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Unless he puts fingre in anus he cant pass stool

My father 88 yrs is saying unless he puts fingre in anus he cant pass stool. Can it be a surgical problem or is psychological?Pl. help. He is very weak now but insists in using Indian/ Orissa wc pan as in english toilet he is unable to put his hands down and unable to use fingre.
Asked On : Mon, 7 Feb 2011
Answers:  2 Views:  180
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Diseases and Conditions
Lab Tests
Gastroenterologist, Surgical 's  Response
well, let me explain you simply how defecation or passing stool works. one aspect is the tube that transmits the fecal matter and other aspect is the gate that opens to release the fecal matter.
now the gate opening mechanism or medically known as fecal outlets is a very complex mechanism and involves many organs. ( for eg. sensing the matter is jus air or solid and act differently in both occassions)
well generally with old age this mechanism falls apart.
so i have few questions
1. is there any change in his posture?
2. is he complainting of back ache?
3. did he had any other complaints?
4. does he have any neurological complaints or past history?
5. does he have any other medical diseases?
Answered: Mon, 15 Aug 2011
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Nephrologist Dr. Rakesh Madhyastha's  Response
Thanks for the query

Looks like he is suffering from constipation. Add more bulk to his food, give him lots of vegetables, and make him drink lots of water. Lactulose 15ml at night will also help.
Other probability is prostate enlargement. Get an ultra sound pelvis with post void urine

HAve a healthy living
Answered: Mon, 15 Aug 2011
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