YOU WROTE:

Current medical status: incapable of passing stool, passing gas quit frequently, unable to obtain bowl movement daily, takes about 3-4 days, stool appears to be blood free sometimes long, no loss of appetite, lower back pains, been aware of problem for the past 6months


Constipation is a condition of the digestive system wherein a person experiences hard feces that are difficult to expel. Constipation may be extremely painful, and in severe cases such as fecal impaction, may lead to symptoms of bowel obstruction.
Causes of constipation may be dietary, hormonal or anatomical in nature. In addition, a person may be constipated as a side effect of medications (e.g. some painkillers), or because of an illness or disorder.

Several diagnostic procedures can be performed to identify the reason for a constipated and backed up bowel including: an abdominal ultrasound, rectal examination, colonoscopy, occult blood test(s), standard blood analyses, hormonal analyses (thyroxin)…etc. If the above examinations indicate no organic disorder (tumors, strictures, adhesions, hypothyroidism, diverticula…) then the condition is diagnosed as a functional disorder.

Treatment for constipation will depend upon the cause. Treatments consist of changes in dietary and exercise habits, the use of laxatives, and other medical interventions. The first step doctors recommend is changing the dietary regime which means eating more vegetables, fruit and water during meals. If diet doesn’t help the next treatment step includes the use laxatives. Laxatives are substances that cause a bowel movement when taken orally. There are several types of laxatives that act in various ways. In severe cases, when a person is resistant to laxatives, physical intervention such as enemas are used to provoke bowel movement. Enemas can cause a bowel movement when water is injected inside the rectum.

You can consult an internal medicine specialist about your condition for a precise diagnosis and treatment plan.