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Incomplete evacuation, rectal pressure, foul smell. Had an appendix surgery. Help

hello Dr. I am 25 Yr old girl......And I m having this Incomplete evacuation problem....After having bowel movement also i feel urge to go..also i feel constant rectal pressure .....And also i feel some odour cuming out of me.......In 2007,I had an appendix operation ,after that all problem started......this is a very embarrasment needed....
Asked On : Sat, 9 Mar 2013
Answers:  1 Views:  78
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General Surgeon 's  Response

Thank you for the query.

As you do associate abdominal surgery with symptoms begin, you may be suffering from chronic intestines bacterial infection (if antibiotics were given before or after the surgery), partial bowels obstruction (due to abdominal adhesions). Your symptoms can be also appear regardless the surgery and in such case inflammatory bowels disease, rectal fissure or hemorrhoids(however it seems less possible) should be also considered.

I suggest you to visit gastroenterologist, have physical examination and some tests performed. Blood work, abdominal ultrasound, stool tests should be done at first. If all this tests will be negative colonoscopy and abdominal CT should be considered.

Sometimes it is worth to try Rifaximine treatment (for chronic bacterial infection) as such therapy gives many positive responses.

Hope this will help.
Answered: Sat, 23 Mar 2013
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