[40M] Experiencing constipation with pelvic pressure

Patient Description

A 40-year-old male is reporting constipation for the past 2 days, with bowel movements resulting in only small, shard-like stools. The patient rates the associated pelvic pain as a 6 out of 10 and states that the pain has been present for the same duration as the constipation. There has been no change in weight, diet, or fluid intake, and no recent injuries. Prior to this episode, the patient had bowel movements three times daily with varied stool consistency. There is no mention of blood in the stool or black, tarry stools. The patient also reports experiencing chills and aches.

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Arora's Assessment

What might be happening

Based on the information you've provided, you might be experiencing:

  • Functional Constipation: This is a common condition where the bowel movements are infrequent or hard to pass. The constipation is not caused by a physical or hormonal problem and does not involve severe pain. It can be due to stress, changes in routine, or not enough fiber or water in the diet.

    • Treatment typically involves lifestyle changes such as increasing dietary fiber and fluid intake, regular exercise, and establishing a regular bowel movement routine.
  • Irritable Bowel Syndrome (IBS): This is a disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits (diarrhea, constipation, or both). The exact cause of IBS isn't known, but it's often related to increased sensitivity of the gut and problems digesting food.

    • Treatment often involves long-term dietary adjustments and stress management.
  • Pelvic Floor Dysfunction: This is a condition where you're unable to relax and coordinate the muscles in your pelvic floor to have a bowel movement. Symptoms include constipation, straining, and pain.

    • Treatment often involves physical therapy to retrain the muscles.

What you can do

While you should definitely seek medical attention to get a formal diagnosis, here are some things you can do in the meantime:

  1. Increase your fiber intake: Foods such as fruits, vegetables, and whole grains can help soften your stools and make them easier to pass.

  2. Stay hydrated: Drinking plenty of water can help prevent constipation.

  3. Regular exercise: Physical activity can help stimulate intestinal activity.

  4. Establish a regular bowel movement routine: Your body may respond to routine bowel movements over time.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe or worsening abdominal pain
  • Blood in your stool
  • Unexplained weight loss
  • Persistent or worsening symptoms despite making the above changes

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for accurate information.

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11 mo ago

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People Also Ask


What are common causes of constipation and how can it be treated?

Common causes of constipation include a low-fiber diet, inadequate fluid intake, lack of physical activity, and stress. Treatment often involves increasing dietary fiber, staying hydrated, exercising regularly, and establishing a regular bowel routine.


How can I differentiate between constipation and Irritable Bowel Syndrome (IBS)?

Constipation is characterized by infrequent or hard-to-pass bowel movements, while IBS involves a combination of symptoms such as cramping, abdominal pain, bloating, and changes in bowel habits. IBS may include both constipation and diarrhea, and is often related to gut sensitivity and digestion issues.


What lifestyle changes can help alleviate constipation?

To alleviate constipation, increase your intake of fiber-rich foods like fruits, vegetables, and whole grains, drink plenty of water, engage in regular physical activity, and try to establish a consistent time for bowel movements each day.


When should I seek medical attention for constipation symptoms?

You should seek medical attention if you experience severe or worsening abdominal pain, blood in your stool, unexplained weight loss, or if your symptoms persist or worsen despite making lifestyle changes.


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