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DrThomasMd, Board Certified MD
Category: Neurology
Satisfied Customers: 63757
Experience:  Internal medicine doctor, diagnose and treat neurology patients, many years
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i have lost the urge to defecate and cant have a bowel movement

Resolved Question:

i have lost the urge to defecate and cant have a bowel movement without using a laxative. this happened very suddenly with no prior bowel issues. what is causing it?
Submitted: 4 years ago.
Category: Neurology
Expert:  DrThomasMd replied 4 years ago.
If you have had a clean colonoscopy the most likely diagnosis is IBS, or irritable bowel syndrome
Tell me your diet on a typical day
Meal for meal?
Customer: replied 4 years ago.
i would think if it was IBS i would have diarrhea/constipation. a typical diet is a soy milk shake with fruit and fiber, yogurt for lunch, cheese and whole wheat crackers for a snack and a healthy dinner. i do not eat mammal. i am lactose intolerant. i drink 3-4 cups of coffee a day. i rarely drink alcohol. i exercise every day. i do not smoke.

i have had NO abdominal discomfort at all, even after no BM for > a week.
Expert:  DrThomasMd replied 4 years ago.
Please tell me the exact foods and how much
Customer: replied 4 years ago.
AM-1 cup soy milk, 5 strawberries, a banana, metamucil fiber, 1/4 cup oatmeal
mid morning-fruit such as a clementine
noon 8 oz greek yogurt
midafternoon granola bar
supper=- palm sized serving of fish or poultry, starch and vegetable.
i drink 6-8 glasses of water during the day.
Expert:  DrThomasMd replied 4 years ago.
greek yogurt?
but lactose intolerant?
Customer: replied 4 years ago.
i can eat cultured dairy ok, i take a lactaid if i need one, the intolerance is fairly mild, i only get acute symptome if i drink cow milk or eat ice cream
Expert:  DrThomasMd replied 4 years ago.
And any back injuries
Other symptoms?
Customer: replied 4 years ago.
no back injury, history of broken neck C4/C5, i do have a meningioma at T10, history of thyroid cancer, MRI was looked at by neurosurgeon, he says symptoms are not related to it. really only symptoms are fatigue, weight loss, complete inability to have a BM without laxatives, this began very suddenly on dec 16, i had 6 hours of liquid stools and have not gone on my own since.

Customer: replied 4 years ago.
also, i fogot to mention, loss of appetite, i am feeling like the majoirty of gastro-related causes have been ruled out, which i why i was wondering aboit other causes.
Expert:  DrThomasMd replied 4 years ago.
Hopefully the lower spine has been looked at as MRI
Gluten sensitivity should be looked at...celiac panel..and if any is positive then avoid it completely
This problem can have all sorts of symptoms.

The diet is lacking in a variety of soluble fibers
Inflammation from difficulty in transforming biotoxins needs to be considered., and a nutrient dense, anti-inflammatory diet should be adopted

The diet, in order of preference in quantity, should look like this
leafy greens
green veggies
other veggies
whole fruit, beans and peas
Whole grains no yeasted breads, dry cereals or anything refined
Seeds and nuts, but cut out seeds if you have any diverticulosis.
A little tofu or tempeh daily
A little high quality soy or coconut milk yogurt

The soluble fiber in this strategy will stabilized colon function in about 6 to 8 weeks, then about 2 or three helpings of animal foods a week, preferably fish, can be added back.
See the book Eat to Live by Dr. Joel Fuhrman, for instructions on this type of diet.

Exercise and water will be critical

Tapering the laxative.

Thyroid disease has to be ruled out..hypothyroidism specifically.

And labs still say, along with most docs, that up to 5 on a TSh value is normal.

Not true...3 or higher is potentially hypothyroid and many undiagnosed people are walking around.

good luck

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