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Gas and constipation
I have been feeling constipation for 3 months now. I keep feeling pain at right side of my abdomen near liver. I get stools daily but i have to sit long for it 5-10 min so it feels like constipation but when stools pass it's not hard lumps it's soft but not really formed. I keep getting pressure for stools most of the day but there is nothing when I go washroom. Also facing increased flatulence and burps because of gas. I went for ultrasound I'm attaching report. Please tell me what to do next
Answers (18)
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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
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Rectum is full of faecal mater. Otherwise report normal plain water enema or proctosedyl enema. Followed by isabgol husk two teaspoon two times for long time.
Nexpro RD40 ONE IN EMPTY STOMACH.
Aristozyme gold one hr before lunch n dinner for ten days
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Your ultrasound report is fine except for the loaded fecal matter, which may have resulted in the symptoms you are experiencing.Drink adequate amounts of water, follow fibre rich diet habits.For the symptomatic relief you can take movicol sachets daily for a few days.Drotin plus twice daily may help you with abdominal flatulence
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Lifestyle modification
Next Steps
consult
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please book a consultation for a detailed assessment and review your reports before starting treatment
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Mr. Yateesh R
General Physician
4 yrs exp
Kadur
Maintain regular and proper diet.
Increase fibre in diet like leafy vegetables and drink plenty of water around 2-3 litres per day.
Get TFT
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Dr. Sakshi Verma
General Physician
2 yrs exp
Bilaspur
Do consult with me
So that I can help you with further treatment
I need detailed history
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Fibre rich diet
Drink plenty of water
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Divyansh Jain
General Physician
1 yrs exp
Ghaziabad
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!
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
Have high fibre diet, maintain adequate hydration
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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
Will help you
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Dr. Pranesh
General Physician
5 yrs exp
Coimbatore
Your ultrasound shows faecal loading in the ascending colon and caecum, which may be contributing to your symptoms. Since your stools are soft but difficult to evacuate, I recommend adequate hydration, gradually increasing dietary fibre, and regular physical activity. Avoid straining and prolonged sitting on the toilet. An osmotic laxative such as PEG may help soften stools and improve bowel movements. let me know if you experience incomplete evacuation or pain relief after passing stools, so I can guide you further.
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Dr. Konica Gupta
General Physician
6 yrs exp
Ghaziabad
Kindly consult
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Your ultrasound shows every organ, including your uterus and ovaries, as normal. The one finding is fecal matter loaded in your caecum and ascending colon, which fits with the straining and incomplete-emptying feeling you're describing. This pattern, along with the gas and bloating, usually points to a motility issue rather than anything structural.
Next Steps
Increase fluids and fibre through fruits, vegetables and whole grains, and stay physically active through the day. A fibre supplement or stool softener can help, and a gastroenterologist can guide which one suits you and rule out any underlying cause for the 3-month duration.
Health Tips
See a doctor sooner if you notice blood in your stool, unintended weight loss, or the pain near your liver area getting worse.
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