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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My constipation is so bad that I have to evacuate the stools with my fingers. Please help.

Query: Hello doctor, I have an anal fissure, internal hemorrhoid, SRUS, and constipation. One year ago, I was suffering from a hard stool that was difficult to pass. I went to a gastroenterologist, who did a colonoscopy and found that I had an anal fissure and internal hemorrhoid. He prescribed Sitcom Fo...  Read Full »

Dr. Noushif. M

Answer: Hello, Welcome to I have gone through the files uploaded by you. (attachment removed to protect patient identity). The endoscopy report you have shown does not show any evidence of SRUS (solitary rectal ulcer syndrome). All your symptoms can be attributed to underlying constipation...  Read Full »

What is the permanent cure for my recurrent constipation problem?

Query: Hello doctor, I had a history of piles or fissures during pregnancy when I had not passed stool for eight days and then got hospitalized where I passed stool after taking a pain killer injection. The doctor gave me some syrup and tablets, and I do not remember the name. After that, I do not have mu...  Read Full »

Dr. Noushif. M

Answer: Hi, Welcome to You need to follow the below mentioned three steps. 1. Diet - avoid or reduce all constipating foodstuffs like bread, cheese, baked foods, and chocolates. Take around three liters of water daily. Add more vegetables to your diet. 2. Avoid straining while passing stool...  Read Full »

What could be the reason for persistent anal pain that starts after passing hard stools?

Query: Hi doctor, For the past one month, I am having pain in my anus. It pains while throwing waste and even while sitting. There is a skin flap that has appeared at the end of the anus towards the outer side. There are two flaps one is more white in color and the other is reddish. It is not bleeding ho...  Read Full »

Dr. Noushif. M

Answer: Hi, Welcome to The picture (attachment removed to protect patient identity) and the symptoms suggest you have an external pile mass. The pain is due to an underlying fissure, or simply a crack at the anal opening. These usually result from hard stools or constipation. You need to start ...  Read Full »

I have constipation. How can I empty my bowels completely?

Query: Hello doctor, I cannot empty my bowel at once in the morning after the bowel movement in the morning. I get an urge again after an hour or so or after eating something. How do I empty my bowels completely? I took psyllium husk, it causes a lot of gas so I have stopped taking it and mucous discharge...  Read Full »

Dr. Noushif. M

Answer: Hi, Welcome to The basic issue with you is underlying constipation. You need to take a few measures. Avoid constipating foods, Keep yourself well hydrated with two to three liters of water daily. Never strain at stools. Take Lactifibre two spoons at night for three days whenever you h...  Read Full »

How can loose stools and a lot of gas released from the anus be treated?

Query: Hello doctor, Since last one year, I am having loose stools with a lot of gas released from the anus. Motion is not cleared fully. There is a burning sensation in stomach and somewhere in the intestines. There is a huge rambling in the stomach, especially in the evening hours. The doctor ...  Read Full »

Dr. Noushif. M

Answer: Hello, Welcome to The present symptoms look more likely due to constipation.  I suggest you follow these measures: Avoid constipating foods like maize-based foods, junk foods, baked ones etc. Keep yourself well hydrated with two to three liters of water a day in various ...  Read Full »

Can I die from a long-standing fecal impaction?

Query: Hello doctor, I am a 20 year old male. I have had a fecal impaction for four weeks. My symptoms are, straining while pooping, occasional pain in my rectum, painful bowel movements, right arm tingliness, sore back, and I am not nauseous, but queasy. It does not bother me much, but sometimes it hurts...  Read Full »

Dr. Noushif. M

Answer: Hello, Welcome to There is nothing to worry as regards to these symptoms. Avoid constipating food items such as red meat, maize-based foods, baked food, etc. Drink three liters of water daily. Take syrup Lactulose 20 ml at bedtime for a week. Apply Lignocaine anal cream (Smuth) for a w...  Read Full »

How can I get relief from piles?

Query: Hi doctor, I am 35 years old female. I usually suffer from piles for seven days always. But this time, I am suffering from piles for the past 15 days. They are painful and itchy. I have watery substance coming out. My diet is mainly vegetarian, and my stools are not very hard. But it is painful to ...  Read Full »

Dr. Noushif. M

Answer: Hi, Welcome to You have piles with clotted blood inside. The blood clot is the cause for pain. You need to do a sitz bath three times a day. Sit in warm water in the basin for 10 minutes. Avoid constipation and hard stools. Have two to three liters of water daily. Avoid constipating f...  Read Full »

What medicine can be taken for constipation?

Query: Hello doctor,I am feeling constipated from the last few days and cannot clear my bowel in the morning in one time. Also, I have to put pressure. Can I take some medicine? What diet should I take?  Read Full »

Dr. Noushif. M

Answer: Hi,Welcome to need to avoid all constipating foods like baked food, red meat, maize-based foods, etc. Add more vegetables, salads to your diet. Keep yourself well hydrated with around 2 to 3 liters of water daily. You can take syrup Cremaffin plus (Sodium picosulfate, Milk of Magnesi...  Read Full »

How to deal with constipation accompanied by severe pain in the abdomen?

Query: Hello doctor,I have constipation since two days. There were no feces and there was severe pain. I cannot even move. Suggest some medicine.  Read Full »

Dr. Noushif. M

Answer: Hello, Welcome to I suggest trying tablet Gerbisa (Bisacodyl) two tablets at night. Apply Smuth anal cream (topical anesthetic) around the anal opening and partly to the anal canal without causing injury. Syrup Cremaffin plus (sodium picosulfate, liquid paraffin, and milk of magne...  Read Full »

Are my symptoms after effects of viral gastroenteritis?

Query: Hello doctor, I am a 22-year-old female. About 20 days back, my history was this: I had diarrhea for two days (thrice a day). I had a low-grade fever too during those two days. I managed to carry it over with natural supplements. But it did not subside. The next day, it worsened with watery stools ...  Read Full »

Dr. Noushif. M

Answer: Hi, Welcome to It is always better to avoid regular use of Dulcolax (Bisacodyl). Your symptoms now are secondary to after effects of a severe diarrheal episode. This is self-limiting. You need to give time. Tiredness is mainly because of the nutritional inadequacy as well as dehydrat...  Read Full »

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