Persistent Urge to Defecate: Causes and Solutions for Young Adults - Surgery

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Persistent urges to defecate can be a distressing symptom, especially for young adults like yourself. Given your recent medical history, including a gastric ulcer and the procedures you underwent, it’s essential to consider both physiological and psychological factors that may be contributing to your current symptoms.


Possible Causes
1. Post-Procedure Effects: After undergoing procedures like a colonoscopy, some individuals may experience changes in bowel habits. This can include increased urgency or altered stool consistency. The removal of polyps, even benign ones, can sometimes lead to temporary changes in bowel function.

2. Medication Side Effects: You mentioned taking medication for your ulcer, specifically a proton pump inhibitor (PPI) like esomeprazole (艾胃逆). While these medications are effective for reducing stomach acid, they can sometimes lead to gastrointestinal side effects, including constipation or changes in bowel habits. If you notice that your symptoms correlate with starting this medication, it may be worth discussing with your doctor.

3. Infection or Inflammation: Your recent cold could also be a contributing factor. Viral infections can sometimes lead to gastrointestinal symptoms, including increased bowel urgency. If you have had any gastrointestinal symptoms accompanying your cold, such as diarrhea or cramping, this could be a sign of a viral gastroenteritis.

4. Irritable Bowel Syndrome (IBS): This is a common condition that can cause symptoms like urgency, bloating, and changes in bowel habits. Stress and anxiety can exacerbate these symptoms, particularly in young adults who may be dealing with various life pressures, including military service.

5. Dietary Factors: Changes in diet, hydration levels, or fiber intake can significantly impact bowel habits. If your diet has changed recently, it may be worth evaluating how this could be affecting your symptoms.


Solutions and Management Strategies
1. Dietary Adjustments: Focus on a balanced diet rich in fiber, which can help regulate bowel movements. Foods like fruits, vegetables, whole grains, and legumes can promote healthy digestion. Ensure you are also drinking plenty of water to stay hydrated.

2. Regular Exercise: Physical activity can help stimulate bowel function. Even if you have limited time due to military service, try to incorporate some form of exercise into your routine, whether it’s walking, jogging, or bodyweight exercises.

3. Stress Management: Since stress can exacerbate gastrointestinal symptoms, consider incorporating stress-reducing techniques into your daily routine. This could include mindfulness, meditation, or deep-breathing exercises.

4. Medication Review: If you suspect that your medication is contributing to your symptoms, consult with your healthcare provider. They may be able to adjust your dosage or switch you to a different medication that has fewer gastrointestinal side effects.

5. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their severity, and any potential triggers (diet, stress, etc.). This can help you and your healthcare provider identify patterns and make informed decisions about your treatment.

6. Seek Professional Help: If your symptoms persist or worsen, it’s crucial to seek medical advice. While you may have limited time due to your service, consider scheduling an appointment with a gastroenterologist or your primary care physician. They can provide a thorough evaluation and may suggest further tests if necessary.

7. Over-the-Counter Remedies: Depending on your symptoms, over-the-counter medications like fiber supplements or mild laxatives may provide temporary relief. However, it’s best to consult with a healthcare professional before starting any new medication.

In conclusion, while persistent urges to defecate can be uncomfortable and concerning, there are various strategies you can implement to manage your symptoms. It’s essential to listen to your body and seek professional guidance when necessary, especially considering your recent medical history. Taking proactive steps can help you regain control over your gastrointestinal health and improve your overall well-being.