Bowel issues
Hello doctor, since I have been experiencing difficulty urinating, I have been sitting down to use the toilet.
Recently, I have noticed that my anus is unable to close properly, and I have to exert pressure in my anus while urinating.
I later visited Asia University Hospital and found out that I wasn't fully emptying my bowels.
They prescribed me magnesium oxide tablets.
I would like to know how I can improve this situation, as my bowel movements have changed from having a bowel movement at least once or twice a week to now having two to three bowel movements a day.
Should I exercise more?
Shu Wei, 20~29 year old female. Ask Date: 2023/08/05
Dr. Zhang Shuhao reply Surgery
It may be necessary to first rule out the causes of urinary difficulties.
As for the symptom of incomplete bowel evacuation, it is advisable to increase fluid intake and dietary fiber, engage in moderate exercise, maintain a regular schedule, and avoid staying up late.
If the symptoms persist, consider undergoing a sigmoidoscopy or colonoscopy.
Reply Date: 2023/08/05
More Info
Improving bowel health is a multifaceted approach that involves dietary changes, lifestyle modifications, and sometimes medical intervention. Given your situation, where you have experienced difficulty with bowel movements and have been prescribed magnesium oxide, it's essential to understand how to manage your symptoms effectively.
Firstly, magnesium oxide is often used as a laxative because it helps to draw water into the intestines, which can soften stool and promote bowel movements. This can be particularly helpful if you have been experiencing constipation or incomplete evacuation. However, it’s crucial to use it under the guidance of a healthcare professional, as overuse can lead to diarrhea or electrolyte imbalances.
In your case, it seems that you have transitioned from having bowel movements once every week or two to having them two to three times a week. This is a positive change, indicating that the magnesium is helping. However, if you are still experiencing discomfort or the sensation of incomplete evacuation, there are additional strategies you can implement.
1. Dietary Fiber: Increasing your intake of dietary fiber can significantly improve bowel health. Fiber adds bulk to the stool and helps it pass more easily through the intestines. Aim for a mix of soluble fiber (found in oats, beans, and fruits) and insoluble fiber (found in whole grains and vegetables). If you are considering fiber supplements, such as psyllium husk, start with a small dose and increase gradually to avoid exacerbating any gastrointestinal discomfort.
2. Hydration: Drinking plenty of water is crucial when increasing fiber intake. Fiber works best when it absorbs water, which helps to soften the stool. Aim for at least 8-10 cups of water daily, and more if you are active or live in a hot climate.
3. Regular Exercise: Physical activity stimulates the muscles in the intestines, promoting regular bowel movements. Aim for at least 30 minutes of moderate exercise most days of the week. Activities like walking, jogging, or yoga can be beneficial.
4. Establish a Routine: Try to set a regular time each day for bowel movements, ideally after meals when the gastrocolic reflex is strongest. This can help train your body to have more predictable bowel habits.
5. Mindful Eating: Eating slowly and chewing your food thoroughly can aid digestion and help prevent constipation. Avoiding highly processed foods that are low in fiber can also be beneficial.
6. Stress Management: Stress can significantly impact bowel health. Techniques such as mindfulness, meditation, or yoga can help reduce stress levels and improve gut function.
7. Consult with a Specialist: Since you have a history of bowel issues and have recently experienced changes in your bowel habits, it may be beneficial to consult with a gastroenterologist. They can perform tests to rule out any underlying conditions and provide tailored advice based on your specific situation.
8. Monitor Symptoms: Keep a diary of your bowel habits, dietary intake, and any symptoms you experience. This can help you and your healthcare provider identify patterns and triggers that may be affecting your bowel health.
In summary, improving bowel health involves a combination of dietary adjustments, hydration, regular exercise, and stress management. While magnesium oxide can help with immediate symptoms, focusing on long-term lifestyle changes will provide the best results for maintaining regular bowel movements and overall digestive health. If symptoms persist or worsen, do not hesitate to seek further medical advice.
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