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Suffering from constipation. Normal colonoscopy report. Clear discharge from anus. Any medication?

I am a 27 year old male and am currently suffering from constipation . I have had constipation issues in the past, but nothing quite like this. It has been 2-3 months since the symptoms began. I have tried enemas, suppositories, and magnesium citrate with little to no success. About a month ago I went for a colonoscopy & was told I have a healthy colon. Afterwards things seemed okay, but about 2 weeks ago I became constipated again. I m at the point that I can t pass anything out without the aide of an enema (and what does come out takes several mins & is a little painful). I ve also notice a clear discharge (as far as I can tell this is a new symptom for only a few days). I am currently waiting for a gastroenterologist to contact me, but with the holidays it may take a few days. Any help/advice you can provide would be most appreciated. Thank you.
Asked On : Sat, 5 Jan 2013
Answers:  1 Views:  160
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Gastroenterologist 's  Response
Hello, jtd632,
What you have is typical of Irritable Bowel Syndrome-Constipation predominant.
This can occur in both young men and women. There has been and still is a lot
of research going into this trying to understand the basic cause . What we know,
is that this not a psychological issue. This has something to do with "Brain-Gut"
hormonal mechanism that affects the contractions of the colon musculature
and the nerve endings that control this. Essentially, you have a lazy or slow
colon. Using laxatives, stimulants and enemas can temporarily work.
What has worked is changing your dieatary habits and incorporate enough
fiber in your diet. Eating whole grain cereal, fresh vegetables, nuts are all
helpful. Also, you need to keep your fluid intake adquate daily. Regular
excercise at least three times a week, even if it is brisk walking is good.
What you can try for stubborn costipation, with hard stools, you may get
better results with a PEG-solution (Polyethylene Glycol). There are brand
name and generic products such as Miralax or equivalent solution.
Start that 2-3 tablespoons a day and increse it till you start having diarrhea.
Then decrease the dose gradually till your stool is of near normal consistency.
This you can follow for 2-3 months if you need it. If you are taking enough
dietary fiber, you will get regulated.
I am sure that your GI doctor will guide you appropriately along the lines of
advice that I have mentioned.
I wish you well.
Answered: Sun, 6 Jan 2013
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