HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Constipation And Pain While Passing Stools

default
Posted on Wed, 3 Jun 2015
Question: So know I might be constipated go about 2 - 3 times a day but only do tiny stools.
Every 3 days I let it all go but it's soft almost thing normal sized stools and it's very hard to pass with pain, messaging my legs helps. Sometimes there is blood between stools. I've been using Preparation H which helps a little. Just wondering if this might be part of hemmroids or just strick constipation. Feeling very tired after big Bowel movement.
If anyone has any good remedies please let me know.
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
increase fiber, fluids and activity

Detailed Answer:
HI, thanks for using healthcare magic

Preparation H is normally used for hemorrhoids which may or may not be present.
These are worsened with constipation and normally present with bright red blood on wiping.
A swelling may also be present by the anus that may make it painful to sit during flare ups.
Constipation causes or worsens hemorrhoids but hemorrhoids do not cause constipation.

The blood that you are seeing may be due to hemorrhoids or from trauma to the anus from straining to stool.
It can also be due to more serious causes but this would be unusual at your age unless you have a family history.

It is likely just constipation but you can visit your doctor for a check up to make sure

Constipation is treated by:(1)making sure to use enough fluids, at least 8 glasses a day
Caffeine and alcohol do not because they are diuretics and cause a person to lose fluids

(2)lots of fiber- fruits , vegetables, whole grains (brown rice/pasta, oats, flax/pumpkin seeds etc)
At least 5 servings of fruits/vegetables

(3)it can be difficult to get enough fiber from foods so you may need a fiber supplement such as metamucil, benefiber or cetrucil

(4)physical activity also helps

Summary: (1) hemorrhoids associated with pain, swelling and bright red blood on wiping
(2)blood may be due to trauma from straining but should still consider seeing doctor for assessment
(3)increase fiber, fluids and activity

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Michelle Gibson James (1 hour later)
Ive had the bleeding for a while about a month or 2 but the constipation is recent. There is times where i have a bowel movement without blood or pain, which was yesturday. Also gas smells are pretty foul. I do alot of heavy exercise with heavy lifting not sure if that would make the matter worst. Also there is some discomfort in the anus area.
doctor
Answered by Dr. Michelle Gibson James (24 minutes later)
Brief Answer:
should consider assessment

Detailed Answer:
HI

If the bleeding preceded the constipation and straining then you may need to see your doctor for assessment .

There are benign ( not cancerous) conditions that can cause bleeding such as diverticular disease .
This is normally seen in older persons but can still occur in younger persons. It is essentially due to the formation of ' outpockets' in the colon that can become inflamed and bleed.

There are also benign polyps (out growths ) that may occur.

A cut or fissure in the anal region would also cause pain and bleeding.

Physical examination of the abdomen, anus, rectal examination and possibly imaging may be needed

Please feel free to ask any other questions
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

premium_optimized

The User accepted the expert's answer

Share on

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

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Constipation And Pain While Passing Stools

Brief Answer: increase fiber, fluids and activity Detailed Answer: HI, thanks for using healthcare magic Preparation H is normally used for hemorrhoids which may or may not be present. These are worsened with constipation and normally present with bright red blood on wiping. A swelling may also be present by the anus that may make it painful to sit during flare ups. Constipation causes or worsens hemorrhoids but hemorrhoids do not cause constipation. The blood that you are seeing may be due to hemorrhoids or from trauma to the anus from straining to stool. It can also be due to more serious causes but this would be unusual at your age unless you have a family history. It is likely just constipation but you can visit your doctor for a check up to make sure Constipation is treated by:(1)making sure to use enough fluids, at least 8 glasses a day Caffeine and alcohol do not because they are diuretics and cause a person to lose fluids (2)lots of fiber- fruits , vegetables, whole grains (brown rice/pasta, oats, flax/pumpkin seeds etc) At least 5 servings of fruits/vegetables (3)it can be difficult to get enough fiber from foods so you may need a fiber supplement such as metamucil, benefiber or cetrucil (4)physical activity also helps Summary: (1) hemorrhoids associated with pain, swelling and bright red blood on wiping (2)blood may be due to trauma from straining but should still consider seeing doctor for assessment (3)increase fiber, fluids and activity I hope this helps, feel free to ask any other questions