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Understanding and Managing Incomplete Bowel Emptying: Causes, Symptoms, and Solutions

constipation dehydration fermentable carbohydrates hashimotos hypothyroid ibd ibs-c incomplete bowel movements lyme methanogen mold mycotoxins prokinetics sibo Dec 02, 2023

Understanding and Managing Incomplete Bowel Emptying: Causes, Symptoms, and Solutions

 

 

Incomplete bowel emptying, also known as tenesmus, is a condition that can significantly impact an individual's quality of life. It refers to the sensation that one has not fully emptied their bowels after a bowel movement. This condition can be caused by various factors and may lead to discomfort, frustration, and even anxiety for those affected. In this blog post, we will discusses the causes, symptoms, and potential solutions for incomplete bowel emptying.

 

Causes of Incomplete Bowel Emptying:

 

  1. Constipation:

   One of the most common causes of incomplete bowel emptying is constipation. When stool is hard and difficult to pass, it can leave a feeling of incomplete evacuation.

 

  1. Pelvic Floor Dysfunction:

   The pelvic floor muscles play a crucial role in bowel movements. Dysfunction in these muscles, often due to childbirth, aging, or injury, can lead to difficulty in completely emptying the bowels.

 

  1. Inflammatory Bowel Disease (IBD):

   Conditions like Crohn's disease and ulcerative colitis can cause inflammation in the digestive tract, leading to irregular bowel habits and the sensation of incomplete emptying.

 

  1. Hemorrhoids:

   Swollen blood vessels in the rectum and anus can cause discomfort and a feeling of fullness, contributing to incomplete bowel emptying.

 

  1. Neurological Disorders:

   Diseases affecting the nervous system, such as multiple sclerosis or Parkinson's disease, can disrupt the signals between the brain and the digestive tract, leading to incomplete evacuation.

 

Symptoms of Incomplete Bowel Emptying:

 

  1. Persistent Urges:

   Individuals with incomplete bowel emptying often experience persistent urges to have a bowel movement, even after attempting to evacuate.

 

  1. Abdominal Discomfort:

   Discomfort or pain in the abdominal region, particularly after a bowel movement, can be a common symptom.

 

  1. Straining during Bowel Movements:

   Straining excessively during bowel movements is a sign that the stool may be difficult to pass, contributing to incomplete evacuation.

 

  1. Bloating and Gas:

   Incomplete bowel emptying can lead to increased gas and bloating as the stool accumulates in the intestines.

 

  1. Rectal Bleeding:

   In some cases, individuals may experience rectal bleeding, especially if the cause of incomplete emptying is related to conditions such as hemorrhoids or inflammatory bowel disease.

 

Solutions and Management:

 

  1. Dietary Changes:

   Increasing fiber intake through fruits, vegetables, and whole grains can soften the stool and promote regular bowel movements, reducing the likelihood of incomplete evacuation. If these steps make your symptoms WORSE, it may be a good idea to check for SIBO with a lactulose breath test, as sometimes extra fiber can make symptoms worse with methanogen overgrowth and requires a different approach.

 

  1. Hydration:

   Staying well-hydrated is crucial for maintaining soft and easily passable stools. Drinking an adequate amount of water can alleviate constipation. If this doesn’t work, try adding some trace minerals to your water in order to insure that the water actually makes it into your cells.

 

  1. Pelvic Floor Exercises:

   Strengthening the pelvic floor muscles through exercises, such as Kegels, can be beneficial in improving bowel control and reducing the sensation of incomplete emptying.

 

  1. Laxatives:

   In cases of persistent constipation, laxatives may be recommended to soften the stool and facilitate easier bowel movements. However, it's essential to use them under the guidance of a healthcare professional.

 

  1. Medications:

   Depending on the underlying cause, medications such as anti-inflammatory drugs or medications targeting specific conditions like IBD may be prescribed. Prokinetics also may help if there is a neurologic condition limiting bowel movements. Ginger is a safe over the counter approach for a prokinetic and may be a good initial approach before moving towards prescriptive prokinetics.

 

  1. Biofeedback Therapy:

   For those with pelvic floor dysfunction, biofeedback therapy can help retrain the muscles and improve coordination during bowel movements. Visceral manipulation can also be helpful to make sure that the organs are moving and positioned properly.

 

Conclusion:

 

Incomplete bowel emptying is a common condition with various potential causes. Understanding the underlying factors, recognizing the symptoms, and adopting appropriate lifestyle changes or seeking medical intervention can significantly improve the management of this condition. If you or someone you know is experiencing persistent symptoms of incomplete bowel emptying, it's crucial to consult with a healthcare professional for a thorough evaluation and personalized treatment plan.

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