Your Sudden Constipation: Is It Hemorrhoids or Something Else?

Is this constipation or...?

Hello doctor, I have had normal and regular bowel movements since I was young, usually going in the morning after I wake up.
However, since early December, I suddenly have been unable to pass stool and have lost the urge to go.
Now, I have to strain to push out small, hard, and irregularly shaped stools that are often pointed at both ends.
My diet and routine have not changed, and after I do manage to go, I still feel like there is something left in my rectum.
The amount of stool has noticeably decreased, and there have been several occasions where, despite feeling abdominal pain and trying to go, I cannot fully empty my bowels.
My abdomen has also become noticeably bloated and firm.

Currently, the sensation of needing to go is mostly felt above my navel, which is different from before when it was below the navel.
I wonder if my lower abdomen is filled with stool that has become stuck.
In December, I could clearly feel stool at the anal opening, but even when I tried to go, it was still loose.
A few times, I managed to pass some of the impacted stool, which was dark and hard, with noticeable yellow edges (as if fresh stool was passing by it, but it just wouldn't come out).
Now, I don't feel anything at the anal opening, but my rectum feels distended (could the retained stool be pushed further in?).
After going once in the morning, I still feel unclean until I eat breakfast or lunch, and only then do I feel the urge to push again.
This situation has been ongoing for two months, and I am hesitant to buy laxatives.
Am I experiencing hemorrhoids or polyps that are causing my bowel movements to be obstructed? I have consulted a traditional Chinese medicine practitioner who suggested it might be indigestion, as I occasionally feel bloated after eating.
However, I chew my food thoroughly, drink plenty of water, and enjoy eating vegetables.
What could be wrong?

Wo shi nvsheng, 10~19 year old female. Ask Date: 2016/01/31

Dr. Li Zhonghuai reply Surgery

Hello! Based on your description, it seems you are still experiencing constipation, and it is quite severe.
I recommend that you see a colorectal surgeon for an abdominal X-ray and to have an examination of the anal area for your peace of mind.
Long-term misuse of laxatives can indeed lead to decreased motility of the colon.
There are many methods to manage constipation; some individuals are naturally prone to it, and even consuming fruits and drinking plenty of water may not help.
Probiotics can be beneficial, but severe cases that require frequent laxative use are typically seen in elderly patients.
However, it is essential to seek medical attention to rule out other issues.
Changhua Hospital cares about you!

Reply Date: 2016/01/31

More Info

It sounds like you are experiencing significant changes in your bowel habits, which can be concerning and uncomfortable. Based on your description, it seems that you have been dealing with constipation for about two months, characterized by hard, pellet-like stools, a feeling of incomplete evacuation, and abdominal bloating. While I cannot provide a definitive diagnosis without a physical examination and further tests, I can offer some insights into potential causes and recommendations for managing your symptoms.

Firstly, constipation can be caused by a variety of factors, including dietary habits, lifestyle changes, and underlying medical conditions. Since you mentioned that your diet and routine have not changed, it may be helpful to consider other aspects that could contribute to your symptoms. Stress, anxiety, and changes in physical activity can all impact bowel function. Additionally, certain medications or supplements can lead to constipation as a side effect.

You also mentioned the possibility of hemorrhoids or polyps. Hemorrhoids can cause discomfort and may lead to changes in bowel habits, but they typically present with symptoms such as itching, pain during bowel movements, or bleeding. Polyps, on the other hand, are growths in the colon that can sometimes obstruct the passage of stool, leading to constipation. However, they are often asymptomatic until they become larger or develop into more serious conditions.

Given the duration and nature of your symptoms, it is essential to consult with a healthcare professional for a thorough evaluation. They may recommend a physical examination, including a digital rectal exam, to assess for any abnormalities in the rectal area. Additionally, they might suggest imaging studies, such as an abdominal X-ray or colonoscopy, to visualize the colon and rule out any structural issues.

In the meantime, there are several strategies you can implement to help alleviate your constipation:
1. Increase Fiber Intake: Aim for a diet rich in fruits, vegetables, whole grains, and legumes. Fiber adds bulk to the stool and can help promote regular bowel movements.

2. Stay Hydrated: Drinking plenty of water is crucial for maintaining healthy bowel function. Aim for at least 8-10 cups of water daily, and consider increasing your intake if you are consuming more fiber.

3. Regular Exercise: Physical activity can stimulate bowel movements. Try to incorporate regular exercise into your routine, such as walking, jogging, or yoga.

4. Establish a Routine: Try to set aside time each day for bowel movements, especially after meals when the digestive system is most active. This can help train your body to recognize the urge to go.

5. Avoid Straining: Straining during bowel movements can lead to hemorrhoids and worsen constipation. If you feel the urge to go, try to relax and allow your body to do its work.

6. Consider Over-the-Counter Remedies: While you mentioned being cautious about laxatives, there are various options available, such as fiber supplements (e.g., psyllium husk) or osmotic laxatives (e.g., polyethylene glycol). However, it is best to consult with a healthcare provider before starting any new medication.

7. Monitor Your Symptoms: Keep track of your bowel habits, dietary intake, and any associated symptoms. This information can be valuable for your healthcare provider in determining the underlying cause of your constipation.

In conclusion, while your symptoms may be indicative of constipation, it is essential to seek medical advice to rule out any serious conditions and receive appropriate treatment. A healthcare professional can provide personalized recommendations based on your specific situation and help you regain regular bowel function. Remember, you are not alone in this, and there are effective solutions available to help you feel better.

Similar Q&A

Understanding Rectal Issues: Causes of Constipation and Hemorrhoids

Hello Dr. Tsai, thank you for seeing me. Recently, for the past three weeks, I have been experiencing a sensation of constipation, where I feel like my stool is stuck and it takes me over 20 minutes to have a bowel movement, unlike before when it would come out easily. I checked ...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The external hemorrhoids near the anal area may be caused by recent constipation, which has led to increased pressure. You can consult a gastroenterologist or a colorectal specialist at Changhua Hospital to address your health concerns. Dr. Cai Anshun.

Understanding Sudden Changes in Bowel Habits and Rectal Bleeding

Hello Dr. Chen, I have two questions I would like to ask, hoping you can clarify and provide treatment methods and guidance. 1) I have always had normal bowel movements, typically once a day, occasionally twice (unless I have diarrhea). However, for the past month, I have frequ...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, 1. Taking medication for a cold can easily lead to increased heat and constipation; some cough medications may also have an impact. Please consume more fruits and vegetables and drink plenty of water. If symptoms persist, medical attention is necessary. 2. Rectal bleed...

Understanding Bowel Issues: Constipation and Hemorrhoids Explained

Hello, for this past month, my stools have been small and pellet-like, resembling rabbit droppings! Sometimes, after having a bowel movement, I experience pain in the anus and notice fresh blood. Could this be a sign of constipation along with hemorrhoids? Recently, I've bee...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello Chihmin: Please visit the gastroenterology outpatient clinic for examination and treatment. Wishing you a speedy recovery, Chen Shidian.

Understanding Sudden Changes in Bowel Movements: What to Know

Hello: Recently, I experienced two embarrassing incidents where I suddenly felt the urge to pass gas, but when I exerted pressure, it turned out to be watery stool instead. I had a similar situation last month as well. On those days, I did not have any abdominal pain or diarrhea....

Dr. Lü Shaoren reply Gastroenterology and Hepatology
Hello, Xiao Zhuang: This is an incidental situation. Upon evaluation, the anal sphincter appears to be functioning normally. You may continue to monitor the situation or visit a nearby medical facility to have a more thorough assessment by a gastroenterologist. Sincerely, Directo...