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I need to go poop, but nothing comes out PLEASE HELP

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Ulcerative Colitis
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Posted 7/20/2010 8:25 PM (GMT 0)
im a 19 year old male and i have to go to the bathroom like every 10 min but when i do very little comes out, this has bee going on for the past few days. when i wipe the stool looks liquidy, no blood. help , if u guys need any more info just ask.
Posted 7/20/2010 10:23 PM (GMT 0)
Are you seeing a doctor about it? how long has it been going on? It is probably a very irritated colon.
You might need a scope done to see what is wrong, hope you have insurance coverage that will pay for it.
Posted 7/20/2010 10:27 PM (GMT 0)
Hi. I registered for this site just so I could answer your message, and I had to wait forever for the confirmation email.

I KNOW WHAT YOU ARE GOING THROUGH!!!!

What you're experiencing is called rectal temesmus, and it's one of the banes of my life. It's caused by inflammation in the rectal region. Inflammation further up is actually more dangerous to health, but rectal inflammation is extremely uncomfortable and difficult to treat. I've had spasms so bad I'm crying on the toilet.

I was recently hospitalized for this. My entire sigmoid colon was so inflamed that almost no stool could get through and I was extremely constipated. All I passed was liquid and gas, and the spasms were excruciating. I'm now on prednisone, three different types of topical medications (cortenema at night, canasa in the morning, 5-asa enema in the afternoon - after I type this, actually).

There are three ways I've found to deal with this - besides the medication. #1 recommendation is to lie as still as you can in bed. Do not move. Because the other solutions involve medications that are better not to take. One doctor I went to prescribed Robinal Forte, which worked at the time (no more), but cause horrible drying in my mouth and eyes. I had to walk around with water or I couldn't swallow. The usual class of drugs used to treat this are opiates, but those are both constipating and addictive so there is a downside. Codeine isn't strong enough for me anymore (the spasms have been horrid). In the hospital they gave me intravenous morphine, which worked.

Right now the spasms are greatly subsided between the predisone, enemas, suppositories, and bed rest. I expect that in a few more days I'll actually be able to walk around like a normal person again.

Good luck!

-------------------

Oh wait - after writing all this and seeing the previous reply, I realize you may not have seen a doctor yet. See a doctor. You may just have a little inflammation around your rectum - forget what that's called. It's a very mild and limited form of ulcerative colitis (I have UC, but through my entire bowel.) They'll give you a week of cortenemas at night and all better. Are you experiencing pain with the spasms?

 

Post Edited (canope) : 7/20/2010 4:31:08 PM (GMT-6)

Posted 7/20/2010 10:56 PM (GMT 0)
I had the same experience ArandomGuy.I tried probiotics and it was sorted out.I poop normal now.I think you may have to rich your flora with positive bakteria.
Posted 7/20/2010 11:48 PM (GMT 0)
Many people including me have had success with mesalamine enemas for lower inflammation. You also sound like you are severely constipated and there is over the counter help for that (Citrucel, Exlax, many others).

If your constipation becomes extremely severe it could cause toxic megacolon which requires hospitalization.
Not trying to scare you but it can cause death in rare cases.

Yes, tenesmus is the name and is one of the common UC symptoms. I was so happy when mine went away due to remission.

See a doctor and describe all your symptoms. Ask specifically for the enemas since many docs forget about them. They really work.
Posted 7/21/2010 2:19 AM (GMT 0)
Rectal temesmus doesn't necessarily mean constipation. I was constipated, but that's because my entire sigmoid colon was so swollen the tube was narrowed. I've had temesus without constipation. It's like the dry heaves. My bowel is already empty, but keeps spasming. It's my most annoying UC symptom.

Also, temesmus doesn't have to be caused by UC. It is in my case, but many things can cause it - IBS, a small tear (anal fissure). He may not have IBD at all. If it's from inflammation in the rectal area, the medicated enemas (mesalamine or cortisone) and suppositories (canasa) are very effective. He needs to see a doctor to find out the cause.

Post Edited (canope) : 7/20/2010 11:47:56 PM (GMT-6)

Posted 7/21/2010 1:41 PM (GMT 0)
Testing... (trying to figure out how to get notified of replies)...
Posted 3/28/2017 4:18 PM (GMT 0)
Good afternoon. I had to join this community to send a word of thanks but I could not let this go unnoticed. Having spent a night walking the floor in pain and contemplating an emergency room visit, I again Googled my symptoms and came upon this website. I have had IBS for over 25 years; this most recent attack began two weeks ago but nothing like what I'm experiencing now. Then I read the post from "Canopener" at 2:45 am this morning. I just want to say "THANK YOU, THANK YOU, THANK YOU"! I followed your advice about lying still and not moving; it is the only thing that worked and I am beginning to feel a lot better. I could feel my rectal muscles relaxing and shrinking; I know it will take a while before I am back to normal but at least I know how to remedy the problem (after trying everything else!).

Just wanted to share and say "thank you" again for your post. I am grateful this community exists and you shared your experiences.
Posted 3/28/2017 5:00 PM (GMT 0)
Tenesmus! My GI helped me understand this when he explained that the inflammation in the rectum makes it sensitive to even minute amounts of stool. It's not necessarily constipation or related to it - it's the inflammation that's causing those spasms and unproductive (many) visits to the bathroom. That symptom is the absolute worst thing about UC in my opinion. Cortifoam helped mine tremendously (along with prendisone).
Posted 3/29/2017 2:27 AM (GMT 0)
You either are constipated and only liquid is getting past your stool, or you have inflammation in your distal bowel which is making you feel like you have to go even though you don't.
Posted 7/6/2017 11:30 AM (GMT 0)
Hey I have been constantly suffering from bloody stool and now it disappeared and abdominal pain start can anyone help me to under this
Posted 8/13/2017 7:32 PM (GMT 0)

Canopener said...
Hi. I registered for this site just so I could answer your message, and I had to wait forever for the confirmation email.I KNOW WHAT YOU ARE GOING THROUGH!!!!What you're experiencing is called rectal temesmus, and it's one of the banes of my life. It's caused by inflammation in the rectal region. Inflammation further up is actually more dangerous to health, but rectal inflammation is extremely uncomfortable and difficult to treat. I've had spasms so bad I'm crying on the toilet.I was recently hospitalized for this. My entire sigmoid colon was so inflamed that almost no stool could get through and I was extremely constipated. All I passed was liquid and gas, and the spasms were excruciating. I'm now on prednisone, three different types of topical medications (cortenema at night, canasa in the morning, 5-asa enema in the afternoon - after I type this, actually).There are three ways I've found to deal with this - besides the medication. #1 recommendation is to lie as still as you can in bed. Do not move. Because the other solutions involve medications that are better not to take. One doctor I went to prescribed Robinal Forte, which worked at the time (no more), but cause horrible drying in my mouth and eyes. I had to walk around with water or I couldn't swallow. The usual class of drugs used to treat this are opiates, but those are both constipating and addictive so there is a downside. Codeine isn't strong enough for me anymore (the spasms have been horrid). In the hospital they gave me intravenous morphine, which worked.Right now the spasms are greatly subsided between the predisone, enemas, suppositories, and bed rest. I expect that in a few more days I'll actually be able to walk around like a normal person again.Good luck!


-------------------



Oh wait - after writing all this and seeing the previous reply, I realize you may not have seen a doctor yet. See a doctor. You may just have a little inflammation around your rectum - forget what that's called. It's a very mild and limited form of ulcerative colitis (I have UC, but through my entire bowel.) They'll give you a week of cortenemas at night and all better. Are you experiencing pain with the spasms?

Posted 8/13/2017 7:37 PM (GMT 0)
Hello! Can opener, I registered for this site just so I could ask you about rectal temesmus.. And yeah I'm experiencing pain while every poop. So, what should I do now?
Posted 8/14/2017 1:34 PM (GMT 0)
Hi, the user Canopener hasn't posted here in 7 years on this very old thread. So, I doubt you will get a response from him/her.

Temesmus is a very annoying symptom of UC, when we have inflammation within our rectum. It's that feeling of having to poop, and often not pooping at all (or having just a tiny bit come out). Temesmus goes away as your rectal inflammation is treated and heals. So ask your gasteroenteroligist for rectal-route medications. Examples include: anti-inflammatory meslamine suppositories (aka Canasa), enemas (rowasa, Pentasa or Salofalk enemas). Steroid suppositories, rectal-foams, and enemas are also used to treat it.

What UC medications are you currently taking and at what dose? Contact your gasteroenteroligist and see about getting a prescription for one of the above mentioned medications. Good luck!
Posted 9/17/2017 9:34 AM (GMT 0)
Sometimes it's not tenesmus. It could be that you're actually constipated. This is what I have. The wrong foods can take hours for me but it's hard working out what the wrong foods are. For me the top of the list would be excess protein, but certain fibre causes constipation for me as well. Wholegrains cause spasms for me, which causes a different form of constipation - or incomplete evacuation. I seem to need mostly gentle, non-aggravating fibre (mostly starchy, low FODMAP veges) and very little of anything else so it's a tough diet to follow. I can't tolerate any dairy, legumes, nuts or wholegrains. I don't know if it's the sulphur or the fibre or both. What I don't get is why we seem to be sensitive to just about everything.
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