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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constipation With Troublesome Bowel Movement?

Lately I have been having trouble eliminating my stool. When I go it appears to get stuck and I have to pull it. It is sometimes like rubber. What causes this? I sometimes have contipation and I have had fissures before and I take fiber supplement and drink lots of water. Stool is not hard just stuck together and won't come out. sorry this is gross. thanks
Mon, 3 Oct 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of having trouble in passing stool as it is not hard but rubbery and there is history of fissures in past, have sometimes to pull the stool manually out, taking fiber supplements and drink lots of water.
The causes can be the way digestion is appearing is absorbing more fluid from the colon hence causes the problem of rubbery stool.
I would advise you the following:
Change from fiber supplements to laxatives like Cremaffin plus or Dulcolax, isabgol husk and so on. You have to try one by one and see which one is most effective and to continue accordingly.
Make a list of the goods and beverages that cause constipation and to stop them altogether.
Sitz bath twice daily in a tub with warm water.
Simply increasing water volume does not help much.
If these measure help, the condition will improve dramatically.
If there is no effect, you may need further investigations of blood, urine and stool, along with colonoscopy and CT scan of the abdomen to rule out any lesion or mass in the colon.
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What Causes Constipation With Troublesome Bowel Movement?

Hi. Thanks for your query. Noted the history of having trouble in passing stool as it is not hard but rubbery and there is history of fissures in past, have sometimes to pull the stool manually out, taking fiber supplements and drink lots of water. The causes can be the way digestion is appearing is absorbing more fluid from the colon hence causes the problem of rubbery stool. I would advise you the following: Change from fiber supplements to laxatives like Cremaffin plus or Dulcolax, isabgol husk and so on. You have to try one by one and see which one is most effective and to continue accordingly. Make a list of the goods and beverages that cause constipation and to stop them altogether. Sitz bath twice daily in a tub with warm water. Simply increasing water volume does not help much. If these measure help, the condition will improve dramatically. If there is no effect, you may need further investigations of blood, urine and stool, along with colonoscopy and CT scan of the abdomen to rule out any lesion or mass in the colon.