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What Causes The Urge To Defecate While Lying Down?

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Posted on Wed, 18 Mar 2015
Question: My bowel habits have changed. One change is that I experience an urgent need to defecate when I lie down to sleep. When I get up to use the toilet the need has gone.
doctor
Answered by Dr. Rakesh Madhyastha (3 hours later)
Brief Answer:
Need more info

Detailed Answer:
Hello

Thanks for the query

I need more info in order to help you

1. How long has this been happening?
2. is it associated with pain abdomen?
3. Are you on any anti gastric medications?
4. Do you feel gaseous distention of the abdomen at all times?

Please get back to me, I am awaiting your reply

regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakesh Madhyastha (32 minutes later)
This problem has been occurring at irregular intervals - two/three nights running, then no problem for a week or so - for several months.
There is no abdominal pain, but there is discomfort while the urge is present.
I am on no anti-gastric medications.
I do not have gaseous distension of the abdomin at all times.
doctor
Answered by Dr. Rakesh Madhyastha (13 hours later)
Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back, I am sorry for the short delay in my reply to you. I was on call at my hospital.

The commonest cause for urgency to pass stools at night times is parasitic infections, also known as stomach worms. It is usual to have parasitic infestations if you are in the habit of eating outside or eating salads.

Here is what you should do
1. Give your stool for analysis, ask them to analyse for ova, cyst and routine
2.. Take 1 tablet of Albendazole 400 mg today and then repeat the dose after 2 weeks.
3. If the symptoms does not settle down then I recommend you to approach a gastroenterologist for a colonoscopy and a biopsy of the intestine to rule out irritable bowel syndrome

I hope I was of help, I once again apologize for the delay

Regards
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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What Causes The Urge To Defecate While Lying Down?

Brief Answer: Need more info Detailed Answer: Hello Thanks for the query I need more info in order to help you 1. How long has this been happening? 2. is it associated with pain abdomen? 3. Are you on any anti gastric medications? 4. Do you feel gaseous distention of the abdomen at all times? Please get back to me, I am awaiting your reply regards