Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
147 Doctors are Online

Suffer with difficult bowel movement, not constipated. History of minor surgery in anus. Cause of difficulty?

I am 87. I have to apply some pressure when i go for bowel movement . I am not constipated, but somehow think it is because of the nervous system . Taking a table-spoon of cremaffin at bed time is of some help, but still i have to apply pressure. Earlier due to minor surgery in the anus the doctor appears to have inadvertantly touched a nerve. I suffrered for almost three years with bladder and prostate problem. But right now I am free of both problems. What could be the reason of my difficult bowel movement? Kindly advice. PNMurti YYYY@YYYY
Asked On : Thu, 25 Oct 2012
Answers:  1 Views:  39
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
General Surgeon 's  Response
Hi ! Good afternoon. I am Dr Shareef answering your query.

You have not mentioned the nature of minor surgery in the anus. Whatever surgery it was, there could be some fibrosis resulting in minior to moderate anal stenosis which could resist passage of stool, and thus cause you to exert more pressure during defeactation.

Apart from the nerve injury mentioned by you, application of more amount of pressure during defaecation could be a normal variant in this age group due to inability to exert required amount of pressure during the act because lax abdominal musculature.

However, if I were your doctor, I would not hesitate to refer you to a surgeon/gastroenterologist for a per rectal examination and a possible colonoscopy considering your age when a few pathological processes may be more frequent.

Till that I would advise you for a high roughage diet with plenty of liquids to make the bulk of stool soft, and to avoid laxatives as far as possible as a habit.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef

Answered: Sun, 24 Nov 2013
I find this answer helpful

 1 user finds this helpful

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor