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

Answered by
Dr. Ajeet Kumar
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 21, 2020 and last reviewed on: Apr 07, 2021

Hello doctor,

The bottom part of my abdomen hurts, and I cannot pass stools.



Welcome you to

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.

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

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.

The Probable causes:

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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