Struggling with Chronic Constipation: A Teen's Health Dilemma

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Hello.
I am a 15-year-old who suffers from chronic constipation.
I have been experiencing this issue since October, which has made me hesitant to eat because food tends to accumulate easily, and I feel full very quickly.
I might have developed a habit of avoiding the bathroom.
At school, a 10-minute break is simply not enough.
Even if I need to go during class, I would never want to announce that I am constipated.
I really don’t want to do that.
Right now, I am very afraid to eat because my lower abdomen tends to swell significantly, and it feels like it’s going to burst.
I do have bowel movements, but even after that, my stomach remains very bloated, especially in the lower abdomen.
I have taken three types of medication: two prescribed by traditional Chinese medicine doctors and one over-the-counter medication for gastrointestinal issues.
Am I destined to rely on medication for bowel movements for the rest of my life? Oh my...
Every day, I look at my stomach and feel the need to touch it after every meal because I worry so much.
I fear that my stomach will bloat uncomfortably or that I will develop fecal impaction.
I am really tired of this situation.
It has even led me to consider not eating anything at all or feeling a loss of willpower, which makes me feel miserable every day.
If I don’t have a bowel movement, my mood plummets.
I find myself looking for ways to vent my frustration, unable to concentrate in class, and constantly thinking about what I should do about my bloated stomach.
I have seen many doctors, and I don’t want to go back anymore.
I am growing increasingly frustrated with them because they never conduct thorough examinations, and I end up in the same situation.
When I feel the urge to go, the timing is always wrong, like during class, and then I experience stomach pain but can’t relieve myself.
I live in fear every day, worried that I am not eating enough and becoming malnourished, or that if I eat too much, my stomach will bloat and accumulate more.
What am I supposed to do? My bloated stomach is causing my weight to increase because I have no idea what waste is trapped inside.
In the past, my stomach would be flat after a bowel movement, but now it is always protruding.
It takes several days for anything to come out, and when it does, it’s very little.
I can only imagine how much waste has built up inside me over time.
Just thinking about it makes me feel overwhelmed.
When my stomach hurts and I try to relieve myself, my anus doesn’t fully open; it only opens a little, and only a small amount comes out.
After that, I still feel the urge to go again, but there’s nothing left.
My current issues are the bloating and the discomfort of not being able to fully relieve myself.
I feel like I am about to explode.
If I have nowhere to turn for help, then I might as well just leave it be and see what serious illnesses may arise in the future.
I don’t want to live like this.
I have tried very hard.
I just hope to resolve this quickly and not let my gastrointestinal issues become a lifelong problem.

Dian, 10~19 year old female. Ask Date: 2004/11/22

Dr. Su Baojia reply Gastroenterology and Hepatology

It is best to consult a gastroenterologist regarding your symptoms.
A barium enema may be performed to check for any underlying conditions, and then treatment can be tailored accordingly.
As for your regular diet, it is advisable to consume more vegetables and fluids, and to take a walk after meals.

Reply Date: 2004/11/22

More Info

Chronic constipation can be a distressing and frustrating issue, especially for a teenager like yourself. It's understandable that you're feeling overwhelmed by the discomfort and the impact it has on your daily life. Let's break down some strategies and insights that may help you manage this condition more effectively.

Understanding Chronic Constipation
Chronic constipation is defined as having fewer than three bowel movements per week, and it can be accompanied by symptoms such as abdominal pain, bloating, and the sensation of incomplete evacuation. It's important to recognize that this condition can stem from various factors, including diet, hydration, physical activity, and even psychological stress.

Dietary Changes
1. Increase Fiber Intake: A diet high in fiber can significantly improve bowel regularity. Aim for a variety of fiber sources, including fruits (like apples, pears, and berries), vegetables (such as broccoli, carrots, and leafy greens), whole grains (like oats, brown rice, and whole wheat bread), and legumes (beans and lentils). Gradually increase your fiber intake to avoid gas and bloating.

2. Stay Hydrated: Drinking plenty of water is crucial for digestive health. Aim for at least 8 cups (64 ounces) of water a day, and consider increasing this amount if you're consuming more fiber. Proper hydration helps soften stool and makes it easier to pass.

3. Regular Meal Patterns: Eating at regular intervals can help regulate your digestive system. Try to have three balanced meals a day, and consider adding healthy snacks in between. This can stimulate your digestive tract and promote regular bowel movements.

Physical Activity
Engaging in regular physical activity can also help alleviate constipation. Aim for at least 30 minutes of moderate exercise most days of the week. Activities like walking, jogging, swimming, or even yoga can stimulate bowel function and improve overall digestive health.

Establishing a Routine
1. Bathroom Habits: Try to establish a regular time each day to sit on the toilet, even if you don't feel the urge to go. This can help train your body to recognize when it's time to have a bowel movement. Consider doing this after meals, as eating can stimulate the digestive system.

2. Relaxation Techniques: Stress and anxiety can exacerbate digestive issues. Incorporating relaxation techniques such as deep breathing, meditation, or gentle yoga can help reduce stress and improve your overall well-being.

Seeking Professional Help
Since you've already seen multiple doctors without satisfactory results, it may be beneficial to seek a specialist, such as a gastroenterologist, who can provide a more thorough evaluation. They may recommend tests to rule out underlying conditions that could be contributing to your constipation.

Psychological Support
Given the emotional toll that chronic constipation can take, consider speaking with a mental health professional. They can help you address any anxiety or stress related to your condition and provide coping strategies to improve your overall mental health.

Conclusion
It's important to remember that you are not alone in this struggle, and there are effective strategies to manage chronic constipation. By making dietary changes, increasing physical activity, establishing a routine, and seeking professional help, you can work towards alleviating your symptoms. Don't hesitate to reach out for support from family, friends, or healthcare providers as you navigate this challenging situation. Your health and well-being are paramount, and with the right approach, you can find relief and improve your quality of life.

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