How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Su S Your Own Question

Dr. Su S
Dr. Su S, Doctor (MD)
Category: Health
Satisfied Customers: 18887
Experience:  25 years of clinical experience
9324755
Type Your Health Question Here...
Dr. Su S is online now
A new question is answered every 9 seconds

Im a 25 year old male and have some trouble relieving myself

Customer Question

I'm a 25 year old male and have some trouble relieving myself easily and completely when defecating. Doctors suggested fiber, diet, OTC solutions, but I don't think the problem is digestive. I'm convinced that it's due to tight sphincter muscles that make it difficult to completely relieve myself.

What can I do to loosen/relax my muscles permanently? One doctor did suggest surgery, but it's not that severe. Maybe there is a cause that has not been rooted out? I will admit that I do have mild anxiety and have read that it would help to just "relax". I'm not sure what else it could be or what I can do.
Submitted: 4 years ago.
Category: Health
Expert:  Dr. Saha replied 4 years ago.
Hello,

Sorry for your sufferings.

I will put my opinion regarding the issue.

For tight anal sphincter you can do kegel's exercise at home regularly.

Biofeedback can be tried from specialist physiotherapist which works well.

Diet rich in fibre, fruits, vegetables, regular walk, reduce stress etc. are also a part of management.

I hope this information helps.

Happy to assist, if you need any clarification.

Please feel free for any follow up query.

Best wishes.
Customer: replied 4 years ago.
I have practiced Kegel exercises before. This seems it would only serve to tighten my muscles. I want to loosen them to avoid straining.

How does biofeedback from a physiotherapist help someone with my situation?
Expert:  Dr. Su S replied 4 years ago.
Hello,

Greetings,

Sorry for your problem.

I shall try my best to explain the condition.
Biofeed back can help in relieving chronic constipation. Physiological studies like colonic transit time, defecography, manometry, EMG can be done to identify the problem. If there is colonic inertia or anismus, paradoxical muscle contraction in the pelvic floor then biofeedback can be helpful. Kegel's though used mainly for incontinence of bowel & bladder, in some cases of constipation it can coordinate the bowel movement. Please read this good resource on biofeedback.

http://www.springerlink.com/content/tn5x36726131q702/

You can also try simple digital stimulation of anal sphincter. This can be done by inserting lubricated finger inside the anus & make a circular motion around. This can help to stimulate the movement. If it does not then you can repeat it after 20 min. Try to pass stool everyday at the same time so that it becomes a habit. Most suitable time is about half an hour after food as food stimulates bowel movement.


Hope this information will help you.
Wish your healthy life.
Any query, please feel free to ask.
It will be my privilege to assist you.
Regards.
Customer: replied 4 years ago.
My main concern is tighented anal sphincter muscles. Will any of this help loosen sphincter muscles?

Or is there any other solution?
Expert:  Dr. Su S replied 4 years ago.
Tightened anal sphincter can occur from spasm as it occurs in fissure. You should get it examined by doctor to rule it out. In fissure ,nitroglycerin containing ointments are used to relieve the tight sphincter spasm. You can discuss this possibility with your doctor, if you are not willing to have surgery.

Any query, please feel free to ask.
It will be my privilege to assist you.
Regards.




Edited by Dr. SS on 6/1/2010 at 5:57 AM EST
Dr. Su S, Doctor (MD)
Category: Health
Satisfied Customers: 18887
Experience: 25 years of clinical experience
Dr. Su S and 6 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery