Unable to clear my bowel completedly

[Rickrock]

Thank you so much for your reply.

So your bowel movement is like what?

Mostly everyday? Or 3 times a week?

If it is everyday, how many times each day?

And how is your weight? Do you lost any weight? Any major weight loss? How much do you weight?

I had bowel movements 3 times a week before I started the MiraLax, which my doctor prescribed. Now I almost always have a bowel movement once a day and about once a week I have three in one day. No, I haven't lost any weight. I, unfortunately, have gained a little weight and that has been happening on and off for many years. I assume it is partially because of my age and who knows what else. I had weighed about 173 pounds for a couple of years, but recently went up to 177 and have started to try to lose that because I should really be about 150 lbs.

 

[travis82]

I had bowel movements 3 times a week before I started the MiraLax, which my doctor prescribed. Now I almost always have a bowel movement once a day and about once a week I have three in one day. No, I haven't lost any weight. I, unfortunately, have gained a little weight and that has been happening on and off for many years. I assume it is partially because of my age and who knows what else. I had weighed about 173 pounds for a couple of years, but recently went up to 177 and have started to try to lose that because I should really be about 150 lbs.

Thanks for your reply.

Are you going to do any more colonoscopy ?

Sorry, May I ask how do you usually clean your anus after you poo?

Do you use water or toilet paper?

 

[travis82]

Pelvic Floor Dysfunction

Hi. I have been recently diagnosed with pelvic floor dysfunction after doing anal manometry and defecography tests at the hospital.

The doctor who is a senior consultant told me that based on the defecography result, my pelvic floor muscle is not working the way it should be.

A normal pelvic floor muscle will relax, and the stool will come out of the rectum.

But she told me that my pelvic floor muscle is not relaxing. It is contracting, and so the stool is unable to come out of my rectum.

I have been having severe constipation and unable to clear my bowel completedly every morning, and it is literally driving me crazy. Often, I feel like I cannot take this anymore.

I don't know if the doctor is right or wrong. Whether she is telling me the truth or not.

Maybe my constipation and inability to clear my bowel completedly is caused by other issues/reasons?

But since she is a senior consultant doctor, I should trust her diagnosis, right?

She arranged for me to see a physiotherapist for physiotherapy sessions next month.

But I don't know. I will be seeing the physiotherapist at the end of next month.

The doctor told me that the physiotherapist will help me to train and correct my pelvic floor muscle so that it will relax when I am clearing my bowel.

She said that right now, my pelvic floor muscle is working in opposites way.

I don't know. What if my condition did not improve after seeing the physiotherapist? What if my condition get worse after seeing the physiotherapist?

Right now, I am suffering almost every day. Every morning, when I clear my bowel, I need to strain and strain and force the stool out.

Almost every time, the stool will come out in loud, explosive sound, the sound of air or gas coming out of my rectum, and splatter the side of the toilet bowl.

I am worried if the "splatter" are just simply air/gas or bit/ pieces of the stool.

Because of this fear, I have to spend almost an hour every day cleaning and washing the toilet bowl after I cleared my bowel.

Even after I supposedly clear my bowel, I still feel and there is still a lot of stool left behind in my colon near my rectum. Because of this, I am very worried and scared of fecal incontinence.

Right now, my health problem is affecting my daily life. I can't work now and find a job because every morning, I spend almost an hour sitting on the toilet bowl just to strain and force the stool out of my rectum.

This is like a nightmare that never ends to me. I have nobody to talk to or share my problems with.

Sorry. I just wanted to let my thoughts and feelings all out instead of keeping it inside.

 

[travis82]

Re: Pelvic Floor Dysfunction

I used to weight about 60kg. But now I only weight about 51kg.

I can't seem to gain any weight. Now matter how much I eat, even if I eat a lot of food, my body seems to not able to absorb the nutrients from the food?

And all the food that I ate simpy passed out as stool from my body?

 

[Rickrock]

Re: Pelvic Floor Dysfunction

I sympathize with you. I used to go two, three, or more days between bowel movements and then had to strain and my bowel movement was small and hard. I think that then I started to occasionally get diarrhea where I would have a bowel movement three times a day with the last one being a liquid and immediately insistent, but it might have been after I started to go to the doctor. I went to a doctor of internal medicine and gastroenterology and he told me to take MiraLax daily. Even though the bottle says don't take it for longer than a week without seeing a doctor, since he prescribed it, I have been taking it daily for perhaps a year. I no longer have hard stools and can go daily. Sometimes I still get diarrhea and sometimes I blow gas out and dirty the toilet bowl, but it is much better. Since you already blow gas out I don't think that you have the same problem that I had, but I do understand your problem and sympathize.

 

[travis82]

Re: Pelvic Floor Dysfunction

I sympathize with you. I used to go two, three, or more days between bowel movements and then had to strain and my bowel movement was small and hard. I think that then I started to occasionally get diarrhea where I would have a bowel movement three times a day with the last one being a liquid and immediately insistent, but it might have been after I started to go to the doctor. I went to a doctor of internal medicine and gastroenterology and he told me to take MiraLax daily. Even though the bottle says don't take it for longer than a week without seeing a doctor, since he prescribed it, I have been taking it daily for perhaps a year. I no longer have hard stools and can go daily. Sometimes I still get diarrhea and sometimes I blow gas out and dirty the toilet bowl, but it is much better. Since you already blow gas out I don't think that you have the same problem that I had, but I do understand your problem and sympathize.

Thank you for your reply.

I need to clear my bowel every day.

It doesn't matter if my stool is hard or soft. I always have to strain whenever I have a bowel movement.

And because of this, my bowel movement lasts between 30 mins to an hour or even more than an hour.

 

[rareboy]

Re: Pelvic Floor Dysfunction

Hi. I have been recently diagnosed with pelvic floor dysfunction after doing anal manometry and defecography tests at the hospital.

The doctor who is a senior consultant told me that based on the defecography result, my pelvic floor muscle is not working the way it should be.

A normal pelvic floor muscle will relax, and the stool will come out of the rectum.

But she told me that my pelvic floor muscle is not relaxing. It is contracting, and so the stool is unable to come out of my rectum.

I have been having severe constipation and unable to clear my bowel completedly every morning, and it is literally driving me crazy. Often, I feel like I cannot take this anymore.

I don't know if the doctor is right or wrong. Whether she is telling me the truth or not.

Maybe my constipation and inability to clear my bowel completedly is caused by other issues/reasons?

But since she is a senior consultant doctor, I should trust her diagnosis, right?

She arranged for me to see a physiotherapist for physiotherapy sessions next month.

But I don't know. I will be seeing the physiotherapist at the end of next month.

The doctor told me that the physiotherapist will help me to train and correct my pelvic floor muscle so that it will relax when I am clearing my bowel.

She said that right now, my pelvic floor muscle is working in opposites way.

I don't know. What if my condition did not improve after seeing the physiotherapist? What if my condition get worse after seeing the physiotherapist?

Right now, I am suffering almost every day. Every morning, when I clear my bowel, I need to strain and strain and force the stool out.

Almost every time, the stool will come out in loud, explosive sound, the sound of air or gas coming out of my rectum, and splatter the side of the toilet bowl.

I am worried if the "splatter" are just simply air/gas or bit/ pieces of the stool.

Because of this fear, I have to spend almost an hour every day cleaning and washing the toilet bowl after I cleared my bowel.

Even after I supposedly clear my bowel, I still feel and there is still a lot of stool left behind in my colon near my rectum. Because of this, I am very worried and scared of fecal incontinence.

Right now, my health problem is affecting my daily life. I can't work now and find a job because every morning, I spend almost an hour sitting on the toilet bowl just to strain and force the stool out of my rectum.

This is like a nightmare that never ends to me. I have nobody to talk to or share my problems with.

Sorry. I just wanted to let my thoughts and feelings all out instead of keeping it inside.

Why would your doctor not be telling you the truth.

But in addition to a physiotherapist,I suggest that you also seek out a qualified psychological health counsellor.

Because it may be that from a very young age, you have trained yourself to have issues about toileting and defecation and are literally anal retentive.

 

[KaraBulut]

Re: Pelvic Floor Dysfunction

There's a recurring theme of threads with genitourinary and gastrointestinal complaints going back 6 years . Perhaps this latest diagnosis might put a name to it.

 

[rareboy]

Re: Pelvic Floor Dysfunction

It would explain a lot....I liked this site information. It is clear and easy to understand....I had no idea of the range of conditions covered under pfd.

https://fascrs.org/patients/diseases-and-conditions/a-z/pelvic-floor-dysfunction

Travis. The best part about this is that you can put a name to the condition and the more you, the easier it will be to manage the condition and develop a pro-active and positive approach.

My partner developed Crohn's disease several decades ago and it has been a challenge sometimes...but knowing what is going on and being able to work with the doctors to manage the symptoms and the disease has allowed him to have a very normal life.

Don't woryy about whether the exercises will work. Just get in there and start doing them. Replace fear with persistence.

And if it doesn't bring the relief you need, then keep working with the Docs to try other approaches.

 

[Alistair]

Re: Pelvic Floor Dysfunction

Maybe seeing a dietitian would help too? You might be eating foods that are really bad for your digestive system. Everyone is a little different in how their bodies digest food and eliminate waste.

 

[travis82]

Re: Pelvic Floor Dysfunction

Why would your doctor not be telling you the truth.

But in addition to a physiotherapist,I suggest that you also seek out a qualified psychological health counsellor.

Because it may be that from a very young age, you have trained yourself to have issues about toileting and defecation and are literally anal retentive.

Thanks for your advice.

Before this current senior consultant who diagnosed me having pelvic floor dysfunction, I have seen many medical officers ( junior doctors) who are not able to find out what is the real cause of my bowel problems.

I don't know. I don't want to get my hopes up and end up getting disappointed.

I want to believe the senior consultant, but at the same time what if my pelvic floor dysfunction does not improve after I see the physiotherapist?

Right now I am suffering almost every day, having constipation every morning that lasts from 1 hour to 2 hour.

It's ridiculous and I don't know how much longer I can take this ordeal.

 

[travis82]

Re: Pelvic Floor Dysfunction

There's a recurring theme of threads with genitourinary and gastrointestinal complaints going back 6 years . Perhaps this latest diagnosis might put a name to it.

Thanks for your reply.

 

[travis82]

Re: Pelvic Floor Dysfunction

It would explain a lot....I liked this site information. It is clear and easy to understand....I had no idea of the range of conditions covered under pfd.

https://fascrs.org/patients/diseases-and-conditions/a-z/pelvic-floor-dysfunction

Travis. The best part about this is that you can put a name to the condition and the more you, the easier it will be to manage the condition and develop a pro-active and positive approach.

My partner developed Crohn's disease several decades ago and it has been a challenge sometimes...but knowing what is going on and being able to work with the doctors to manage the symptoms and the disease has allowed him to have a very normal life.

Don't woryy about whether the exercises will work. Just get in there and start doing them. Replace fear with persistence.

And if it doesn't bring the relief you need, then keep working with the Docs to try other approaches.

Thank you so much for your advices and providing this website address. Thank you.

I would thank you from the bottom of my heart, but for you my heart has no bottom.


Right now I am very worried and scared that my constipation and unable to clear my bowel completedly may be due to many other things such as mega colon, mega rectum, rectal prolapse, anal stricture, anal fission and etc...

I am worried that if I continue to strain everytime I clear my bowel, eventually I will develop anal stricture, anal fission, rectal prolapse and etc....

 

[travis82]

Re: Pelvic Floor Dysfunction

Maybe seeing a dietitian would help too? You might be eating foods that are really bad for your digestive system. Everyone is a little different in how their bodies digest food and eliminate waste.

Thanks for your advice.

I tried to drink more water before going to bed and eat bananas, but I still get constipation and unable to empty my bowel completedly.

Although, sometimes, the bananas improve my condition a bit, but the constipation doesn't go away.

I always need to strain when I clear my bowel and it is always not complete.

Maybe the senior consultant is right about me having pelvic floor dysfunction.

 

[Danielsan52]

Start drinking water with psyllium

 

[travis82]

Start drinking water with psyllium

Thanks for your advice.

 

[darian]

I too am unable to completely evacuate my bowel, possibly due to age and Chronic Fatigue with Fibromyalgia (CFS). I think this is simply due to the muscles of the bowel becoming weaker but I don't think fecal matter remaining in the bowel for an extra day should cause problems as it should be expelled during the next evacuation: it's more a problem in your mind. Feces aren't toxic as far as I know, just waste matter from digestion. The only effect I get is that sometimes the remaining fecal matter dries out a bit before the next evacuation and is more uncomfortable to expel, but I just accept the situation and don't do anything about it. This has been going on for years without anything serious developing. The only issue is that it would make anal sex messy, if I was having anal sex, but then as others have mentioned, an enema first would likely fix that. My GP suggested Microlax if I'm having difficulty moving things, but I rarely use it now I have relaxed more about my bodily functions.

I have only had one endoscopic examination and I agree that the cleansing prep is disgusting and the medical profession should really make it more palatable to aid compliance. However, I seriously doubt the prep will have any lasting effect, if at all, on completely evacuating the bowel: that's due to the muscle action and the consistency of the material being moved. I haven't had more, even though it is recommended at my age, because they have made the procedure very uncomfortable for someone with Social Phobia in my case and I have been unable to leap that hurdle, not that the procedure itself is unpleasant. It is supposed to be important to check for polyps as they may turn cancerous and can easily be removed at the time of colonoscopy whilst still relatively small, however it is unlikely to be worth removing really small polyps.

I wouldn't strain to completely evacuate your bowel as it can cause physical issues in the anal area and it is not necessary: try to accept the incomplete evacuation and see how you go, with extra water and fibre experimentation to see if that helps and an enema before anal sex.

I also have IBS which is aggravated by high fibre diets, so that doesn't work for me, but it may for you.

 

[travis82]

I poo a lot everyday

Hi.

Everyday, I seems to poo a lot.

I eat moderate every day. Sometimes, I don't eat a lot. Sometimes, I eat many food.


But every morning, I poo a lot. The amount and volume of poo that comes out is a lot.

It's like my body is not absorbing any nutrients from the food that I ate?


I used to weigh about 60kg a few years ago. Now I only weigh about 50kg.


And no matter how much I eat, I can't seem to gain any weight.


My weight remains around 50-51kg.



Every morning, after I dropped my pants and sit on the toilet bowl to poo, when the poo comes out, it's a lot.

And I feel like that I clear my bowel.

So I get up from the toilet bowl. But I feel something is not right.


So I sit on the toilet bowl again, and I breath in and breath out. Sure enough, I feel stool in my rectum again.But the stool doesn't seem to be moving. So I breath in and breath out, and slowly expand my stomach.....then after 5-10 minutes, a huge volume of stool comes out from my rectum.


But I still feel stool in my rectum. So I breath in and breath out again, and slowly expand my stomach. And after 5-10 minutes, another huge mass of stool comes out from my rectum.


Now, I feel like I empty my bowel. So I get up from the toilet bowl, ready to take a shower.

But after 5-10 minutes of showering, I feel something is not right. My stomach still looks bloated and I still feel like there is stool in my rectum.

So I sit on the toilet bowl again, breath in and breath out and slowly expand my stomach. After 20-30 minutes, another huge mass of stool comes out from my rectum.


Now, my stomach looks flat, and I still feel like there is stool remaining in my bowel. But I just don't feel like pooping again as I have already poo like 4 times, with a lot of poo coming out during each time.


So I took a shower and clean up.


I am very scared and worried as to why I have so much poop to poo every day?


Is there something wrong with my body?

I have seen a gastro (digestive) doctor and he just prescribed probiotics for me to take.

I am worry that could there be parasite,worm,fungi,bacteria growing in my intestine,stomach, causing me to poo a lot every day?


I feel like that whatever I eat, all the food just simply pass out as stool from my body.

I am scared and worried about this.

 

[travis82]

I too am unable to completely evacuate my bowel, possibly due to age and Chronic Fatigue with Fibromyalgia (CFS). I think this is simply due to the muscles of the bowel becoming weaker but I don't think fecal matter remaining in the bowel for an extra day should cause problems as it should be expelled during the next evacuation: it's more a problem in your mind. Feces aren't toxic as far as I know, just waste matter from digestion. The only effect I get is that sometimes the remaining fecal matter dries out a bit before the next evacuation and is more uncomfortable to expel, but I just accept the situation and don't do anything about it. This has been going on for years without anything serious developing. The only issue is that it would make anal sex messy, if I was having anal sex, but then as others have mentioned, an enema first would likely fix that. My GP suggested Microlax if I'm having difficulty moving things, but I rarely use it now I have relaxed more about my bodily functions.

I have only had one endoscopic examination and I agree that the cleansing prep is disgusting and the medical profession should really make it more palatable to aid compliance. However, I seriously doubt the prep will have any lasting effect, if at all, on completely evacuating the bowel: that's due to the muscle action and the consistency of the material being moved. I haven't had more, even though it is recommended at my age, because they have made the procedure very uncomfortable for someone with Social Phobia in my case and I have been unable to leap that hurdle, not that the procedure itself is unpleasant. It is supposed to be important to check for polyps as they may turn cancerous and can easily be removed at the time of colonoscopy whilst still relatively small, however it is unlikely to be worth removing really small polyps.

I wouldn't strain to completely evacuate your bowel as it can cause physical issues in the anal area and it is not necessary: try to accept the incomplete evacuation and see how you go, with extra water and fibre experimentation to see if that helps and an enema before anal sex.

I also have IBS which is aggravated by high fibre diets, so that doesn't work for me, but it may for you.

Hi. Thanks for sharing your experiences with me.

May I know how old you are? How many colonoscopy have you had?


I am just afraid that incomplete bowel evacuation will slowly lead to fecal incontininence (stool accidentally leaking out from the rectum)

Do you have fecal incontinence ?


My doctor say that I have pelvic floor dysfunction which is why I can't empty my bowel completedly.

 

[travis82]

Re: I poo a lot everyday

I am also worried that could this be due to serious health issues like cancer or etc...?