I have constipation for a while with bloating and no weight loss. Please help.

Hello,

Welcome to icliniq.com.

You have very well spelled your history, but I would need some more information before I can establish a cause for your altered bowel habits. Well it is very unusual to develop prostatitis because of constipation. The prostate however, can be inflamed with certain other reason the one such is urinary tract infection.

By definition the constipation is characterized by decreased frequency of stools i.e. one bowel opening in three days or more than three days, the change in the form of stools like becoming from ribbon to pellets, or change in the consistency of stools i.e. getting hard. You seem to partially fulfill the definition of constipation. Plus the gas just merely be secondary to constipation.

There are many causes which can lead to constipation. Common are functional constipation where the bowel work slow, slow transit of stools passage from the bowel to anus. The second is dyssynergic defecation where by the bowel transit is normal but the mechanism required to eject stools from anus is impaired. And third is secondary to some systemic of bowel problem such as narrowing of the lumen of bowel, ulcers, tumors of the bowel, drugs, and diabetes and endocrine problem such as thyroid gland dysfunction.

Listening to your history like no weight loss, and no abdominal pain it seems that you have probably functional constipation may be slow transit or dyssynergic constipation. But to establish the cause between two, I would need answers to following questions plus would suggest you some investigations to confirm the findings.

For how long you feeling the altered bowel habits? Did you stay for longer in bathroom, like 30 minutes of so? Changing the posture of body to help pass the stools? Ever used finger to manually evacuate the stools? Any medicine in regular use? What do you do for living? Do you exercise daily? How many hours a day you work? You ever noticed the stress, anxiety worsening this altered bowel habits?

The treatment for slow transit constipation is only fibers, exercise, water intake which you are already doing. However, certain medications can be given. But the medicine would have no impact if you found out to have dyssynergic defecation for which you need a specific exercises which are called as pelvic exercise and biofeedback therapy. The biofeedback therapy is basically a computerized software helping to train individual the correct method of passing stools. I will wait for your response, then would decide what sort of treatment be best in your case.

Hello Dear Justin Balt. I welcome you again to icliniq. Thanks for providing information. I did some literature search on association of the prostatitis and development of constipation. Actually there is very little written over subject in scientific journals, however, plenty of non medical writing such as blogs have been available on the subject. Which basically make me little controversial on the association of prostatitis and constipation. The one scientific journal reported association of Prostatitis and Irritable bowel syndrome (IBS). The irritable bowel syndrome is actually a abdominal pain predominant condition, where pain , accompanied with altered bowel habits. But I see you do not have any pain , so the possibility of IBS is excluded. Now as for as my experience; I have seen patients having problem in the vicinity of rectum and anus-the one such problem is prostate gland inflammation (prostatitis); leading to pelvic dyssynergia ( functional outlet obstruction) and constipation. So for now what I suggest to you is take some laxative which would increase the bulk of stools and thus overcome the functional obstruction near bottom. secondly I would want that you should meet your urologist, and kindly get him examined yourself by digital rectal examination (DRE). In DRE he would put a finger in the anal canal, and would see if there is an obvious narrowing or obstruction of the lumen of anal canal. Plus he should attempt to cure your long term prostate gland issue- may be with another antibiotic or any other therapy which he/she propose to be best in your case. The laxative which I am suggesting is Polyethylene glycol sachet 17 mg twice daily. This is bulk laxative, which would increase the bulk of stools and further soften it, as to be passed easily. The rest of your life style is perfect, just continue with good water intake, vegges and fruits. I would like to assess your symptoms after 1 week of use of this medication. Also Please get the tests which I have suggested to you. I am writing it again for your ease.