Digestive and Bowel Disorders Forum

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Q: Fecal matter issues

asked by: DoctorQuestion on April 4th, 2009

Hello I am 24 and I am living for 14 years almost with troubles with fecal matters and toilets.
My problem is: When I go out, "off routine", to unfamiliar places, with people I don't know, I get into stress, of not having a place nearby, to do my needs (again, this is not urine), so I prepare myself, and release myself well before. But its always on my mind, when I am at work, and a lady asks if I wanna go eat with her, at first I am frozen and I straight get stressed and afraid of being in a situation where I have to release myself, and eventually poo on myself..Like it happened many times before.
When I do new things, I get stressedanxious, my bowel starts feeling heavy, and I feel the need to go, even If I went earlier. And the weight just goes on and on, gasses starts to exit, and a PAIN is felt in my lower stomach,an intense pain. At this point, I know, I will have to find a discreet place to do my business otherwise I'll poo in my pants.
My life is horrible..Can you please help?

Replies(4)

Dr. Goce Aleksovski , MD

replied on April 5th, 2009

Digestive and Bowel Disorders Answer A6260

According to the data you provided, you might be experiencing anxiety and Irritable Bowel Syndrome at the same time. Which one is a cause and which one is a result can not be told. However, both can be treated at the same time.

You might visit your family doctor or a psychiatrist and have medications (benzodiazepines or selective serotonin reuptake inhibitors) recommended about the anxiety. Psychotherapy might also be suggested.

As for the defecation you might want to consult your GP about taking some: antidiarrheals (opioid analogs), antispasmodic drugs and serotonin antagonists. Each of these groups of medication is used in treatment of diarrhea.

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Comments (3)

This question has been answered by the doctor. This topic is now open for public discussion, however no comments below this point will be answered by a doctor.

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