Hi, I'm a 20 yr old female and I have a problem with my bowel. I have recently had a sphincterotomy for chronic anal fissures that I had for about 2 years on and off. Also in that time I had a lot of difficulty emptying my bowels, and I never felt like I was completely empty when I was done, but I just put it down to having fissures. I had the surgery about 6 weeks ago now and my fissures are gone, but I am still having a lot of trouble having a bowel movement, and it\\\'s getting so bad now that I have to use a finger on the back wall of my vagina every time I go to help push it out (it kind of feels like it goes off track towards my vagina or something). I had a post op appointment with my surgeon and he did an exam and could see why I was having trouble so he has referred me to a colorectal surgeon.
I have had no children, so I don\\\'t see why my muscles would be weak or anything. Please help, this is so frustrating and it\\\'s affecting my everyday life
From the description of the history, it seems that you have hard painful stools, associated with chronic constipation , which resulted in anal fissures.
Now, post the sphincterotomy, the scarring in the operated region might be causing the current difficulty in passing bowels.
The first step to manage this situation, to reduce your discomfort and pain is to treat your constipation and help to have soft stools.
To achieve this, here are some tips that might help you. They include
â1. Eating more fruits, vegetables and grains, which are high in fiberâ
â Foods Rich in SOLUBLE Fiber: Oatmeal or oat bran; Brown rice; Orange, grapefruit, green plantain
â Foods that can act as laxatives: Prunes, figs, Psyllium husk, shredded wheat, flaxseed (oil), Senna, âCascara sagrada, Aloe vera juice, Dandelion root, Molasses, Liquorice, etc. â
â2. Drinking plenty of water and other liquidsâ
â3. Getting enough exercise, abdominal exercises are best to improve gut motility.â
â4. Taking time to have a bowel movement when you need to. Visit the toilet for 15 minutes in the âmorning, even if you are unable to have a bowel movement. This relaxes and stimulates your digestive âsystem.â
â5. Relaxation and stress management techniques. â
â6. Proper dietary habits, regular meals, not missing meals and breakfast,etc. Sit quietly for 15 minutes âafter eating a meal to aid in digestion.â
â7. Cessation of smoking and tobacco use, excess dependence on sodas, colas and caffiene.â
Trying the above tips should help to relieve your constipation. â
For the mean time, you can use Over the counter laxatives like milk of magnesia, to help relieve your âconstipation. â
In addition, you can consult your surgeon, who can treat you for any surgery related complications that might be hindering proper bowel movements.
"Ask a Doctor" questions are answered by certified physicians and other medical professionals.
For more information about experts participating in the "Ask a Doctor" Network, please visit our
medical experts page.
You may also visit our Digestive and Bowel Disorders , for moderated patient to patient support and information.
The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician.
Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.