Patient's Query
Hello Doctor,
I am 16 years old, and I have been experiencing problems while urinating. It takes me some time to start the urine flow, and I often feel the need to press my pelvic floor muscles. The urine flow tends to start and stop by itself, it is not something I am doing voluntarily. Towards the end, there is often a small amount of urine that remains stuck inside the penis.
My initial problem started with constipation. I was constipated a few times recently, with the most recent episode beginning five days ago. However, my constipation is not the typical kind with a hard stool. Instead, I have soft stool that I am unable to pass easily, it just does not come out.
Today is the sixth day, and even though I have eaten meals regularly, I have not been able to have a proper bowel movement. I did pass a very small amount of soft stool yesterday, just a small amount in the shape of a tube. But nothing significant has happened since then. This morning, I passed a small quantity of soft, liquid-like stool, around one teaspoon, and a bit of solid matter.
I had a urine test done, and the doctor said that everything appeared normal. However, I am confused and wondering: Do I have a pelvic floor problem? Could it be related to the pelvic muscles?
How can I know if I have an issue with my pelvic floor? What symptoms should I be looking for? Are there any specific tests I need to undergo?
I visited my doctor, and he said I am likely constipated. He gave me an injection and prescribed Abhayarista. However, I still have not had a proper bowel movement since then. I feel like I am not holding on to a hard stool, but there is still difficulty in passing it.
Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
You have been having difficulty passing stools for the past week. You are straining a lot and feel a sense of incomplete evacuation, and you want to know whether you may have a pelvic floor problem.
According to my interpretation, you could be suffering from internal rectal prolapse.
I suggest the following:
Please try not to strain because what is not coming out may not necessarily be stuck stool.
It would be better if you get yourself evaluated by a general surgeon for rectal prolapse, which can be part of a Pelvic Floor Disorder.
Avoid constipation and straining by including a large platter of salads, sprouts, or Sat-Isabgol (Psyllium Husk – Bulk-forming Laxative), two teaspoons three times per day.
Drink three to four liters of water daily, measured using a bottle or measuring cup.
Please consult your doctor regarding the above information. Take the medicines or measures suggested only after due approval of your treating physician. This online consultation is meant to complement or supplement your doctor's advice and cannot completely replace a thorough in-person evaluation by a qualified medical practitioner.
I hope this information helps.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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