If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation

Your investigations being normal is reassuring, and your story fits very well with what we call dyssynergic defecation - the pelvic floor muscles tighten instead of relaxing when you try to pass stool, so you feel stool is there but it does not come out and you strain hard. The jelly-like fluid that comes out on straining is prostatic secretion being squeezed out by the raised abdominal pressure; it is harmless and not a loss of vitality, so please do not worry about it. The low back pain is usually muscular, from repeated hard straining. What actually helps here is not more laxatives but retraining. Please get an anorectal manometry with a balloon expulsion test - if it confirms dyssynergia, pelvic floor biofeedback therapy with a trained physiotherapist is the definitive treatment and works in a large majority. Alongside: fix your toilet habit - go at the same time daily after a warm drink, sit with a footstool so knees are above hips, allow only 5 minutes, breathe out and push the belly forward instead of clenching, and never strain repeatedly. Take 25-30 g fibre daily with isabgol 1-2 teaspoons at night in a full glass of water, 2.5-3 litres of fluid, and 30 minutes walking daily. Stop stimulant laxatives for long-term use; if you need something, polyethylene glycol (osmotic) is safer daily. Do see a doctor promptly if you notice blood in stool, black stools, unexplained weight loss, vomiting or a sudden change in stool calibre. Happy to guide you further on a Practo consult or at Synergy Multispeciality Hospital, Miraj.

Take laxative regularly to avoid constipation. Best is to start with diet and lifestyle modification, quiet alcohol smoking if any. High fibre diet and add probiotic and probiotic to diet supplement. If you need assistance on further treatment can consult me

Taking Luxative for a long duration is not advisable.. To Manage the Constipation food management Such as... Plenty of fluids Increase the fiber content in food Avoid more oil containing food Discharge During straining.. It is common Discharge during straining because straining put pressure to surrounding glands and fluids come out.. so nothing to worry..

Change life style n diet plan drastically. Assessment of vitamin d3 b12 mg. Softovac powder two tsf two times for 20 days  followed by normal isabgol husk. Eterocoxib Mr two times or sos.

Whitish discharge from urethra d/t constipation so do not worry. Adequate hydration and high fibre diet . Walk 45 minutes after taking meal 1 bowl of salaad 30 minutes before meal Cap Sompraz L/od bbf Tab Pruact 2 mg/BD P/w Livoluk RF fibre 2 tsf with 1 cup lukewarm water/ HS For 7 days

Consult consult urologist

Consult with urologist now.

Increase dietary fibre and fluid intake . Avoid excessive straining and maintain regular physical activity.

Please consult me for a proper assessment, diagnosis and individualized treatment plan

Take high fibre food and add psyllium husk in your diet if problem persists even after then take dulcolaz syrup at night Increase water intake in daily basis

Increase water intake and take high fibre diet

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult

Chronic constipation with excessive straining can sometimes cause a small amount of whitish/jelly-like prostatic or seminal fluid to be expressed from the urethra. This is not necessarily a sign of a serious disease. However, since you have persistent symptoms despite laxatives and associated lower-back/pelvic discomfort, a urologist should evaluate you to rule out prostatitis, pelvic floor dysfunction or other urological causes.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Please consult a urologist

Do not strain hard It may lead to further complications Kindly consult with me for proper assessment

Take High fibre diet like cucumber salad ,keep hydrated

Need a few more details please consult for further evaluation and treatment