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Could this be Pelvic Floor Dysfunction and rectum issues?Very stressed/help.

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Posted 6/30/2015 12:52 AM (GMT 0)
Hello all! I'm writing to ask because I'm going to make an appointment with the doctor yet again but this time for to ask for a defecation test. I had a sitz maker test and bowel series and all came back fine. After taking miralax the same day i had decent-good bowel movements for a few weeks up untill 2 days ago when i started getting this urge to g but couldnt. Took miralax and so far little thin stools have been coming out all day with lots of gas included.

Here's the thing. I have pain in my pelvic area when i have sexual intercourse. I also have pains in my pelvic that comes and goes but it's been like this for years long before these constipation issues began. Sometimes i have rectal pain that comes and goes(not common) and feel like when i go to the restroom. I have to relax to let it flow out better instead of just straining it out as i used to. Sometimes i feel stool is slow to come out. When the stool reaches rectum sometimes it feels like it stops there before it comes out or i drink water/strain for it to move out.

So now i ask this. Anyone with these symptoms have off before? I've had a lot of thoughts of ending up with a stoma and I'm often worried about it. Im a 23 year old male who just experienced these issues a few months ago.

The confusing part is, after having the bowel series, i took miralax and again, for 2 weeks i was having much better bowel movements. I ate what i wanted and the movements were much bigger and better. Now im back in the same spot i was before i did that test and the miralax isn't working as good

Post Edited (Duffykani) : 6/29/2015 8:41:35 PM (GMT-6)

Posted 6/30/2015 5:40 AM (GMT 0)
I would like to add that I did an enema and it hurt inserting it. I never felt pain down there before using it so can it be a rectal issue? I would be thankful for responses
Posted 7/2/2015 3:51 PM (GMT 0)
I don't think you need to worry about having a stoma yet (though I got a permanent ileostomy in my twenties, and love it, but my quality of life before was miserable).

I'm sorry I don't have better advice for you, the best I can give is to see if you can find a good colorectal specialist. I went through a number of defecation tests: defecating proctogram, anal manometry, etc. but sometimes it's hard for these tests to pick up on problems, and I have an excellent colorectal surgeon who didn't give up on trying to find solutions for me. In my case, the solution was an ileostomy, but I was an extreme case. I do have severe pelvic floor issues, but they're caused by a much more complex condition, my problems were exceptional and my symptoms very different from yours. Before my ostomy, we tried many treatments. For you, one or any of the treatments for defecation symptoms may work, and there are many options, you need a good doctor to guide you through them. Have you had a digital rectal examination? That's one of the most basic ways of checking for more simple rectal abnormalities, so may be a place to start when you next see a doctor, you won't need a specialist to perform that exam.

Let me know if you'd like more information on the treatment options, though of course you will need some tests before you're able to get an idea of what is going on and which treatments may be possibilities for you.

Post Edited (AnnaIvy) : 7/2/2015 9:54:11 AM (GMT-6)

Posted 7/2/2015 6:34 PM (GMT 0)

AnnaIvy said...
I don't think you need to worry about having a stoma yet (though I got a permanent ileostomy in my twenties, and love it, but my quality of life before was miserable).

I'm sorry I don't have better advice for you, the best I can give is to see if you can find a good colorectal specialist. I went through a number of defecation tests: defecating proctogram, anal manometry, etc. but sometimes it's hard for these tests to pick up on problems, and I have an excellent colorectal surgeon who didn't give up on trying to find solutions for me. In my case, the solution was an ileostomy, but I was an extreme case. I do have severe pelvic floor issues, but they're caused by a much more complex condition, my problems were exceptional and my symptoms very different from yours. Before my ostomy, we tried many treatments. For you, one or any of the treatments for defecation symptoms may work, and there are many options, you need a good doctor to guide you through them. Have you had a digital rectal examination? That's one of the most basic ways of checking for more simple rectal abnormalities, so may be a place to start when you next see a doctor, you won't need a specialist to perform that exam.

Let me know if you'd like more information on the treatment options, though of course you will need some tests before you're able to get an idea of what is going on and which treatments may be possibilities for you.

Thank you a lot. I've been walking more and eating a little bit better while taking psyllium fiber. Thats help me go a little more and made my stool a bit thicker(although it might be the miralax i took may be finally kicking in) in sorry i dont mean to annoy this forum but a lot of my symptoms are more talked about in this forum. Im seeing the doctor the 8th and I'm going to ask for rectal exams. I dont really have rectal pain when i do go and i pass stool better. Is it possible with the symptoms i have that i may need a bag in the future? Also may i hear more about pelvic floor issues? I always wanted to know
Posted 7/2/2015 7:41 PM (GMT 0)
I never had the issues you are experiencing...but my friend swears by flaxseed. Have you tried putting that on your cereal, or yogurt? It helped her.
Posted 7/2/2015 7:49 PM (GMT 0)
Hi, women with pelvic floor issues often have bladder problems, but I'm not sure if that's also the case with males. But there are some common rectal problems that could account for rectal pain, uncomfortable rectal sensations and difficulty emptying the bowel which can affect both men and women, e.g. haemorrhoids and rectal prolapse. Sometimes there may be problems with the nerves or sphincter muscles. This site has a good overview of the conditions that can cause these types of symptoms, as well as of the tests and treatments for them: http://www.bowel-control.co.uk/definition/causes/index.htm

Possible treatments include bio-feedback and bowel retraining, which involves a specialist helping you learn to empty your bowel more effectively. There are a few different treatments for prolapse and haemorrhoids, surgery is used for difficult cases. You've already had some experience with laxatives, but there is a huge range of fibre supplements, enemas, suppositories, etc., and a specialist may be able to suggest what's best suited to your problems.

But I don't want you to jump to conclusions and assume your problem is a pelvic floor problem. Certainly bring it up with your doctors though. Have you had other digestive symptoms, or tests involving your upper digestive system, or is it just the constipation and rectal issues? Have you had the pelvic pain investigated at all?

I can't say it's impossible you'll need a bag, but nothing that you've said in this thread so far gives me any reason to think you should. People get a stoma either because it is a threat to their life not to have one (e.g. colon cancer), or because they choose it to improve their quality of life. I don't think you've said anything that suggests you're close to either of those situations.
Posted 7/2/2015 10:56 PM (GMT 0)

AnnaIvy said...
Hi, women with pelvic floor issues often have bladder problems, but I'm not sure if that's also the case with males. But there are some common rectal problems that could account for rectal pain, uncomfortable rectal sensations and difficulty emptying the bowel which can affect both men and women, e.g. haemorrhoids and rectal prolapse. Sometimes there may be problems with the nerves or sphincter muscles. This site has a good overview of the conditions that can cause these types of symptoms, as well as of the tests and treatments for them: http://www.bowel-control.co.uk/definition/causes/index.htm

Possible treatments include bio-feedback and bowel retraining, which involves a specialist helping you learn to empty your bowel more effectively. There are a few different treatments for prolapse and haemorrhoids, surgery is used for difficult cases. You've already had some experience with laxatives, but there is a huge range of fibre supplements, enemas, suppositories, etc., and a specialist may be able to suggest what's best suited to your problems.

But I don't want you to jump to conclusions and assume your problem is a pelvic floor problem. Certainly bring it up with your doctors though. Have you had other digestive symptoms, or tests involving your upper digestive system, or is it just the constipation and rectal issues? Have you had the pelvic pain investigated at all?

I can't say it's impossible you'll need a bag, but nothing that you've said in this thread so far gives me any reason to think you should. People get a stoma either because it is a threat to their life not to have one (e.g. colon cancer), or because they choose it to improve their quality of life. I don't think you've said anything that suggests you're close to either of those situations.

I had a upper Gi, bowel series test and i passed. Sit marker test and i passed. Colonoscopy and they didnt find anything but internal hemmroids but my symptoms have gotten worse since then. I really dont know whats wrong.
Posted 7/2/2015 11:00 PM (GMT 0)

Christine1946 said...
I never had the issues you are experiencing...but my friend swears by flaxseed. Have you tried putting that on your cereal, or yogurt? It helped her.

No but ima look it up. Thank u
Posted 7/3/2015 9:10 AM (GMT 0)

Somebody said...
I had a upper Gi, bowel series test and i passed. Sit marker test and i passed. Colonoscopy and they didnt find anything but internal hemmroids but my symptoms have gotten worse since then. I really dont know whats wrong.

Have you had treatment for the haemorrhoids? If you still have them, it's possible they could account for some of your symptoms.

Having had the scope and upper bowel tests, it's unlikely you have IBD or anything of that nature. I can't say what's wrong with you, but you've had a lot of the conditions that can potentially lead to a stoma ruled out already. If that's your main worry, I think you can relax about it. A stoma is a major surgery, no one's going to rush you into it without good reason. I would say only start thinking about a stoma if a doctor brings up the subject and recommends you have one. As long as no doctor has mentioned it, there's no need for you to be concerned about it.

The other issue is whether you find your current symptoms upset your quality of life. If that's the case the push your doctors for specialist referrals, further tests and treatments. If they don't find inflammation, a prolapse or other physical abnormalities, they may diagnose you with a functional motility disorder. This site has some information about pelvic floor motility disorders, and if you check the menu you can find sections on motility disorders affecting other parts of the digesrive system:

http://www.aboutgimotility.org/site/about-gi-motility/disorders-of-the-pelvic-floor/pelvic-floor-dyssynergia
Posted 7/5/2015 3:31 AM (GMT 0)

AnnaIvy said...

Somebody said...
I had a upper Gi, bowel series test and i passed. Sit marker test and i passed. Colonoscopy and they didnt find anything but internal hemmroids but my symptoms have gotten worse since then. I really dont know whats wrong.

Have you had treatment for the haemorrhoids? If you still have them, it's possible they could account for some of your symptoms.

Having had the scope and upper bowel tests, it's unlikely you have IBD or anything of that nature. I can't say what's wrong with you, but you've had a lot of the conditions that can potentially lead to a stoma ruled out already. If that's your main worry, I think you can relax about it. A stoma is a major surgery, no one's going to rush you into it without good reason. I would say only start thinking about a stoma if a doctor brings up the subject and recommends you have one. As long as no doctor has mentioned it, there's no need for you to be concerned about it.

The other issue is whether you find your current symptoms upset your quality of life. If that's the case the push your doctors for specialist referrals, further tests and treatments. If they don't find inflammation, a prolapse or other physical abnormalities, they may diagnose you with a functional motility disorder. This site has some information about pelvic floor motility disorders, and if you check the menu you can find sections on motility disorders affecting other parts of the digesrive system:

http://www.aboutgimotility.org/site/about-gi-motility/disorders-of-the-pelvic-floor/pelvic-floor-dyssynergia

They removed the herms but no. I go to see the GI doctor the 8th and i will ask for referrals. Yesterday i slipped up and had a big pizza with alcohol with friends and now in constipated agin lol. I'm moving little stools(not pellets) but what funny is they were pellets when i first went to the restroom. When i ate some cabbage, fruits and drunk prune juice i started having some bigger movements.

I really dont know. I just wanna return to being somewhat normal or atleast knowing whats exactly wrong with me. I will be back with the results to keep you updated. Thanks alot
Posted 10/21/2015 7:59 AM (GMT 0)
I'm female, but I had similar issues and pain. Most of it turned out to be OBGYN issues caused by the surgeon knocking other organs around while creating my J-pouch.

However, to ease my pain my surgeon tried injecting Botox into my pelvic floor and sphincter muscles. I had about 6 weeks of absolutely no sensation in that area so I could work on training my body to comfortably "go". After 6 -7 weeks, when feelings returned, the pain didn't.
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