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What Causes Painful Bowel Movement?

Posted on Thu, 2 Jun 2016

Question: constant feeling of having to poop. and when I do poop it is usually mush. feeling small amount of pressure on the rectum all the time

Answered by Dr. Nishad BN (2 hours later)

Brief Answer:
Dysbacteriosis or parasitic infections can be the reason.

Detailed Answer:
Hi

Thank you for asking HCM

I have gone through your query. Your problem can be due to dysbacteriosis or parasitic infection.

Doing a stool routine and culture is well appreciated to rule out this. In such case antibiotic therapy and probiotics will be helpful to normalize your condition.

I would suggest combination of antibiotics like ofloxacin and ornidazole in my patients with such condition. Probiotics like sacharomyces boulardii is also given. You can also take kefir , yogurt , bananas etc to normalize the bowel flora.
If there is no improvement then a consultation with gastroenterologist should be done to rule out other pathology.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (19 minutes later)

my surgeon said it could be c-diff. I do have mush about 10 times a day.
your thoughts please

Answered by Dr. Nishad BN (17 minutes later)

Brief Answer:
It can be C difficile.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

It can be c difficile. In such case antibiotics like metronidazole (Flagyl) and probiotics like saccharomyces boulardii helps. Take fluids and electrolytes according to loss. ORS , tender coconut water etc is good for this. Get treatment earlier as it can lead to complications requiring surgical management.

let me know if anything not clear.
I am happy to help you.
Thanks.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar