Stool is too large and hard to pass.. Have not gone in almost 5 days.

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[background info] - (can skip to problem if you like)

Hi, I'm 15 yrs/o and have been constantly constipated since I was (maybe 10/11 yrs/o). I have up to 2 BMs per week. It took me until this year to finally realize I need to eat healthier, however I realized this a tad too late and now it's like no matter what I do I can't get normal BMs again and it does get me really down. I've only gone to the doc twice and that was back when I was 12ish. I find it EXTREMELY difficult to tell my mom, (emphasis on EXTREMELY). My mom has seriously no patience and is usually busy and forgets about things i tell her and I'd much rather avoid telling her about the constipation(also very embarrassing). I'm super reluctant to ask for help until it gets really bad. Which is, very bad and I'm super aware of it. This is really stressing me out.

Extra info: I don't hold in my poop anymore (I did when i was younger due to extreme anxiety with using public/school bathrooms and sometimes even at home) but now I can't help but 'hold it in' as i get barely any urge to go(hence i can only go up to 2 times a week). I typically get the urge twice or less per week where I'd have a bowel movement. I also always have to strain whiile going (maybe not with almost liquidy stools) it's not full on straining but im definately pushing a fair bit to get it out.

[actual problem]

Stool is wayyy too large to pass (i managed to squeeze a small bit out, however i didn't strain too much because im terrified of anal prolapse). I feel very backed up. Wondering if there's anything i can do now? What would a doctor say/give me?? And about my problem with not getting an urge- will they want me to get a colonoscopy??(do not want under any circumstances)

Was also wondering if the stool will still be hard to pass and if I'll still have to strain if i use an enema?( not that i even have one sad( ). How do enemas feel? Please describe in detail?

Sorry for all the questions and messy explanation, this is just stressing me out and idk i get real emotional and depressed due to it. Regardless, thank you for reading and i hope i can get some help!

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  • Posted

    I hope your problem has gotten better. I was like you at your age and now at 48 I still struggle with the same problems. You must talk to a Dr and don't hold back. Avoid fiber as that just makes your stools bulkier and if you have constipation you don't want bulk. Fiber is for people that are not like us. I have to take a stool softener daily and still struggle. But I am hesitant to talk to a Dr too and always have been. I don't want you to end up like me so please talk to a Dr.

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    • Posted

      Sorry, But I had to respond to this comment. What do you "mean people like us".!?

      This patient should have an entire bowel cleansing (as per doctor instructions) and then ]

      start a 'High Fiber Diet! You are wrong about fiber.

      Fiber alone is not usually helpful for People taking Opiods (i.e. Percoset, oxycontin) and

      any other medications that slow the motility (movement) of the intestine. Even these people should have at least some fiber. For people who have problems with slow motility,

      Fiber should be added slowly to find the amount which helps the stool slide more easily in the intestine. Too much would cause very large stool (d/t too much water mixed with stool) which won't go anywhere without high grade stimulation of the bowel.

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  • Posted

    Kinda worrying when people say "avoid fiber" as once you solve the immediate problem, more fiber will probably help.  Fiber is not digested by the human digestion so it gets passed in your poop, and provided you drink enough fluids a reasonable amount of fiber in your diet will help to retain water in the colon (the fiber holds the water) making your poop softer.

    If you don't fancy enemas, you might not know that there are different kinds of laxative.  You can get stimulant laxatives, e.g. Senna or Senna-containing products which stimulate the muscles in your colon/rectum.  That's not so helpful with the "massive poo" problem, better is to use an osmotic laxative such as lactulose.  Lactulose reduces the amount of water that's re-absorbed into your body from your colon.  Part of the normal function of the colon is to re-absorb water from the gut contents - it's vital, when taking lactulose or other similar meds to drink plenty, because if you're dehydrated, there's not enough water in your gut to begin with and this can make the problem worse.  You can look up different types of laxative online, and most are available OTC.

      If you have a long-term problem with this, chances are your rectum has become enlarged and the muscles weak, so you don't feel the normal urge to poop, which is caused by your rectum getting full.  Solving the problem of an enlarged/weak rectum is, I believe, a long haul.  Once you get the impacted poop out of the way, you need to adjust your diet so your poop is not too hard/dry and then make sure to poop regularly, even if you don't feel the urge to.  You need to get your body back in the habit of pooping more often, and that takes time.  If you can avoid taking stimulant laxatives regualrly, that's good too as they can suppress the normal operation of the lower gut: your body becomes accustomed to them and doesn't work on it's own.

    Have to say, I don't really like the sound of mineral oil enemas, I'd have thought that warm mild saline solution would be good - and poop is not really an oily substance; more water in the colon should be absorbed into the hard, dry poop making it softer.  Mineral oil isn't that healthy to have inside your body, although presumably if you get stuff that's sold for the purpose it's not so bad.

    Lastly, if you're not confident working on the problem yourself, please do get specific medical advice.  You're not going to gross out your doctor, as doctors have seen and heard it all before.

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  • Posted

    Hello. I am going through a very very similar situation! I am also 15, 16 in a month. My issue started around 12. I didn’t think much of it until it started to get worse around 14. I went to two different specialists about it. And they didn’t know what was wrong. I now take 4 doses of Murilax a day and that helps sometimes/a little bit. Currently nothing has changed for the better. I think it is actually getting worse and i’m terrified. I had my first trip to the ER for this issue in 2017. It was one of the most traumatizing things i’ve ever been through. My advice to you... Go to a specialist! It may help you more than it helped me. Oh yes, I also forgot to mention that at the ER they gave me an enema, it felt fine, and it helped. 
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  • Posted

    Eat ALKALINE FOODS in ABUNDANCE...drink coconut water mix with Spirulina,

    Choline and Dead Sea Moringa 1/4 teaspoon each...A book title (BLACK SEED MIRACLE author Dr. Cass Ingram purchase from American Wild Foods phone no.

    1-866-626-6214.

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  • Posted

    I know how you feel my friend. I have had bowel problems since before christmas when a large hard stool hurt my rectum and caused a pile to bleed heavily. I now find it hard to pass gas as I feel clogged up below. Last week my GP put me on anitibiotics for chest infection and also prescribed a hydrocortosene ointment for my anus. My tummy has also been feeling bloated at times. Any advice or tips on how I can get healthy again. My BMI is 28 even though I am a tall person my lifestyle has not been good.

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  • Posted

    Could you talk to the school nurse about it ? It is quite a common problem in all age groups.

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  • Posted

    If you're still having this problem, after all the adjustments you might make to diet, fluid intake and exercise regimen, the safest things to use as a chemical crutch are enemas. (Not what you want to hear, maybe...)

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  • Posted

    DO NOT EVER PUT SOAP INSIDE YOU!My God!!

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  • Posted

    i am having the same problem. i play a lot of videogames, and often ignore the urge to go to the bathroom. i have been on this toilet for hours. been having a lot of pain. took a laxative pill a couple minutes ago. tips on avoiding this?(other then dont ignore the urge to go)

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    • Posted

      Eat Raisin Bran or Frosted Mini Wheats.Have you tried running warm bath water and putting your feet in it.I know that sounds crazy,bit when I do that I have to poop.Also when I run a hair dryer and let it blow on my belly that helps sometimes.

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  • Posted

    Your Mom needs to stop treating you like that!I know this is gonna sound gross but put Vaseline on your middle finger and when you are straining to poop insert that finger in your behind and dig it out.I have to and once you do that it may help some come out.Also eat you some Frosted Mini Wheats or Raisin Bran.That may help.Do not be embarrassed or scared to tell someone you need help!An enema does not hurt AT ALL.It has stuff on the tip for it to go in easy.You insert the tip and squeeze.Read the instructions.Do not let this get you depressed.Millions of people have issues with this some time or another.

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