Download FREE Practo app
Get ₹200 HealthCash
Constipation & Lower back problem
23M. I’ve had constipation for over 1 year. Sometimes I feel the stool is there but it doesn’t pass easily, so I have to strain hard. During hard straining, jelly-like semen/prostatic fluid comes out through the penis. I also frequently experience lower-back pain, especially around bowel movements. I’ve already consulted gastroenterologists many times ; endoscopy, LFT, CBC etc. were normal. Taking Laxatives, but constipation & discharge during straining persist .
Answers (20)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
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
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+130
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
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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..
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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
Next Steps
If symptoms not resolved review after 7 days
Health Tips
If you want to discuss your symptoms in detail, you can connect with me on Practo or WA business- 77 260 46 121,
I’ll take your complete history and guide you about the appropriate next step.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Consult consult urologist
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Consult with urologist now.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Increase dietary fibre and fluid intake . Avoid excessive straining and maintain regular physical activity.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Please consult me for a proper assessment, diagnosis and individualized treatment plan
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
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
Next Steps
Connect with me for proper history and evaluation if you want
Answered
Flag this answer
2/2 people found this helpful
Was this answer helpful?
YES
NO
Increase water intake and take high fibre diet
Next Steps
take consultation
Answered
Flag this answer
2/2 people found this helpful
Was this answer helpful?
YES
NO
Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ekata Priyadarsani
General Physician
6 yrs exp
Cuttack
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.
Next Steps
For constipation: increase water and dietary fibre gradually, maintain regular physical activity, avoid prolonged straining, and use laxatives only as advised by your doctor.
Health Tips
Seek prompt medical review if there is blood in urine/semen/stool, fever, painful urination, significant pelvic/testicular pain, urinary difficulty, unexplained weight loss, or worsening back pain
Answered
Flag this answer
2/2 people found this helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Please consult a urologist
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Reesha Varshney
General Physician
1 yrs exp
Hathras
Do not strain hard
It may lead to further complications
Kindly consult with me for proper assessment
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Take High fibre diet like cucumber salad ,keep hydrated
Next Steps
Do consult
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.