. 2 tablespoons fractionated coconut oil. And sit in it from 15 minutes daily twice. It will help to soothe your nerves. 2)Basically you are suffering from- Obsessive-compulsive disorder (OCD- It is an anxiety disorder characterized by uncontrollable, unwanted thoughts and repetitive, ritualized behaviors you feel compelled to perform(thinking again and again that rectum is tight). If you have OCD, you probably recognize that your obsessive thoughts and compulsive behaviors are irrational—but even so, you feel unable to resist them and break free. This requires proper evaluation and treatment by pyschiatrist.Therapy with SSRI'S like Paroxetine should be started at 25mg once daily and a maintainence doser of 50mg once should be given for atleast 6 months.SSRI's are the main stay of yopur treatment. 3)Anus and Rectum are tube like structure which contains heavy colonies of bacteria and helminths. Stools usually contains proteins and undigested food that is acted upon by those organism creating smell.So its but normal for stool to smell in rectum and anus. Hope i answered your query well. Regards.