Frequent Urges to Defecate: Causes and Concerns

Frequent urge to defecate?

Hello, doctor.
Recently, I have been experiencing a persistent feeling of needing to have a bowel movement even after I have just finished.
Often, when I go again, I can pass some stool, and this can happen about 4 to 5 times a day with varying amounts.
However, shortly after, I feel a sensation of fullness in my rectum or anus.
Could this indicate a serious condition? I had surgeries for external hemorrhoids in July and October, and I also had some internal hemorrhoids treated, but I'm not sure if new ones have developed or if the previous ones have been completely resolved.
Could hemorrhoids be a possible cause of this issue, or could it be due to other reasons? Thank you, doctor.

Mr. Hsu, 20~29 year old female. Ask Date: 2016/01/16

Dr. Ke Fangxu reply Surgery

Although the probability of developing colorectal cancer at the age of 23 is not zero, it is generally very low.
Based on your description, the likelihood of irritable bowel syndrome (IBS) seems higher.
It is recommended to start with a light diet and maintain a good lifestyle.
If symptoms persist without improvement, you may ask your physician to prescribe medication.
If there is still no improvement or if you are very concerned, you can also arrange for a colonoscopy.

Reply Date: 2016/01/16

More Info

Frequent urges to defecate, especially when accompanied by a sensation of incomplete evacuation, can be concerning and may indicate several underlying issues. Given your history of hemorrhoids and the recent surgical intervention, it is essential to consider how these factors may contribute to your current symptoms.

Firstly, hemorrhoids, whether external or internal, can indeed cause a sensation of urgency or incomplete evacuation. This occurs because swollen blood vessels in the rectal area can create pressure and discomfort, leading to the feeling that you need to go even after having just done so. If your internal hemorrhoids have not fully resolved or if new ones have developed, they could be contributing to your symptoms.
In addition to hemorrhoids, other gastrointestinal issues could be at play. Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or infections can lead to increased bowel frequency and urgency. IBS, in particular, is characterized by a combination of symptoms including abdominal pain, bloating, and altered bowel habits, which can manifest as diarrhea or constipation. If you are experiencing any changes in your diet, stress levels, or lifestyle, these could also exacerbate symptoms of IBS.

Another potential cause could be rectal prolapse, where part of the rectum protrudes through the anus, leading to a feeling of fullness or pressure. This condition can sometimes occur after hemorrhoid surgery, especially if there was significant strain during bowel movements prior to the surgery.

Furthermore, if you are experiencing any changes in your stool consistency, such as diarrhea or mucus in your stool, it may indicate an infection or inflammation in the gastrointestinal tract. Conditions like gastroenteritis or colitis can lead to increased bowel movements and urgency.

It is also worth considering the role of diet and hydration. A diet low in fiber can lead to constipation and straining, which may worsen hemorrhoid symptoms and create a cycle of discomfort and urgency. Ensuring adequate fiber intake and hydration can help regulate bowel movements and alleviate some of the pressure you are feeling.

Given the complexity of your symptoms and their potential causes, it is crucial to consult with a healthcare professional. A thorough evaluation, including a physical examination and possibly imaging studies or endoscopy, may be necessary to determine the exact cause of your symptoms. Your healthcare provider may also consider conducting tests to rule out infections or inflammatory conditions.

In summary, while hemorrhoids can contribute to your symptoms, it is essential to explore other potential causes, including gastrointestinal disorders, dietary factors, and lifestyle changes. Seeking medical advice will provide you with a clearer understanding of your condition and appropriate treatment options. Remember, it is always better to address these concerns sooner rather than later to prevent complications and improve your quality of life.

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