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Change in bowel movements. Feeling of obstruction. Any help?

Please help. I apologize in advance for the details... I usually have great bowel movements . But The last 2 months, I ve been pooping little nuggets, very sparsely, without significant change in my diet . The only different thing is that I m going through a lot of stress . I will feel an urge to go, then sit down only to have 3-4 nuggets pop out. Then I will feel like something big is coming, but after significant straining only realize that I am pushing my anus inside out. This is, of course, very uncomfortable, so I get up and stop trying to go. 20 minutes later, however, I still feel like something is stuck up my butt, and that feeling won t go away. Upon checking my anus area with a small mirror, it looks normal (nothing is hanging out). What is this stuck or full feeling? I can walk or even sleep properly because of this something stuck in the ass feeling. Any help with any of my issues would be greatly appreciated.
Asked On : Tue, 8 Jan 2013
Answers:  1 Views:  54
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

From the information provided, I presume that the change in bowel habits started with the onset of mental stress.

Mental stress leads to reduced appetite and irregular meals. Perhaps, you have been taking low fiber diet for quite sometime, along with inadequate intake of fluids. The end result : constipation.

The other possibility- mainly in middle-aged/elderly people- is the presence of a growth or a polyp in the colon, which is causing obstruction in the intestine apart from constipation.

Further, constant straining to pass stools may at times cause transient prolapse of rectum which comes out momentarily, but goes back the moment straining is stopped. You need not worry on this account, since it is nothing serious.

The course of action, which I feel would be best for you, is as follows :-

* First Priority : relieve constipation by use of laxatives (such as liquid paraffin, Milk of Magnesia etc..) along with liberal intake of water/fluids.

* Revert back (if you are not taking) to eating foods which contain high quantities of fiber. Addition of Psyllium husk/powder would be ideal.

* Once the bowel movements revert back to normal, undergo Colonoscopy- a procedure by which the inside of colon is directly visualized to see for any growth, polyp and the state of inner lining of colon. This will provide invaluable information about a pathology (if any) in the colon.

* Simultaneously, start taking a combination of anti-depressants + anti-anxiety drugs, which will relieve you of your mental stress. Bowel movements will normalize once you have mental peace.

Consult your doctor and discuss my opinion/recommendation with him. He knows what needs to be done.

Hope you find my response as helpful and informative.

Dr. Rakesh Karanwal
Answered: Sun, 10 Nov 2013
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