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What causes urge to defecate along with constipation and diarrhea?

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Posted on Sat, 30 May 2015
Question: Good day doctors,
I would really appreciate if my problems could be solved initially it started about 6 months back as a bout of constipation and diaorria than it turned into crawling sensation in the anal region particularly at the anal opening than it turned to just discomfort in that region and presently the condition is I am constantly getting an urge to pass stool in spite of the fact that I am going daily please note there is no blood in the stool no stomach pain no other effects please help
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Constipation seems to be the root of your problems

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through the details and can explain the problems that you have detailed. It seems that you have constipation. Constipation often alternates with diarrhoea. Constipation might be associated with spasm of the anal sphincter. The solution is to take Sitz bath. Take a tumbler full of water as hot as your skin can take. Sit with your anal opening dipped in it. Do this for around 20 mins twice a day for a few days or till you get relief. It will help in relieving the spasm. About the rest, taking a high fibre diet as well as fibre supplements like isabgol at dinner. I think that your problems would get resolved soon.

Regards
Dr. Kunal Saha
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Follow up: Dr. Prof. Kunal Saha (13 hours later)
Thank you doctor I'll take your advice but I am not sure if it's constipation because I am passing stool daily it's just that even after that I am having am urge to pass stool but its only a discomfort and not associated with actually passing stool. it's like all the energy is focused only in one area and that's the anal opening .
doctor
Answered by Dr. Prof. Kunal Saha (9 hours later)
Brief Answer:
It could be due to gastrocolic reflex

Detailed Answer:
Thanks for writing back. Sorry for not being able to write back earlier.

I would like to question you whether the urge to pass stool comes soon after meals. If that is the case, it is due to a phenomenon called gastrocolic reflex. It is not unusual to be present in some people and nothing needs to be done about it.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Prof. Kunal Saha (3 hours later)
Thank you for your prompt reply , there is nothing really specific that triggers it ( this feeling usually comes after I get up and stays till I sleep only the intensity changes ) this feeling had died down a few months back only the sense of discomfort was present it has been a week only since this feeling has come back doc had prescribed Zental for three days it dint do me much good but the intensity of this urge had reduced and till noon I use to be free from this urge only Sibofix is still on it been proscribed for 15 days. Even my stool test came negative it's really a very frustrating and irritating feeling . I lead a healthy life style with no oily stuff no fried stuff no soft drinks or alcohol
doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
Irritable bowel syndrome needs to be excluded as a possible cause

Detailed Answer:
Thanks for writing back.

I have gone through the details and understand your concerns. In such a case, I wonder if you have hyperactive or overactive bowel. It is often seen normally or could be associated with conditions like irritable bowel syndrome. You should talk to your doctor about evaluation for the same. The following link should be helpful in this regard:
http://www.healthhype.com/overactive-bowel-movements-hyperactive-bowel-causes.html

Regards
Dr. Kunal Saha
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4471 Questions

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What causes urge to defecate along with constipation and diarrhea?

Brief Answer: Constipation seems to be the root of your problems Detailed Answer: Thanks for asking on HealthcareMagic. I have gone through the details and can explain the problems that you have detailed. It seems that you have constipation. Constipation often alternates with diarrhoea. Constipation might be associated with spasm of the anal sphincter. The solution is to take Sitz bath. Take a tumbler full of water as hot as your skin can take. Sit with your anal opening dipped in it. Do this for around 20 mins twice a day for a few days or till you get relief. It will help in relieving the spasm. About the rest, taking a high fibre diet as well as fibre supplements like isabgol at dinner. I think that your problems would get resolved soon. Regards Dr. Kunal Saha