Feeling the Urge to Poop but Can't? Gastrointestinal Issues - Gastroenterology and Hepatology

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Feeling the urge to defecate but being unable to pass stool?


Recently, I have been experiencing a sensation of needing to have a bowel movement in the lower abdomen to the anus, but it's just a sensation.
Every time I go to the bathroom, I am unable to pass stool, and there is mucus.
What should I do?

Xiao Ming, 10~19 year old female. Ask Date: 2023/08/29

Dr. Cai Jinji reply Gastroenterology and Hepatology


Hello Xiao Ming: It is recommended to visit the colorectal clinic for consultation or examination to determine the issue.
Director Cai Jin-ji of the Hepatobiliary and Gastroenterology Department at Nantou Hospital.

Reply Date: 2023/08/29

More Info


Experiencing the urge to poop but being unable to do so can be quite distressing and may indicate underlying gastrointestinal issues. Based on your description, it seems you are dealing with a situation that could be related to several factors, including dietary habits, stress, or a potential gastrointestinal disorder.

Firstly, the sensation of needing to have a bowel movement without being able to produce stool can be associated with conditions such as irritable bowel syndrome (IBS), constipation, or even rectal prolapse. IBS is a common disorder that affects the large intestine and can cause symptoms such as cramping, abdominal pain, bloating, gas, and diarrhea or constipation. The presence of mucus in your stool can also be a sign of IBS, as well as other conditions like inflammatory bowel disease (IBD), which includes Crohn's disease and ulcerative colitis.

Given your symptoms, it is essential to consider your recent dietary habits. A diet low in fiber and high in processed foods can lead to constipation and difficulty passing stool. Additionally, if you have been consuming a lot of caffeine or spicy foods, these can irritate the gastrointestinal tract and exacerbate symptoms. It is advisable to increase your fiber intake by consuming more fruits, vegetables, whole grains, and legumes. Staying hydrated is also crucial, as adequate water intake helps soften the stool and promotes regular bowel movements.

Stress and anxiety can significantly impact gastrointestinal function. If you have been under stress, it may contribute to your symptoms. Engaging in stress-reducing activities such as yoga, meditation, or regular exercise can be beneficial for both your mental and physical health.

If your symptoms persist, it is crucial to consult a healthcare professional for a thorough evaluation. They may recommend diagnostic tests such as a colonoscopy or imaging studies to rule out any serious conditions. A stool test may also be helpful to check for infections or other abnormalities.

In the meantime, consider keeping a symptom diary to track your bowel habits, dietary intake, and any other symptoms you may experience. This information can be valuable for your healthcare provider in determining the underlying cause of your issues.

In summary, while the urge to poop without being able to do so can be frustrating, it is often manageable with dietary changes, stress management, and proper medical evaluation. If your symptoms continue or worsen, do not hesitate to seek medical advice to ensure you receive the appropriate care.

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