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 Anthony Bray, MD Your Own Question

Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 6851
Experience:  14 years as clinician in the field of Family Practice
13781349
Type Your Health Question Here...
Anthony Bray, MD is online now
A new question is answered every 9 seconds

For about the past 2-3 weeks I have had extreme difficulty

Resolved Question:

For about the past 2-3 weeks I have had extreme difficulty having a bowel movement. It feels like I just cannot push anything through even though I regularly feel the urge to do so. I will sit on the toilet for 20 minutes trying to push with nothing coming through. Over the last 2 weeks I have had a few small bm's. Most recently (past 3-4 days) I've been able to get a few small pieces out but that is it. There was also one episode where it come out like diarrhea (4 days ago). The last 3 days though - just a few small thin pieces. And it definitely feels like there is more to go, which is very uncomfortable.

I've also found myself feeling very gassy and sometimes being unable to pass gas (but usually able to do so). I've been having trouble sleeping due to this feeling of needing to go and not being able to. (Though I have anxiety as well so that might be part of the cause there). There has been some discomfort due to my strained attempts to go and feelings of fullness but not really any kind of serious pain. And there has been no bleeding at all.

About a year ago, I had similar problems but they were accompanied by some bright red blood on the TP. That has not been the case this time. At that time I went to the doctor and he said it looked like I had hemmorhoids but all he did was examine the rectum (no colonoscopy or anything of that nature). I am 42 years old - male.

I have tried using medicated wipes, taken a laxative powder for a few days, and added additional fiber to the diet. (I should say I have had a pretty poor diet over the years). I am in a situation now where I am away from home on a summer job, so I am not sure if this situation is serious enough to seek out urgent care or if it is something I should be able to treat on my own. Do you have any advice for what you think might be happening and what I can do in terms of self-care? At what point do I need to go to be seen by urgent care or the like(which would be expensive for me due to being away from home)?

Thank you in advance for your help.
Submitted: 1 year ago.
Category: Health
Expert:  Anthony Bray, MD replied 1 year ago.

Anthony Bray MD : Hello!
Customer:

Hello thank you for agreeing to help!

Anthony Bray MD : i would advise that you start with Miralx plus 8 on uncles of water daily for a week...
Anthony Bray MD : ( you may have tried this but perhaps not for long enough time...)
Customer:

What about food? Should I keep eating extra-fiber and taking supplements? Also, how long should I try to sit on the toilet for?

Anthony Bray MD : I would advise that you push fluids as this tends to help reduce constipation --- 8 ounces every two hours while awake....
Anthony Bray MD : Take a stool softener daily and do this as an ongoing habit---- options would include Surfak, Colace, or docusate one capsule daily or mineral oil one tablespoon daily... One of these would be good to continue daily indefinitely ...
Anthony Bray MD : if you have increasing bloating or abdominal pain --- especially greater than 6/ 10 which interferes with sleep... Then you are advised to seek further medical evaluation.
Anthony Bray MD : I hope that this information helps. Let me know if you have further questions and I will be happy to get back with you!
Anthony Bray MD : if my responses have been helpful and to your satisfaction then please remember to leave positive feedback. That would be very much appreciated ! Thank you and best regards,
Anthony Bray MD : Anthony Bray MD
Customer:

OK will do - thanks for the help

Anthony Bray MD : You are very welcome and yes you should continue to eat!
Anthony Bray MD : PS if you have lower abdominal pain discomfort then you may try one to two Fleet's enemas and these may help...
Anthony Bray MD : I would try to avoid extended time string on the toilet and straining -- maybe about ten minutes and then rest and try again later....
Customer:

Ok - so the feeling of having to go and feeling like i have more stool inside me - is that normal? Just try to ignore it?

Anthony Bray MD : Well it is not a normal feeling. If this persists then discuss this further with your doctor or gastroenterologist.. It may be reason to consider a colonoscopy....
Customer:

OK then - so it is not an emergency situation at this point, but if these steps that you describe do not work then I should seek medical attention

Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 6851
Experience: 14 years as clinician in the field of Family Practice
Anthony Bray, MD and 3 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