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Severe Constipation
Hi Doctor, I am experiencing severe constipation and am unable to pass stool despite repeated attempts. It feels like the stool is stuck right at the opening of my anus, and I am experiencing significant pain in the anal area along with constant pressure in my lower abdomen. I last passed stool on Friday, and although I am still able to pass gas, I am unable to pass the stool. Could you please advise me on what I should do and whether I need to come in for an urgent consultation?
Answers (16)
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Severe constipation with pain in the anal region is an indication for a visit to hospital or an medical center in your area.You can also try OTC procto fresh enema ,it may relieve the constipation.For the anal pain you can apply lidocaine cream locally.
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The combination of stool feeling stuck at the opening, significant anal pain and lower abdominal pressure warrants an in-person assessment today. Passing gas is useful information, but does not make it safe to keep straining or assume that this is uncomplicated constipation.
Next Steps
Please see a physician or urgent-care service today. An examination can assess for impacted stool and other causes of the pain, and determine the safest treatment.
Health Tips
Avoid repeated forceful straining and do not attempt to remove the stool yourself or use an enema without clinical advice. Go to emergency care for severe or increasing abdominal pain, vomiting, marked swelling, or inability to pass gas.
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Drink plenty of water.
Syrup Lactulose - 10 ml - twice daily(if severe constipation)-
Stop when constipation is resolved.
For pain - Ointment Anobless - apply directly on the anus,after cleaning that area.
Don't force yourself to pass the stool.
Drink lots of water
Add papaya, cucumber and carrot in your early morning salad plate.
It will help you.
Stay healthy!
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Stop repeated forceful straining.
Do not attempt to remove the stool manually
Avoid taking strong laxatives or giving an enema until fecal impaction and possible obstruction have been assessed.
Seek emergency care immediately if there is worsening abdominal pain, abdominal distension, vomiting, fever, rectal bleeding, or inability to pass gas.
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Stool stuck right at the opening with pain for several days, while you are still passing gas, usually means a hard stool is blocking the lower rectum rather than a full bowel obstruction. It is uncomfortable, but this pattern is common and very treatable without needing an emergency room visit tonight.
Next Steps
Increase your fluids and try a glycerin suppository or a stool softener, both available over the counter, to help the stool pass. If there is still no movement within a day, please see a doctor in person, since a stuck stool sometimes needs to be cleared manually.
Health Tips
Go in urgently if you start vomiting, stop passing gas entirely, or your abdomen becomes very distended and painful, since these can mean a full blockage.
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