I am a 37 year old Female, with IBS. I am tired of going to the doctor for stomach issues and was hoping you can answer a question for me. I always stain to have a bowel movement or pass gas. I never have hard stools however. Even when I get diarreha I have to really strain to go. I recently have went had a full digestive exam with all the tests. Everything came back normal as it did the first time I had these tests done 10 years ago. Except for having colon polps removed and internal hemmroids. I recently started on Cymbalta and though it is working great for me in every other way. It seems to have made the straining problem worse. It is very uncomfortable to have this issue, i feel like i am packed with stool but have to really push and strain to get it out even a small amount. Even though my stools are soft would this be considered a Constipation problem? Can Hemmroids swell enough inside to cause this problem? What can I take to help with this issue? Thank you very much!!
Straining can lead to hemorrhoids as well as constipation. I would assume that a colonoscopy has been performed to look for anatomic abnormalities.
If the symptoms continue, you can consider more specialized testing, such as anorectal manometry as well as colonic motility studies.
If the symptoms continue, IBS medications like Zelnorm may be of benefit.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.