Hello,
I have reviewed your abdominal ultrasound report. Most abdominal organs, including the
liver, gallbladder, kidneys, and pancreas, appear normal.
However, the report mentions faecal loading in the caecum and ascending colon, suggesting stool accumulation.
Your symptoms of difficulty passing stools, persistent bowel urgency, bloating, and incomplete evacuation may be associated with functional constipation or a defecation disorder.
Importantly, constipation can occur even when stools are soft and passed daily.
The repeated urge to pass stools without satisfactory evacuation may also represent tenesmus, which requires further clinical evaluation.
Next Steps
Consult a gastroenterologist because your symptoms have persisted for three months. A clinical examination, including a digital rectal examination when appropriate, can help assess stool retention and pelvic floor dysfunction. Depending on clinical findings, investigations may include CBC,
TSH, serum
calcium, and stool tests. If incomplete evacuation persists, anorectal manometry and balloon expulsion testing may be considered to assess pelvic floor dyssynergia. Increase dietary fibre gradually, maintain adequate hydration, and establish a regular toilet routine. Your doctor may recommend soluble fibre (psyllium) or an osmotic laxative, such as polyethylene glycol, if constipation is confirmed.
Health Tips
Avoid prolonged sitting or excessive straining on the toilet. Using a small footstool to elevate your knees may help bowel evacuation. Limit foods that consistently worsen bloating, and maintain regular physical activity. Ultrasound findings of faecal loading alone do not confirm the cause of your symptoms. Persistent bowel urgency despite soft stools deserves further evaluation. Seek medical attention if you develop severe or worsening right-sided abdominal pain, fever, vomiting, blood in stools, unexplained weight loss, or inability to pass gas or stools. My recommendation: A gastroenterology evaluation focusing on incomplete evacuation and possible pelvic floor dysfunction is appropriate, rather than relying solely on laxatives. Wishing you a speedy recovery!