Persistent Urge to Defecate: What Could Be Causing It?

Persistent urge to defecate?

Hello Doctor: Recently, I have suddenly experienced a feeling of needing to have a bowel movement, but when I try to squat, I can only pass a little bit without any blood.
Additionally, my stomach keeps making noises and feels bloated.
Which department should I consult for an examination? Thank you.

Ye Xiansheng, 20~29 year old female. Ask Date: 2017/02/14

Dr. Ke Fangxu reply Surgery

Based on your description, it seems more like irritable bowel syndrome combined with mild hemorrhoidal bleeding.
It is recommended to start with a light diet and maintain a good lifestyle routine.
Spicy, irritating, and greasy foods should be avoided.
If symptoms persist without improvement, you may consult a physician for medication.
You can schedule an appointment with either a gastroenterologist or a colorectal specialist.

Reply Date: 2017/02/14

More Info

The persistent urge to defecate, especially when accompanied by symptoms such as abdominal bloating and gas, can be indicative of several gastrointestinal issues. It's important to understand that while the sensation of needing to defecate can be uncomfortable and concerning, it can stem from various causes, some of which may require medical attention.

One common cause of a persistent urge to defecate is irritable bowel syndrome (IBS), a functional gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, and changes in bowel habits. IBS can lead to increased sensitivity in the intestines, resulting in frequent urges to defecate, even when the bowel is not full. Stress and dietary factors often exacerbate IBS symptoms.

Another potential cause could be inflammatory bowel disease (IBD), which includes conditions like Crohn's disease and ulcerative colitis. These conditions can cause inflammation in the gastrointestinal tract, leading to symptoms such as abdominal pain, diarrhea, and a frequent urge to defecate. If there is any blood in the stool or significant weight loss, it is crucial to seek medical attention promptly.

Constipation can also lead to a sensation of urgency. When stool builds up in the colon, it can create pressure that triggers the urge to defecate, even if the bowel is not ready to evacuate. This can be accompanied by bloating and discomfort.

Rectal issues such as hemorrhoids or anal fissures can cause a feeling of urgency as well. These conditions can lead to discomfort and a sensation of incomplete evacuation, prompting frequent trips to the bathroom.

Given your symptoms, it would be advisable to consult with a gastroenterologist. This specialist can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly diagnostic tests such as blood tests, stool tests, or imaging studies. They may also recommend a colonoscopy if there are concerns about IBD or other significant conditions.

In the meantime, consider keeping a symptom diary to track when the urges occur, any dietary changes, stress levels, and other associated symptoms. This information can be helpful for your healthcare provider in determining the underlying cause of your symptoms.

It's essential to address these symptoms sooner rather than later, especially if they persist or worsen. Early intervention can lead to better management of any underlying conditions and improve your overall quality of life. Remember, while online resources can provide some insight, they should not replace professional medical advice tailored to your specific situation.

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