Discussions By Condition: Gastrointestinal conditions

Extreme Pain in Defecation

Posted In: Gastrointestinal conditions 18 Replies
  • Posted By: Anonymous
  • May 9, 2007
  • 10:07 PM

I've done some research on this as it has become more and more intrusive in my life. I don't defecate very often (sometimes 2 weeks in between stools) because I am so afraid of the thought. I get pains when I hold it in, which I know is my fault, but I am so afraid of the pain I get when I defecate.

It's been like this for several years now probably because it is a vicious cycle. I don't defecate because it is so painful, and it's probably painful because I don't defecate. I've tried stool softeners and they probably don't have any effect. What's weird is sometimes (with no change in diet) I'll get a completely pleasant stool. It's not of abnormal size, not painful, and not bloody whatsoever.

And I'll have waited about 6-7 days to pass the stool which is average. But recently I've had about 3 extremely painful occurrences where I almost can't pass the stool. It gets stuck and while it's stuck in my anus, the anus remains stretched and no matter how hard I push it won't come out.

I have to defecate right now but I am very afraid that it might be another one of these extremely painful stools. If I take a laxitive or stool softener now is it too late for it to effect this coming stool?

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18 Replies:

  • I can totally relate to your fear of going to the bathroom, since I also have struggled with constipation issues. If my experience is any guide, there are no quick fixes, but the problem can be resolved. First off, some people have luck with drinking lots of water, or eating dried prunes or prune juice, but those never worked for me.Have you tried fiber supplements, such as Metamucil? These can create a gel like coating around the stool that eases its passage. Of course, this takes a while to have an effect, and should be taken regularly to be effective.If that alone doesn't work, Miralax may be the ticket. Again, it won't work right away and probably won't be much help unless taken regularly for a few days. It is safer than stimulant stool softeners and laxatives, and in my experience, more effective.In my own experience, when a regular daily dose of Miralax is combined with a regular daily dose of metamucil, my issues with problem stools, straining and pain have completely cleared up. Hope you feel better soon. I should add that given the longevity of your symptoms, you should get checked out by a doctor too.
    Anonymous 42789 Replies Flag this Response
  • Fiber supplements. Glycerin suppositories.
    Anonymous 42789 Replies Flag this Response
  • For a laxative to work, you need to take it a few hours earlier. When your stool gets stuck, have you tried pressing on your perineum (the area between anus and vagina). It helps me to force it out when I'm having problems. Move your upper body a bit forward and press on the perineum. You will probably feel the stuck stool. I'm not sure you will avoid pain but it gets me going. Do you have hemorrhoids?
    KnowSUMthings 153 Replies Flag this Response
  • A large percentage of chronic constipation is caused by a food intolerance or nutrient intolerance. Please get yourself to a NAET practitioner (www.naet.com) who will be able to pinpoint exactly what you are having problems with. Everyone is different, but an allergy to calcium can cause this - calcium is a vital nutrient found in SO many different things, that often it is hard to pinpoint this by looking at diet alone. That is why NAET is so special, and so effective. PLEASE look into this! No amount of stool softeners/enemas/laxatives/fiber is going to help you until you can get to the root cause of your condition. You are right this is a vicious cycle with the pain and constipation. Have you had your stool tested? Are you male or female? Best wishesDOM
    acuann 3080 Replies Flag this Response
  • Well DOCTOR, seeing as how Calcium is integral in coagulation and function of muscle I'd think that any one of the 4 types of hypersensitivities directed toward calcium would be incompatible with life. Maybe what you mean to say, DOCTOR, is that constipation can be a side effect of many medications, including ones containing cations such as iron and calcium. I'm certain that's what you meant. In any event, the first step is to soften the stool and help it's transit through the colon. This can be done in one step with fiber. I'm sure the DOCTOR above is familiar with LaPlace's law and can tell you how bulking your stool will aid in transit. The glycerin suppositories will help with the stool that is already near the anus.The next step is to see a physician, ie not a naturopath, homepath, herbalist, shaman, voodoo priest, exorcist or snake oil salesman. While constipation can be benign and self limiting, easily managed with modifications in diet, it also can be a symptom of a more systemic disorder (although not a calcium "allergy") or something more sinister, such as an obstructing mass.
    Anonymous 42789 Replies Flag this Response
  • The next step is to see a physician, ie not a naturopath, homepath, herbalist, shaman, voodoo priest, exorcist or snake oil salesman. While constipation can be benign and self limiting, easily managed with modifications in diet, it also can be a symptom of a more systemic disorder (although not a calcium "allergy") or something more sinister, such as an obstructing mass. When I say an allergy to calcium, I am talking about malabsorption issues. There are many diseases caused by a lack of calcium in the body - all I am saying is there is a cause for this, and the malabsorption may be due to a hyperimmune (allergic) response. Sorry, MDs don't always have the answers. And many MDs are now practicing NAET - it works and has changed my life. You may continue your blind faith on Western MDs - that is your choice. I prefer an integrative approach, as that is the future of modern medicine. Best wishesDOM
    acuann 3080 Replies Flag this Response
  • My question is, WHERE is the pain that you have when you go? In your anus? If so, sounds to me like you might have an anal fissure...these are very very painful.
    TheBlueBowl 13 Replies Flag this Response
  • Been a while since I posted this, but it's not the fact that I may have an anal fissure. The stool is literally so large that I think my anus is not large enough to let it pass. I leaned forward last time and forced as hard as I could and it helped slightly. Didn't help with the pain, but the stool passed quicker and was therefore painful for a less amount of time.
    Anonymous 42789 Replies Flag this Response
  • Been a while since I posted this, but it's not the fact that I may have an anal fissure. The stool is literally so large that I think my anus is not large enough to let it pass. I leaned forward last time and forced as hard as I could and it helped slightly. Didn't help with the pain, but the stool passed quicker and was therefore painful for a less amount of time.The problem is, large, hard and dry stools can, over time, cause anal fissures and other concerns because of the strain they put on the rectum. You are obviously feeling pain resulting from strain in passage. Having to lean forward, strain, rock back and forth, etc. in order to pass a stool is not normal, it is an crystal clear sign of a constipation problem. So even if you don't have a fissure now, you are at high risk of getting one with your constipated bowel habits. You need to treat your constipation in a manner that will improve regularity and decrease the size, dryness and hardness of your stools. You really should look into something like miralax (an osmotic laxative, which pulls water into the colon, and softens the stool). If you take this daily, you should see improved results within 3 days or so.
    Anonymous 42789 Replies Flag this Response
  • I'm pretty sure I have anal fissures and acknowledge that. I don't mind that pain for the time being. It's the fact that the stool gets stuck while I try to pass it that is the severe problem right now. I'm afraid that it'll eventually get to the point that I pass out or simply can't force out the stool.
    Anonymous 42789 Replies Flag this Response
  • I'm pretty sure I have anal fissures and acknowledge that. I don't mind that pain for the time being. It's the fact that the stool gets stuck while I try to pass it that is the severe problem right now. I'm afraid that it'll eventually get to the point that I pass out or simply can't force out the stool.I don't get it. Why would you choose to put up with that kind of pain when there are over the counter remedies that can very likely solve your problem and make life a lot less miserable? Also, chronic "forcing out" of stools can lead not only to fissures, but to colon abnormalities such as diverticulitus.
    Anonymous 42789 Replies Flag this Response
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  • Will a stool softener or laxative soften the stool that is already in my body right now? Or will a laxitive just force out the stool?
    Anonymous 42789 Replies Flag this Response
  • Will a stool softener or laxative soften the stool that is already in my body right now? Or will a laxitive just force out the stool?To deal with a stool that is there now, try a glycerine suppository. For preventative purposes in the future, try miralax. The stool softeners like colace, ducolax etc. are not really appropriate for long term use as they can lead to dependency. Miralax is safer for longer term use.
    Anonymous 42789 Replies Flag this Response
  • The main cause of constipation is eating meat. Cut down or eliminate it (try soya substitutes) and see what happens. Lots of fruit & vegetables will help out, lots of water too. Normally a person should pass stools once or twice a day (most vegetarians do, at least.) Unnatural lifestyles, lack of exercise, unnatural foods (which is most the average diet of today) and lack of drinking sufficient water can cause all kinds of problems. I know of a girl who not only got rid of constipation but her lupus too by cutting meat out of her diet. Don't think homeopathy is a waste of time either, it's very effective but is very difficult to prescribe. I spent many years in India where people rely on homeopathy a lot, and I've seen cure you won't believe. Most of them work right in front of your eyes. (I cured quite a few myself, though I only dabble in it. That includes 3 persons with paralysis, one deaf person whose hearing was restored, persons with enormously swollen legs (one dose of apis gets it down to normal overnight) which were considered incurable at the hospital, etc. From what I've read on the subject certain inherited diseases (like TB in the family) can also cause constipation, and homeopathy can remove that nicely. Aluminum (how much there is of it around us!) can cause constipation too. (Don't say it can't be absorbed - why then do doctors find aluminum in the brains of dead alzh. patients?) I have cured many persons with constipation by using aloe, alumina, tuberculinum, thuja etc., but I no longer have much time to go through the symptoms for each patient. Therefore I would recommend a good homeopathic doctors. (be careful of homeopaths from 3rd world countries where "diploma's" can be purchased.) You could also check your symptoms yourself on this online symptom finder, the URL of which is below:-http://abchomeopathy.com/go.phpor specifically for constipation (to save time) go to this URLhttp://abchomeopathy.com/go.php?symptoms=constipation&Submit=Next&s%5B18%5D=47346&no=29&resuno=12&sr=&disclaimed=1Don't think I work for those guys, I only recommend it to find a suitable medicine. There are free books online too that can guide. Homeopathic medicines are very cheap abroad, but expensive in the US and probably in europe. Better to shop around and find good prices, but be sure it's from reputable companies. There is another good thing to try, it's called myrobalan. It's like a large black seed, and if taken with food it helps prevent constipation. It's also said to remove toxins. Try also flea-seed husk (Psyllium) also known as Ispaghula. Take it in milk (not yogurt). As for diet, as I said, avoid meat! Also yogurt and banannas. Don't take too much of bread. No diet should have starches as a main part of it. Your food should be 2/3 fruit & veggies, milk and a small quantity of nuts. Acidic foods should never be more than 40 percent of the diet, alkaline foods should form the rest. Get as much exercise as you can. When you watch TV, stand and walk foot to foot. Check out home remedies on the net.Remember, our ancestors were animals. They didnt use fire, they didn't sit in front of the TV, and they ate only what was natural for them. Think about what you would eat in its RAW state. A cow? a bowl of uncooked rice, wheat or other grains? Carrots? (yes) Apples? (yes) Grapes (oh, yes.) There u have it!
    Anonymous 42789 Replies Flag this Response
  • Unregistered user with the Homeopatic recommendations...thank you much!!! You info was extremely helpful. People don't reconize the wonders of Homeopathy, but it does work wonders. Our bodies do not repair based on all of these chemical prescriptives doctor's are so inclined to pass off to every patient who walks through their door. Rather Homeopathy proivides our bodies with the proper elements we loose over time. It also helps restore balance. At least that has been my experience. My problem is extreme rectal pain and painful defication. It doesn't matter if it a large or soft stool. The pain is intense. So bad, that today I had to wonder, if I have a serious condition or disease like Endometrisis or something. Reading your posts and some of the other where people are having similar symptoms is somewhat comforting. However, I want to get to the bottom of this pain. For now, I am going to do just as you suggested...No meat. I had removed red meat and pork from my diet all together many years ago and started to eat red meat again. I've noticed more digestive difficulties, changes in my skin since consuming it. I mean it wasn't all at once, that I realized this. It was only more recently and just yesterday made a deal with a friend, that we wouldn't eat meat until Thanksgiving. Now after reading your post, I'm ready to give it all up for good. Thank you again for such a helpful and enlightening posting.
    Anonymous 42789 Replies
    • October 30, 2008
    • 02:48 AM
    • 0
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  • yup I've the same problem while defecation.i don't see any traces of blood in my stool.It is dry .The issue is the pain persists almost the entire day.I don't have any constipation problems to my knowledge.what could be the possible reason.
    Anonymous 42789 Replies
    • December 4, 2008
    • 02:04 PM
    • 0
    Flag this Response
  • My father suffers from extreme constipation like you. He stopped eating wheat. It worked somewhat. But the best thing he did was start drinking Aloe Vera Juice in the morning. He hasnt been constipated in weeks! And hes not in the bathroom for hours anymore either. You have to play process of elimination and try different things. Try a herbal laxitive tea for now. They work really well and get onto drinking Aloe juice and drink LOTS of water. Also probiotics. Try a spoonful of Bio K a day or an all flora. Our bodys do funny thing when they are lacking nutrients. You need to take time to go to the bathroom. Its key. u often get sooo busy that you dont even think about it. I bet that if u took the time daily to go or at least try to the pain would decrease. Good Luck
    olaine 9 Replies
    • January 6, 2009
    • 04:29 PM
    • 0
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  • Don't think homeopathy is a waste of time either, it's very effectiveQuite true, homoeopathy (aka plenty of water) may help with your constipation! :D :D :D
    Anonymous 42789 Replies Flag this Response
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