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Why does the bottom part of my abdomen hurt when I defecate?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

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

Kindly advise.

Answered by Dr. Ajeet Kumar

Hello,

Welcome to icliniq.com.

I can understand that 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 is 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 homepage.
  2. Use a 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 a half-hour of taking meals, day and night.
  4. Take plenty of water, 2 to 3 liters of water a day.
  5. Exercise daily.

If all the above fail, then there is a 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 become normal, the pain will go away. Do not use painkillers because they may slow down your bowel movements and can cause more constipation.

I hope this helps.

Thank you.

Answered byDr. Ajeet Kumar

Medically reviewed byDr. Sneha Kannan

Published At May 21, 2020
Reviewed AtJanuary 6, 2026

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

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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