Constipation refers to a difficulty or inability to pass motions comfortably. The stool may be hardened due to less water content in the body (dehydration). The person may need to strain hard to pass the stools, leading to pain, tears, fissures, and bleeding.
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CKD patient with high phosphorus content. Is dialysis required now?
Query: Hello doctor, My father is suffering from CKD for the past one year. His creatinine level is 11.05, urea is 144 and uric acid is 5.10. He has no swelling or breathlessness, but his phosphorus content is high 5.80. We have not started the dialysis at the moment. Could you please guide the right wa... Read Full »
Answer: Hi, Welcome to icliniq.com. After seeing all the details and your father's reports (attachment removed to protect patient identity). I would like to ask few questions. What is his age? How is his appetite? Does he feel nauseated or vomit? Is he losing weight and feels generally unwell? With... Read Full »
I have had constipation, sharp sternum pain, and trouble passing gas intermittently for five months. Please help.
Query: Hello doctor, I have been experiencing constipation and sharp pain in my sternum. I am also having trouble passing gas. I take Omeprazol 40 mg eveyday. I had been experiencing this problem on and off for five months. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. It is concerning to hear that you have been experiencing constipation, sharp pain in your sternum, and difficulty passing gas on and off since last year. Omeprazole, a proton pump inhibitor, is typically used to tre... Read Full »
Can smoking cessation cause strained bowel movements?
Query: Hello doctor, My age is 39 years. I have quit smoking, cold turkey after smoking for almost 18 years. It is my 29th day of being smoke-free. Everything was going fine until last 7 to 10 days my bowel movement has been strainful. Few days I have seen very small sized hard stools and sometimes small ... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post, it is normal to have hard stools after quitting smoking for that you have to add a salad, do exercise, and take enough water. It is a temporary phenomenon which usually settles in three months till intestines adapt nicotine free blood. You h... Read Full »
Do I have IBS if I have overflowing diarrhea and constipation continuously for weeks?
Query: Hi doctor,I have been having overflow diarrhea and constipation for about four weeks now. I am under investigation for IBS and will have a colonoscopy in a few weeks. I have been under so much stress lately. My blood tests on my kidneys and liver are fine, and I also do not have celiac disease. But ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Intermittent diarrhea and constipation are features of IBS. Mild pain and small intestinal bacterial overgrowth are some common features of IBS. Most of the organic causes are already ruled out based on your information. Treatment of IBS depe... Read Full »
Will anal fistula heal on its own?
Query: Hi doctor, I was diagnosed with fistula-in-ano before eight years. I just consulted multiple physicians and surgeons. They all said to wait and watch and put me on antibiotics. Two years later, my fistula has closed on its own and there is no pus discharge or abscess forming. The healing was fast an... Read Full »
Answer: Hi, Welcome to icliniq.com. Fistula-in-ano is a surgical condition and cannot be cured by medicines only. Yes, antibiotic has minor role just to prevent infection.If fistula tract develops an infection then from which an abscess will develop and later the fistula tract may extend.External fistula op... Read Full »
What is the irreversible side effect of Prucalopride and Metoclopramide?
Query: Hello doctor, I have been prescribed a medication for a gastrointestinal problem (chronic constipation - perhaps as a result of a restricted fiber diet due to slow stomach activity which was possibly caused by some damage to the vagus nerve due to a food poisoning incident but we are not sure). Howe... Read Full »
Answer: Hello, Welcome to icliniq.com. You should know that Prucalopride has a different mechanism of action compared to Metoclopramide. So, it does not cause the same adverse effects. Its effects are on 5-HT4 receptors, which are mainly in the gut. These receptors are rare in the central nervous system. ... Read Full »
I passed a lot of bright blood with stool today. Should I be worried?
Query: Hello doctor, I was constipated yesterday full day. When I went to the toilet today, there was quite a lot of bright red blood. I went again and sat on the toilet without actually doing anything, and there was more blood. I have had cramps as well. Should I be worried right now? I have had bowel pro... Read Full »
Answer: Hello, Welcome to icliniq.com. There are many causes for blood in the stools. The severity can vary from mild bleeding (common) to a severe life-threatening bleeding (uncommon).If the bleeding is heavy or if you have black stools, that is older blood due to a bleed from high up in the gut, then see ... Read Full »
How to control bleeding from external hemorrhoids due to constipation?
Query: Hi doctor, I am a 22-year-old female who often suffers constipation to the point where I feel like I get minor external hemorrhoids that often bleed. Again, I have not got doctor verification for this but that is what I think. Recently, I have been experiencing pain around the left side of my stoma... Read Full »
Answer: Hello, Welcome to icliniq.com. I think you are overthinking about your symptoms. To be conscious is good but to be over conscious may fall in the category of anxiety and is not good. I will advise you to be relaxed. Based on your symptoms, I do not feel anything to be worried of. Considering your ... Read Full »
I feel softening around the anal region. Why?
Query: Hello doctor,For the past six days, I feel softening continuously around the anal area when I walk. Now, I am suffering from slight constipation. I have no hemorrhoids and no staining in the undergarment. I have no blood in the stool and no pain in the anal area and also on bowel movement. Then why ... Read Full »
Answer: Hi, Welcome to icliniq.com. Take Lactifiber powder three teaspoons in half a glass of milk once daily after food for 15 days.Do a sigmoidoscopy to check for piles. Read Full »
I feel a piece of soft flesh in my anal hole. What could it be?
Query: Hello doctor, I am a 26-year-old female, and I will get married next year. My problem is I feel a piece of soft flesh in my anal hole. At the anal point, I have an additional piece of flesh. I am very worried about this. What could it be? Kindly suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. If you suffer from constipation, have been having hard stools, and have difficulty passing stool, it could be hemorrhoids. It would be better if you send some detailed description also your history and pictures of the lesion then it would be very helpful. Hemorrhoids... Read Full »