Why can’t I pass stool normally after holding a strong urge?

Hello,

Welcome to icliniq.com.

I understand your situation. Holding in a bowel movement too long can cause constipation and change how your bowels work. The stool may harden, the rectum can become less sensitive, and the muscles may not coordinate properly.

This can make passing stool difficult even when you feel the urge. Since you still have problems despite using Miralax, fiber, and exercise, the issue may be functional.

It could be related to muscle coordination or rectal sensitivity rather than just stool hardness. This is why your usual remedies have not been enough. Here are some tips to improve bowel movements:

• Keep stools soft by drinking 0.5 to 0.7 gallons of water daily and eating a high-fiber diet (fruits, vegetables, whole grains).

• Sit on the toilet at the same time each day, preferably after meals, and allow yourself enough time without straining.

• Try warm drinks in the morning to help stimulate bowel movement.

• Avoid excessive straining, as it can worsen your symptoms.

Since your constipation has lasted despite OTC (over-the-counter) remedies, seeing a gastroenterologist is recommended. They may check for issues such as pelvic floor dysfunction, anal fissure, or rectal outlet obstruction and suggest stool softeners, suppositories, or even biofeedback therapy.

I hope this helps you.

Thank you.