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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Urge To Go Poop While Going Outside?

I am very worried mostly about my mom. I am not sure what is wrong but ever since a month ago every time we go somewhere, grocery shopping, the mall, ect. she always gets very warm and light headed and has to go straight to the bathroom to go poop and sometimes she has accidents and she is very worried to go out in public anymore because she is afraid she will have an accident. Please help us figure out what this is. Thank you.
Thu, 22 Jan 2015
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Geriatrics Specialist,  's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. She is possibly having bowel incontinence. The warm and lightheadedness is due to increased sympathetic activity, which also causes increased motility.
2. Occasionally, it would become involuntary and she would not be able to control.
3. Need to avoid caffeine and excessive fiber rich food. As more loading, can lead to bowel stimulation faster.
4. Pelvic floor exercises to strengthen anal sphincter and antimotility agents can be tried. If necessary, surgical option can be thought of at a later date.
Hope it helps.
Any further queries, happy to help again.
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What Causes An Urge To Go Poop While Going Outside?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. She is possibly having bowel incontinence. The warm and lightheadedness is due to increased sympathetic activity, which also causes increased motility. 2. Occasionally, it would become involuntary and she would not be able to control. 3. Need to avoid caffeine and excessive fiber rich food. As more loading, can lead to bowel stimulation faster. 4. Pelvic floor exercises to strengthen anal sphincter and antimotility agents can be tried. If necessary, surgical option can be thought of at a later date. Hope it helps. Any further queries, happy to help again.