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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constipation And Mucus And Stringy Substance In Bowels?

I have been very constipated. But I feel like I have to move my bowels. When I do go it is really hard like rocks, sometimes skinny and long or like tiny mouse droppings. Also when I am done I feel like there is more. It feels like a lump. I always feel like I haven't emptied completely and I poop out white tissue stringy like substance. Sometimes it is clear mucous and sometimes it looks bloody. I am really concerned because my mom recently died of pancreatic cancer too. I am afraid I may have colon cancer. Any advice?
Mon, 12 Dec 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history constipation, passing of hard, skinny, long or like tiny mouse droppings. Mother died of pancreatic cancer hence you are worried about colon cancer.
This is called cancer-phobia.
your problems may be constipation alone and nothing more unless proved otherwise.
I would advise you the following:
X-ray of the abdomen to see for fecolith impaction and so on.
Oral laxatives, Rectal suppositories, rectal enema should help you.
If this does not help then to go for a CT scan and colonoscopy to get a proper diagnosis and further management as required.
Also get blood tests for thyroid and diabetes as both of these can cause the problems you have by a condition called Gastroparesis.
Also identify the foods and beverages that cause constipation or hard stools and to stop them altogether.
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What Causes Constipation And Mucus And Stringy Substance In Bowels?

Hi. Thanks for your query. Noted the history constipation, passing of hard, skinny, long or like tiny mouse droppings. Mother died of pancreatic cancer hence you are worried about colon cancer. This is called cancer-phobia. your problems may be constipation alone and nothing more unless proved otherwise. I would advise you the following: X-ray of the abdomen to see for fecolith impaction and so on. Oral laxatives, Rectal suppositories, rectal enema should help you. If this does not help then to go for a CT scan and colonoscopy to get a proper diagnosis and further management as required. Also get blood tests for thyroid and diabetes as both of these can cause the problems you have by a condition called Gastroparesis. Also identify the foods and beverages that cause constipation or hard stools and to stop them altogether.