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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Flatus During Defecation?

I have frequent flatus where fecal matter is expelled, to the point where I do not dare to expel gas unless I am on the toilet. Sometimes small ribbons (like flat toothpaste) end up in the toilet and often it is very explosive into the toilet, as if being spit out, making a mess in the toilet (due to the explosion). This is VERY embarrassing because it is also quite loud. I am plagued with this problem often, in fact it s nearly constant....I will have a few days without these symptoms and then it returns. Some days it is difficult to go anywhere, or do much of anything. On the days that I have these symptoms I also have pain from the gas & bloating, and sometimes have bowel cramping. Occasionally I will have severe rectal pain & it feels as if there is a hard ball in there....this usually precedes a bowel movement where the pain slowly diminishes. I have also had this last symptom of sharp rectal/anal pain without the explosive stool symptoms being present. I know that I have hemorrhoids, I don t remember if I have internal as well as external but they do bother me and cause me trouble with cleaning myself as well. My gastro doc said I may want to consider getting that fixed, but my primary care physician said it s not necessary at this time. I m not sure who s advice to adhere to. My pcp mentioned something about a common bile duct problem in regard to the toothpaste or ribbon like stool & said he would look up my recent gastric workup test results, (colonoscopy and EGD) and get back to me, only he forgot that he said that. Any thoughts?
Mon, 13 Jun 2016
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General Surgeon 's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation, You seems to have suffered from-?Intero-External Piles with Ano-rectal proctitis, with IBS-C with bloating in stomach with explosive flatus noisy discharge.
In this scenario-Correction of-IBS proctitis with medicines -antibiotics/probiotics/prebiotics/high fibre veg diet/ sporlac caps/ yoghurt and butter milk x 2 times a day, need to be followed by Consults with Surgeon,who would treat Intero-External piles, so as to resolve IBS with C with flatus during defecation.Possibility of Fissure in ano-is evident from tooth past like stools and need to be treated by Anal dilatation under GA.
Colonoscopy and EGD(esophago-gastro-duodenoscopy) would resolve added causes for IBS, like Ulcerative Colitis/ Crohn's disease.

Hope this would help you to plan further of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229



Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Flatus During Defecation?

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation, You seems to have suffered from-?Intero-External Piles with Ano-rectal proctitis, with IBS-C with bloating in stomach with explosive flatus noisy discharge. In this scenario-Correction of-IBS proctitis with medicines -antibiotics/probiotics/prebiotics/high fibre veg diet/ sporlac caps/ yoghurt and butter milk x 2 times a day, need to be followed by Consults with Surgeon,who would treat Intero-External piles, so as to resolve IBS with C with flatus during defecation.Possibility of Fissure in ano-is evident from tooth past like stools and need to be treated by Anal dilatation under GA. Colonoscopy and EGD(esophago-gastro-duodenoscopy) would resolve added causes for IBS, like Ulcerative Colitis/ Crohn s disease. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS