Struggling with Constipation: Your Digestive Health

Q: Struggling with Constipation: Your Digestive Health

Hello： Constipation is a common issue among modern individuals. <br>It is recommended to consume more fruits and vegetables, reduce oily foods, maintain a balanced diet, ensure adequate hydration, and engage in regular physical activity. <br>During bowel movements, do not rush; m

Inability to pass stool despite the urge to defecate?

Hello Doctor: This is my first time here seeking help, and I'm a bit worried about my health.
I apologize for the lengthy explanation! I tend to be a nervous and anxious person.
My gastrointestinal motility is slow, and my bowel movements take about 5 to 10 minutes, but if it’s slow, I need to sit for over 15 minutes to have a normal bowel movement.
My gastrointestinal absorption is good (I have a tendency to gain weight).
I drink about 2000 to 4000 cc of water daily (room temperature, neither cold nor hot).
I have three meals a day: rice for lunch and a small amount of rice for dinner, and I eat a variety of vegetables and fruits.
I consume a lot of starch daily and have opportunities for walking and using stairs.
My bowel movements usually occur around 6:30 AM or after 9 AM.
However, this week, for some reason, the amount of food I consume and the amount I excrete are disproportionate—it's pitifully small (just little pieces, but the color is normal).
Whenever I feel the urge to go, I rush to the bathroom, but I can’t seem to pass much.
I always feel like the stool is right at the anus, and despite straining and pressing my abdomen, I only manage to pass small pieces each time.
I also experience continuous flatulence, thinking that I should be able to pass stool, but I can't! It’s been a week, and I feel uncomfortable with a bloated abdomen.
My mood has also been affected.
I originally weighed 50 kg, but it seems I’ve gained 2 to 3 kg.

1.
Given this situation, is it concerning? Should I see a doctor if this continues?
2.
Why do I keep experiencing continuous flatulence? Is this normal? Should I be concerned about other gastrointestinal issues?
3.
Why do I always feel like the stool is at the anus but can’t pass it? The few pieces that do come out are small (I do apply pressure at the anus and abdomen).
4.
Why, even after drinking a large amount of water (300 to 500 cc or more), can I still not pass stool?
5.
If I need to see a doctor, should I consult a gastroenterologist? Will they help me with bowel movements? (Will they prescribe medication for constipation?)
Thank you very much!

Jia, 20~29 year old female. Ask Date: 2011/08/06

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: Constipation is a common issue among modern individuals.
It is recommended to consume more fruits and vegetables, reduce oily foods, maintain a balanced diet, ensure adequate hydration, and engage in regular physical activity.
During bowel movements, do not rush; massaging the abdomen can be helpful.
If these measures are ineffective, please seek medical evaluation and treatment.
Wishing you good health, Dr.
Chen Qi-Feng, Taoyuan Hospital, Department of Health.

Reply Date: 2011/08/06

More Info

It sounds like you're experiencing a challenging situation with constipation and digestive health, which can be quite distressing. Let's break down your concerns and address them one by one.

1. Understanding Your Symptoms: From what you've described, it seems that you have a slow bowel movement, which can be influenced by various factors, including diet, hydration, stress, and physical activity. The fact that you are consuming a significant amount of water (2,000 to 4,000 cc daily) and eating a balanced diet with vegetables and fruits is great, as hydration and fiber intake are crucial for healthy digestion. However, if you're still experiencing hard, pellet-like stools and difficulty passing them, this could indicate that your body is not processing the food as efficiently as it should.

2. Why You Might Be Experiencing Gas: The frequent passing of gas (flatulence) can be a result of several factors. It could be related to the types of foods you are consuming, as certain foods (like beans, lentils, dairy, and high-fiber foods) can produce more gas during digestion. Additionally, if you're swallowing air while eating or drinking, that can also contribute to increased gas. If the gas is accompanied by discomfort or changes in your bowel habits, it may be worth discussing with a healthcare provider.

3. Feeling Like You Need to Go but Can't: The sensation of having a bowel movement but being unable to pass stool can be frustrating. This could be due to several reasons, including psychological factors like anxiety, which you've mentioned is part of your personality. Stress and anxiety can affect gut motility and lead to constipation. It's also possible that there may be a physical issue, such as pelvic floor dysfunction, which can make it difficult to coordinate the muscles needed for a bowel movement.

4. Hydration and Its Role: While you're drinking a lot of water, it's important to ensure that you're also getting enough fiber in your diet. Fiber helps to bulk up stool and can make it easier to pass. If your diet is high in starches and low in fiber, this could contribute to your symptoms. Consider incorporating more whole grains, fruits, and vegetables into your meals.

5. When to See a Doctor: Given that you've been experiencing these symptoms for a week and they are affecting your quality of life, it would be wise to consult a healthcare professional, particularly a gastroenterologist. They can perform a thorough evaluation, which may include a physical examination, dietary assessment, and possibly imaging or other tests to rule out any underlying conditions. They can also discuss treatment options, which may include dietary changes, medications, or other interventions to help relieve your constipation.

In summary, while your current symptoms are concerning, they are manageable with the right approach. It's essential to listen to your body and seek medical advice when necessary. A healthcare provider can help you navigate these challenges and find a solution that works for you. Remember, you're not alone in this, and many people experience similar digestive issues. Taking proactive steps to address your health is a positive move forward.

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