Struggling with Constipation: Symptoms and Seeking Help

Unable to have a bowel movement?

I have been experiencing long-term constipation symptoms, and my gastrointestinal tract often feels uncomfortable.
Whenever I am under more stress or feeling very down, my digestive system seems to be affected as well.
I frequently suffer from indigestion, and sometimes the stomach pain is so severe that I can't sleep, accompanied by cold sweats and an urgent need to have a bowel movement, but I still can't.
Even after multiple trips to the restroom, the stools are still hard and pellet-like.
I noticed what seems to be a small polyp near my anus.
Today, I had abdominal pain several times; during the first successful bowel movement, there was blood, and during the second, there wasn't, but I noticed blood on the toilet paper when wiping.
The blood isn't bright red; it looks diluted, as if mixed with water.
I would like to ask the doctor if this is serious.

Hi, 10~19 year old female. Ask Date: 2016/04/24

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths may also help alleviate symptoms.
Over-the-counter hemorrhoidal suppositories can be used as well.
The polyp at the anal opening may be an acute external hemorrhoid, which should reduce with sitz baths and topical ointments.
It is best not to use stool softeners indiscriminately; at this age, increasing dietary fiber and hydration should be sufficient.
If bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2016/04/24

More Info

Constipation can be a frustrating and uncomfortable condition, and it often has a significant impact on one’s quality of life. Your description of experiencing gastrointestinal discomfort, especially during times of increased stress or poor emotional health, highlights the intricate connection between our mental state and physical health. This phenomenon is often referred to as the "gut-brain axis," where stress and anxiety can exacerbate gastrointestinal issues, including constipation.

From your account, it seems that you are dealing with several symptoms: chronic constipation, abdominal pain, and the presence of blood in your stool. The blood you described, especially if it appears mixed with stool or on the toilet paper, can be concerning. While it may not always indicate a severe condition, it is essential to take it seriously, especially if it is a new symptom for you. The presence of a polyp near the anus, as you mentioned, could also be a factor that needs to be evaluated by a healthcare professional.

Here are some important considerations regarding your symptoms:
1. Constipation: Chronic constipation can arise from various factors, including dietary habits, lack of physical activity, dehydration, and stress. It is crucial to ensure you are consuming enough fiber (found in fruits, vegetables, and whole grains) and drinking plenty of water. Regular physical activity can also help stimulate bowel movements.

2. Blood in Stool: The presence of blood can be due to several reasons, such as hemorrhoids, anal fissures, or more serious conditions like diverticulosis or inflammatory bowel disease. Given that you mentioned the blood is not bright red, it could indicate that it is coming from higher up in the gastrointestinal tract, but this is not definitive. It is essential to consult a healthcare provider for a thorough evaluation.

3. Abdominal Pain: The pain you experience, particularly if it is severe and associated with other symptoms like sweating or an urgent need to have a bowel movement, should not be ignored. This could indicate a more serious underlying condition that requires medical attention.

4. Mental Health Connection: As you noted, your gastrointestinal symptoms worsen with stress and poor emotional health. It may be beneficial to address the psychological aspects of your health alongside the physical symptoms. Techniques such as mindfulness, cognitive-behavioral therapy, or even relaxation exercises can help manage stress and, in turn, may alleviate some of your gastrointestinal symptoms.

5. Seeking Help: Given the complexity of your symptoms, it is advisable to seek medical attention. A healthcare provider can perform a physical examination, possibly order diagnostic tests (like a colonoscopy), and provide a tailored treatment plan. They can also assess the polyp you mentioned and determine if it requires further investigation or removal.

In summary, while constipation and gastrointestinal discomfort can often be managed with lifestyle changes, the presence of blood in your stool and significant abdominal pain warrant a prompt medical evaluation. It is crucial to address both the physical and emotional aspects of your health to achieve overall well-being. Please do not hesitate to reach out to a healthcare professional for guidance and support. Your health is important, and taking the first step to seek help can lead to significant improvements in your quality of life.

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