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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)
Consult
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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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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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Kindly consult for proper evaluation and treatment
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requires a proper assessment and examination avoid forceful straining or self administered enemas please book a consultation with me for treatment plan
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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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Enema
Ask nurse
Eit
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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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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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. 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. Shoyab Jamshed Sayed
General Physician
1 yrs exp
Pune
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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Ms. Sneha Yadav
General Physician
Kolkata
Syp lactulose 10ml tds till constipation not relieved
Anosure ointment apply over the anal region
Sitz bath daily.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
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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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.