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HomeAnswersInternal Medicineirregular defecationHow to have a complete defecation?

I have a problem to defecate completely. What to do?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At December 13, 2018
Reviewed AtJanuary 25, 2023

Patient's Query

Hi doctor,

I have a problem to defecate completely. It takes me more than 20 minutes to defecate completely. I also take more than two minutes to pass urine completely. I am very healthy. I consulted a doctor, and I have done various tests and examinations such as defecogram, balloon expulsion test, rectal manometry, and colonoscopy. The doctor told that I have pelvic floor dyssynergia-type 1.

I underwent biofeedback sessions to get relaxed and to correct my way of passing stools. Even after that also, I am unable to clear my bladder. I am still taking the same amount of time. I do not have a habit of smoking and drinking alcohol. I have used all the laxatives and medicines given by the doctor. But they did not help me. I usually have a walk for 20 kilometers a day. At that time, I had some relief. But as soon as when I stopped it, I have developed the same problem. Please help me.

Hi,

Welcome to icliniq.com.

It is a complex problem. Exercises like kegel exercise and medication can help. Urinary issues also occur due to constipation and dyssynergia. Use Docusate sodium 200 mg twice daily. It is a good stool softener, and you can use it for a long time.

Patient's Query

Thank you doctor,

I have used stool softeners in the past. Though they help, once when I stop using Docusate sodium 200 mg, my problem emerges again. Please advise.

Hi,

Welcome back to icliniq.com.

Docusate will not show any side effects. Use it as per need. Use it for two to three days and skip it for some days. Use it again when you have constipation. Try to pass stools every day and avoid constipation.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hafiz Muhammad Hassan Shoukat
Dr. Hafiz Muhammad Hassan Shoukat

Internal Medicine

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