Hello doctor,
The bottom part of my abdomen hurts, and I cannot pass stools.
Hello,
Welcome you to icliniq.com.
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 anybody, but common among individuals who have difficulty 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.
If all the above fails, then there is computerized therapy called biofeedback therapy. I want you to follow the above tips first, and let me know if improvement; if required, I will suggest when to go for biofeedback therapy.
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.
Defecatory disorder.
Differential diagnosis:Slow transit constipation.
Probable diagnosis:Defecatory disorder.
Treatment plan:As above.
Regarding follow up:Follow-up in one week and update me about your problem.
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