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Sensation I have to poop but cannot

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Posted 9/8/2017 4:29 PM (GMT 0)
Hi everyone, quick question. The last 2 weeks or so my mornings have been different. When I wake up I take one very, very large stool that can have me straining a little bit but it's just very large and mostly but not fully formed. Then once I'm done, I will continue to have to sensation that I need to go but when I sit back down nothing comes out. Usually within about 30 minutes k will finally go again and it will come out formed but I have to strain, strain, strain to get it out and it can be very painful. The urge will still remain after that for about an hour before it subsides and I can go on with my day. Anyone have any input?

(I added a subject)

Post Edited By Moderator (iPoop) : 9/8/2017 10:34:00 AM (GMT-6)

Posted 9/8/2017 4:35 PM (GMT 0)
I believe what you are describing is known as tenesmus and it is caused by rectal inflammation. It's the feeling you have to poop, but cannot. It's a real bugger/pain! The best you can do is treat the inflammation with UC medications, such as through daily use of Canasa suppository or Rowasa enemas. Sometimes Steroid suppositories, foams, or enemas are used to treat it as well. Constipation is also a sign of rectal inflammation, same issue treat the underlying UC rectal inflammation for relief.
Posted 9/8/2017 4:43 PM (GMT 0)
iPoop covered it beautifully (as usual). I just wanted to add that I never had this sensation until I was heading into remission ---it was actually during the healing process.

My case may be unusual...but just wanted to toss it out there. I also got some constipation when healing, like multi day even. I was thinking I was getting worse but was actually getting better.

I am somewhat more concerned about all the straining you are talking about......have you taken any fiber to help? and lots of extra water? that may help to expedite the movements. Could be the constipation is causing extra inflammation.....
Posted 9/8/2017 5:09 PM (GMT 0)
It's a symptom to remember as early increasing inflammation in a flare or lessening inflammation while healing.

I suggest rectal meds nightly for a while until that stops, then go an extra week nightly and taper to every second night.

Yes, add fibre supplements slowly with meals, probiotics and you could increase foods that can help move things along in the colon.

What meds are you on?

q
Posted 9/8/2017 8:11 PM (GMT 0)
Thank you all for the quick responses. I appreciate it.
Ipoop - that makes a lot of sense the way you explained it. I've been on anucort for some time now but I don't think it's having much of an effect anymore. I am putting in a request for Canasa and see wat the doc thinks.

Marjie- I really hope that's the case here! I was getting better until this started. Weird thing is I eat a lot of peppers, spinach, tomatoes, and avocado so I don't really think fiber was an issue but I could definitely try some more. I've never had constipation as an issue.

Q - I'm on entyvio, tapering Prednisone, and imuran. Also anucort sups but gonna try and switch to Canasa to see how that helps. I haven't added probiotics yet but you think they could help?
Posted 9/8/2017 10:21 PM (GMT 0)
Man, I sympathize. I hate tenesmus! I remember all those days of feeling like my sphincter was in a cramp or muscle spasm. And the cramping and sitting on the toilet crying. Yeck!

I would try some fiber supplements -- either metamucil or pysillium seed powder. Also probiotics.
Posted 9/9/2017 1:16 AM (GMT 0)
Flowersgal - the absolute worst! I've never experienced this before and wouldn't wish it on my worst enemy. I will definitely try some fiber. I've used psyllium seed powder way back when with some success, maybe I'll slowly reintroduce that to get things going. Thanks!
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