Need some help

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New Member

Date Joined Oct 2006
Total Posts : 3
   Posted 10/14/2006 7:18 AM (GMT -7)   
I could really use some help.  For the last 2 years I have been dealing w/a problem no one can seem to diagnose.  I was hoping someone else has this issue or has been diagnosed for it.  I am fine when I wake up in the morning but once I actually have a bowel movement the rest of the day becomes misreable.  I constantly feel as if I have to go, and it is an urgent feeling to go.  It also feels like I am leaking all the time after the intial movement.  I have some clear liquid, not alot but enough to make me very uncomfortable during the day come out.  When I do rush to the bathroom when I feel I can no longer hold the movement back it is either small drop of what looks like mucus or a very small dot of feces.  The feeling of having to go goes away for about 20 minutes but then comes rushing back.  I then spend the rest of the day going to the restroom every 30 minutes.  Most of which times nothing but a drop of fluid comes out.  Keep in mind it feels as though I am holding back mass amounts of feces at all times.  Does anyone have any idea what this is or how to stop it??  I take imodium ID all day long once it starts but it has little effect if any at all to stop it.   It is becoming very bothersome at work and everyday life and I need to find a way to stop it.  Any help will be appreciated.

Veteran Member

Date Joined Apr 2005
Total Posts : 3269
   Posted 10/15/2006 10:33 AM (GMT -7)   
Hi melting,
Welcome to HealingWell! :-)
Research shows that only about 20% of IBSers suffer from incontinence. Usually it happens for a limitted time when they're struggling with constipation or diarrhea. If it happens repeatedly it can be attributed to hemorrhoids or IBD (Crohn's or UC).
Have you had a colonoscopy?
You mentioned that no one can seem to diagnose you... Does that mean you've seen more than 1 doc? I really think you should keep looking. Find a GI specialist who is willing to take your problem seriously.
In the meantime, anti-diarrhea meds should help you. You mentioned Imodium doesn't help - maybe you could try Pepto-Bismol. If you try that, remember that it may turn your stool dark brown or black. Laxatives can also help clean everything out so there is nothing there to drip out. Pelvic floor exercises can help strengthen your sphincter muscle, and Biofeedback can show you how to squeeze it. As a last resort there is also surgery.
These are all things your doc should be discussing with you.... Especially if you've been dealing with this for 2 years. Please find a new doc who will help you.
Hopefully someone else will come along shortly with more info.
Take care.
Co-Moderator for the IBS Forum
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New Member

Date Joined Oct 2006
Total Posts : 3
   Posted 10/16/2006 5:43 PM (GMT -7)   
Hello and thanks for the info.  Yes I have had a colonoscopy and it showed nothing.  Also I have had hemorrhoid surgery twice (dont' believe them when they say once removed they don't come back).  This problem actually started after the second surgery which was to fix the roids and a fistula.  I have seen multiple doctors and have had the colonoscopy, barium enemya, and multiple sigmoidoscopy's.  I'm done having things shoved up there.  I am at my wits end.  I have been told it is lack of fiber to they don't know what it is.  All I want is the clear liquid to stop coming out and the rushing to the bathroom every 20 minutes to stop.  Thanks for the help and if anyone ever has these symptoms and finds out what it is please let me know.   

Veteran Member

Date Joined Jun 2005
Total Posts : 2976
   Posted 10/17/2006 7:50 AM (GMT -7)   
I can't recall where I read it, but surgeries in the anal region can mess up your ability to control your bowels.  Pregnancy--especially vaginal birth--is another thing that can stress and stretch out your control muscles in both the bladder and the anus.  Your feeling like you constantly need to go, even when you have little, if anything to come out may be due to damaged nerves from those hemmroid surgeries.  Which may be why the imodium isn't controling those "need to go" urges; it controls the intestines, but not the nerves. 
Like Lil suggested, there are exercises that can help you regain some control of your sphincter.  There should even be therapy places that teach these to you.  The best person to ask about finding these therapists would be a gynocologist or someone who speacializes in or at least treats a lot of old people.  Like I said, pregnant and post-pregnancy women often have this problem, as do older people.  Exercise is probably not going to take away the urge to go, but it will at least help you hold it in.  If you suspect that you may indeed have nerve damage from your hemmroid surgeries, try going to see another G.I. and tell him about your urges to go, even when you don't have a stool to pass, your past surgeries, your leakage, and the failure of imodium to stop the urge.  I don't know if anyone has tried you on antispasmodics, but I think if the imodium doesn't work on the urge, the antispasmodics won't either; they are for keeping the intestines from spasaming and causing bowel movements.  But it may be worth a try.
I read recently--I think on the health page on MSN--that they are starting to use botox injections on people with bladder control problems because it can make weak, loose muscles rigid and keep them from allowing leakage.  If your doctor does suspect rectum damage, that may be something you want to try (I haven't heard that they are using it on rectums, but if they're using it on bladders...); at the very least it is numbing and it may help quell any overactive nerves down there. 
And someone on this board some time ago said that her doctor was treating her for hemmroids, but at the last minute someone discovered that she actually had skin tags and that if they had been removed as hemmroids are, it would have been very, very bad for her.  Makes one wonder about your reoccuring hemmroids when you were told they wouldn't come back and the fact that after the second surgery, you got messed up. 
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