question-icon

Have Been Constipated For 4 Weeks. Week 1 - Severe

default
Posted on Wed, 28 Aug 2019
Twitter Wed, 28 Aug 2019 Answered on
Twitter Last reviewed on
Question : Have been constipated for 4 weeks.
Week 1 - severe pain in lower back - could only pass very small stools that felt as big as baseballs
Took anti-inflammatory, magnesium enema, oral laxatives, and fiber while limiting food intake
Week 2 - Able to defecate every other day with help of magnesium enema - only small thin stools, lots of effort with constant feeling of needing to defecate and only small amount of either brownish or reddish discharge clears liquid passed 9 of 10 times
default
Follow up: Dr. Ramesh Kumar (3 minutes later)
Week 1 - severe pain in lower back - could only pass very small stools that felt as big as baseballs
Took anti-inflammatory, magnesium enema, oral laxatives, and fiber while limiting food intake
Week 2 - Able to defecate every other day with help of magnesium enema - only small thin stools, lots of effort with constant feeling of needing to defecate and only small amount of either brownish or reddish discharge clears liquid passed 9 of 10 times
doctor
Answered by Dr. Ramesh Kumar (2 hours later)
Brief Answer:
Baseline tests need to be done to reach a proper diagnosis.

Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Very likely you are having either hemorrhoids or fissures as a result of chronic constipation.
The hard pebble of stool that passes through the rectal wall every day causes erosion of mucosa membrane which results in bleeding.
Rectal examination should be carried out properly.
Initially a proctoscopy should be done.In which rectal and anal canal would be inspected. Along with it a digital rectal examination should be done by a MD. If required a planned colonoscopy would be done.

These tests should be done to rule out these possibilities.
Treatment would be started thereafter.
Discuss the answer with your primary doctor.
Hope I was helpful,
Thanks

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2901 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

180 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Have Been Constipated For 4 Weeks. Week 1 - Severe

Week 1 - severe pain in lower back - could only pass very small stools that felt as big as baseballs Took anti-inflammatory, magnesium enema, oral laxatives, and fiber while limiting food intake Week 2 - Able to defecate every other day with help of magnesium enema - only small thin stools, lots of effort with constant feeling of needing to defecate and only small amount of either brownish or reddish discharge clears liquid passed 9 of 10 times