Managing IBS and Hemorrhoids: Overcoming Bowel Control Issues

Q: Managing IBS and Hemorrhoids: Overcoming Bowel Control Issues

Hello： Developing a habit of having a regular bowel movement every day is important, even if the amount is small. <br>Additionally, pay attention to hydration and the intake of fruits and vegetables. <br>You should not specifically try to suppress gas; it can be released while us

Irritable bowel syndrome (IBS) with internal hemorrhoids, often experiencing diarrhea and issues with anal control?

I have had poor dietary habits in the past, which have exacerbated my irritable bowel syndrome.
My gastrointestinal issues have persisted for several years without improvement, and I developed hemorrhoids in recent years.
Spending too much time in the bathroom, often while using my phone, has worsened the situation.
I have a habit of holding in gas in public places, so I can only relieve myself in private, which makes it difficult for me to use the restroom.
I struggle with controlling the timing of my anal sphincter; sometimes, my stool comes out halfway and then retracts.
When I try to push it out again, it feels like something is stuck, possibly due to internal hemorrhoids or rectal prolapse, where relaxed muscles block the passage.
After holding in gas and then having a bowel movement, the first part of my stool is dark, while the latter half is yellow.
I experience bloating every day, and each bowel movement feels incomplete.
It feels very tight when I try to pass stool, and I have to exert a lot of effort, but it still doesn't come out.
What solutions or treatments does the doctor recommend for improvement?

Mr. Huang, 10~19 year old female. Ask Date: 2017/05/09

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Developing a habit of having a regular bowel movement every day is important, even if the amount is small.
Additionally, pay attention to hydration and the intake of fruits and vegetables.
You should not specifically try to suppress gas; it can be released while using the restroom.
Furthermore, reducing retained stool will also decrease intestinal gas, which can minimize flatulence.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/05/09

More Info

Managing Irritable Bowel Syndrome (IBS) and hemorrhoids can be quite challenging, especially when compounded by long-standing bowel control issues. Your symptoms suggest a complex interplay between IBS, hemorrhoids, and possibly pelvic floor dysfunction, which can all contribute to the difficulties you're experiencing with bowel movements.

Understanding IBS and Hemorrhoids
IBS is a functional gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, and altered bowel habits, including diarrhea and constipation. Hemorrhoids, on the other hand, are swollen veins in the lower rectum and anus, often caused by straining during bowel movements, prolonged sitting, or increased pressure in the lower rectum. The presence of hemorrhoids can exacerbate the discomfort associated with IBS, leading to a cycle of pain and difficulty in bowel movements.

The Impact of Lifestyle Choices
Your mention of poor dietary habits and prolonged sitting while using your phone indicates lifestyle factors that can significantly impact both IBS and hemorrhoids. Diet plays a crucial role in managing IBS symptoms. A diet high in fiber can help regulate bowel movements and reduce constipation, while avoiding trigger foods (such as dairy, caffeine, and fatty foods) can help minimize IBS flare-ups. Additionally, maintaining regular meal times and staying hydrated are essential for digestive health.

Addressing Bowel Control Issues
The difficulty you describe with bowel control, including the sensation of incomplete evacuation and the need to strain, may be related to pelvic floor dysfunction. This condition can occur when the muscles that support the pelvic organs become weak or uncoordinated. Here are some strategies to help manage these issues:
1. Pelvic Floor Exercises: Engaging in pelvic floor exercises, often referred to as Kegel exercises, can strengthen the muscles involved in bowel control. These exercises involve contracting and relaxing the pelvic floor muscles, which can improve muscle tone and coordination.

2. Biofeedback Therapy: This therapy can help you gain awareness and control over your pelvic floor muscles. A trained therapist can guide you through exercises and provide feedback on your muscle contractions, helping you learn how to relax and strengthen these muscles effectively.

3. Regular Bathroom Habits: Establishing a routine for bathroom visits can help train your body to recognize when it’s time to go. Try to set aside time each day to sit on the toilet, even if you don’t feel the urge to go. This can help condition your body to have regular bowel movements.

4. Avoid Straining: Straining can worsen hemorrhoids and lead to further complications. If you feel the urge to push, try to relax and breathe deeply instead. If you’re unable to pass stool, it may be beneficial to try again later rather than forcing it.

5. Dietary Adjustments: As mentioned earlier, a high-fiber diet can help prevent constipation and promote regular bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Additionally, consider incorporating probiotics into your diet, as they can help balance gut bacteria and improve digestive health.

6. Hydration: Drinking plenty of water is crucial for softening stool and preventing constipation. Aim for at least 8-10 glasses of water a day, and adjust based on your activity level and climate.

7. Consult a Specialist: If your symptoms persist or worsen, it may be beneficial to consult a gastroenterologist or a colorectal specialist. They can provide a thorough evaluation and recommend treatments tailored to your specific needs, which may include medications, dietary changes, or even surgical options for hemorrhoids if necessary.

Conclusion
Managing IBS and hemorrhoids requires a multifaceted approach that includes dietary changes, lifestyle modifications, and possibly therapeutic interventions. By addressing the underlying factors contributing to your symptoms, you can improve your bowel control and overall quality of life. Remember, it’s essential to work closely with your healthcare provider to develop a personalized plan that considers your unique situation and health history.

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