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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Constipation

I am a 26 year old female with severe constipation issues. Since I was very young, I've always had VERY VERY large, hard bowel movements(they clog the toilet, are unplunggable so I usually have to go in a trash bag and throw it away). No doctor will listen and take me seriously. I have tried upping my fiber intake in foods and supplements, prune juice,extra intake of water and water rich fruits, vegetables. NOTHING works. Before having children, I had the urge to have a bowel movement once or twice every few months. Since having kids(my oldest being almost 3), I have the urge to go every couple of weeks, every two months max. I have bowel movements so large, that they sometimes push out through my vagina from the inside-meaning when pushing, my entire vaginal opening is stretched and full of feces(still within the wall that seperates the vagina from the rectum if that makes sense?). Anyway, what can i do to treat this at home? I can't get a doctor to listen to me or tell me more than eat more fiber. I have heard of hirschsprung's disease and wonder if this is what it is? what can I do, I can do this anymore
Mon, 25 Aug 2014
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General & Family Physician 's  Response
Hello dear,

The symptoms as mentioned in your post can be attributed to constipation.
It can be caused due to:
1. Any pathology/ sub acute obstruction in the Gastrointestinal tract.
2. Irritable bowel syndrome- constipation predominant type.
3. Functional cause- due to decreased gastric motility.
4. Hormonal & Metabolic causes, etc.

Though symptomatic relief from constipation can be obtained by intake of laxatives and stool softeners, the underlying cause needs to be treated.
So, it will be better to consult a Gastroenterologist for a proper clinical examination.
Investigations like complete blood count, stool examination, Ultrasound scan of abdomen, Colonoscopy & contrast studies will be helpful to rule out any pathological cause for your symptoms.

Till then, maintain adequate hydration & proper nutrition status.
Wishing a good health.
Take care.
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Suggest Treatment For Severe Constipation

Hello dear, The symptoms as mentioned in your post can be attributed to constipation. It can be caused due to: 1. Any pathology/ sub acute obstruction in the Gastrointestinal tract. 2. Irritable bowel syndrome- constipation predominant type. 3. Functional cause- due to decreased gastric motility. 4. Hormonal & Metabolic causes, etc. Though symptomatic relief from constipation can be obtained by intake of laxatives and stool softeners, the underlying cause needs to be treated. So, it will be better to consult a Gastroenterologist for a proper clinical examination. Investigations like complete blood count, stool examination, Ultrasound scan of abdomen, Colonoscopy & contrast studies will be helpful to rule out any pathological cause for your symptoms. Till then, maintain adequate hydration & proper nutrition status. Wishing a good health. Take care.