Q. The bottom part of my abdomen hurts, and I cannot poop. Please help.

Answered by
Dr. Ajeet Kumar Lohana
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 21, 2020

the bottom part of my abdomen hurts, and i can't poop.

Dr. Ajeet Kumar Lohana

Medical Gastroenterology
#

Hello,

I welcome you to icliniq. I can understand you must be very upset about your problem.

It seems that you have a defecation disorder. which is difficulty in passing stools. It can occur to any body, but common among individuals who have difficult learning the art of passing stools. For this you have to relax , remove your anxiety and start learning the art of pooping. Here are some tips for that.

  1. Diaphragmatic breathing. you can type this on youtube and see the video on how it can be done at home side.
  2. use laxative. Polyethylene glycol-one sachet twice daily , you can increase to two sachet twice daily
  3. The best time to poop is at morning just after breakfast and after half hour of taking meals at day and night time.
  4. Take plenty of water, 2 to 3 liters of water in a day
  5. Exercise daily

If all above fail then there is computerized therapy called biofeedback therapy. I want you to follow above tips first, and let me know if improvement; if required, I will suggest when to go for biofeedback therapy.

The pain is a secondary phenomenon, once your stools became normal the pain will go away. Do not use painkillers, because they may slow your bowel and can cause more constipation.


The Probable causes:

Defecatory disorder

Differential diagnosis:

Slow transit constipation

Probable diagnosis:

Defecatory disorder

Treatment plan:

As above

Regarding follow up:

Follow up in 1week and update me about your problem


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