Pain after using the toilet. Pain in the lower abdomen, especially after using the toilet

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Questions and answers on: abdominal pain after using the toilet in general

2015-05-26 06:53:09

Andrey asks:

Hello! Help please, I'm already going crazy!(((I am a 22-year-old man, I have been doing powerlifting for 2 years, lifting heavy weights. I ate different sports nutrition, took a course a couple of times steroid drugs. I tried to eat a lot and ate up at night. During this time I gained more than 10 kg. Now I am suffering from this problem. Since half a year ago, during and after eating, my stomach began to swell very much, and a large amount of gas accumulated. At the same time appeared internal hemorrhoids with bleeding. A last months 3 suffers from terrible rumbling and strange sounds in the intestines, similar to squeaks (almost at the very bottom), this happens mainly immediately after eating and in the morning before defecation. At the same time, gases accumulate and escape, often without any odor. This makes me sleep very poorly, there are severe anxiety and fear. The feces are different, sometimes hard, sometimes watery, mushy, comes out in portions, at first it’s hard and then more fluid, it has some strange looseness and color, there are pieces of undigested food, it hurts after bowel movement anus(but I understand this because of hemorrhoids). I gave blood (general, for sugar, liver), urine, feces for dysbacteriosis, caprogram, did a colonoscopy, ultrasound abdominal cavity. The indicators are not bad in principle; no obvious problems were found. Now one gastroenterologist, after new tests (caprograms and dysbacteriosis), has made a diagnosis chronic colitis in aggravation and dysbacteriosis 1st degree. Here are the results - caprogram (present hidden blood, fat neutral, fatty acid, starch, grows. fiber digested, iodophilic flora, erythrocytes 1-2-3 per point of view) for dysbacteriosis (80% hemolyzing agent is present coli). Prescribed diet + "intetrix" 4 tablets. per day after this Latium course. I took Intetrix for 10 days, the flatulence decreased a little, I stopped waking up at night, but in the morning I have to go straight to the toilet, there are cutting pains in the lower abdomen, they go away after bowel movements, during bowel movements and afterward the intestines grumble a lot, this happens The rumbling can be felt right in the anus((, after eating, rumbling also appears.

Answers Tkachenko Fedot Gennadievich:

Hello Andrei. You really cannot exclude some kind of proctological pathology, inflammatory diseases of the colon. Contact a qualified proctologist for an in-person examination and I think it will be necessary to perform a fibrocolonoscopy.

2015-02-05 15:10:55

Yana asks:

Time of day, dear doctors! Please help me with this problem, as it has been bothering me for a very long time. I am 31 years old, height 168, weight 50 kg. About 7-8 years ago, bloating began in the lower right part of the intestine, it bothered me only until my period, then it went away. Then bloating began to constantly bother me in this part of the abdomen (regardless of the cycle) and then it began to bloat in the left part of the intestine below. Now, years later, my entire stomach is bursting, and even under my ribs. It is impossible to sit in trousers, it is difficult to bend over. The belly increases greatly in size and hangs over the trousers. It’s hard to breathe. When it comes to stool, there is no diarrhea, there is a feeling incomplete emptying, and sometimes sheep feces, sometimes the first portion is in the form of a cork, and then it comes out soft. There are generally ideal sausage-shaped stools (sorry). I go to the toilet every day. The bloating increases sharply after urination (why?), and after using the toilet for a long time. After a bowel movement, the stomach begins to rage (even after a normal one). The release of gases does not bring relief, quite the contrary. Often there is a feeling that the gases are not coming out completely, but a little at a time. She was treated with sorbents, drugs for dysbacteriosis (various, there were a lot of them - normoflorin, rioflora, hilak - to no avail!), drank trimedate - to no avail. Doctors diagnose IBS - but why do the symptoms get worse over the years if it's IBS? I tested for worm eggs once - none were found. UBC tests, blood biochemistry - normal, stool analysis for dysbacteriosis - minor deviations. And one more thing - I decided to try allohol on my own - the stool stopped being like a sheep, and after defecation gases with a terrible smell began to come out, the same gases began to come out after urination (previously everything was seething, but the feeling was that it was lingering inside), but for more than two days I I couldn’t take the drug - pain began in the right and then in the left hypochondrium, bitterness appeared in my mouth and I began to feel sick in the morning. I had an ultrasound several years ago - constriction of the gallbladder - the rest was without pathology. I have no stress, my life and work are extremely calm. Please tell me what tests or studies should be carried out to understand the reasons, since living is simply becoming unbearable. Or recommend a trial treatment. Thank you!
I’ll also add that I took Wobenzym, a few months ago myself (it contains pancreatin) - it didn’t get better, it seems that the bloating even got worse and my left side hurt. So I don’t experience pain, I rarely experience tingling in the right hypochondrium and bitterness in the mouth due to errors in nutrition. The most disturbing thing is the feeling of just WILD bloating in the stomach. Sometimes I feel that something is “bubbly” there and the bloating becomes smaller.

Answers Tkachenko Fedot Gennadievich:

Hello Yana. The situation is somewhat unusual. With normal, regular bowel movements, such bloating is not normal occurrence. As a further examination, I would like to recommend that you contact a qualified proctologist for an in-person examination and perform a fibroclonoscopy.

2012-11-23 21:00:23

Julia asks:

Hello, a couple of days ago I left the hospital for 12 weeks and am worried about severe pain in the abdomen and lower back. brown daub I drink duphaston 6 tablets a day, I put on noshpa and vitamins, I put on instant but nothing helps. I was in bed 2 times. After using the toilet, my stomach and lower back hurt a lot, constipation is impossible to change.

I just don’t know what to do, the pain makes me want to climb the wall. According to the ultrasound, the chorionic detachment is 1.5-0.6 cm, the discharge is spotting, light brown, sometimes yellow. I hope ours is the best. Our how dangerous is my detachment in these sizes and why does the pain not go away because I drink so much. thank you

Answers Klochko Elvira Dmitrievna:

It's not a lot you drink. THIS IS VERY HUMBLE. A section of the placenta is exfoliating due to the tone of the uterus - it is small - so there is hope for normalization. Need strict bed rest in the hospital.

2012-06-23 14:21:59

Olga asks:

Hello!
Just recently, aching pain in the lower abdomen began. A little closer to lunch, after going to the toilet for a long time, I noticed blood on the paper. I looked at the stool, there was also blood. I took a test and it was negative. What should I do?

Answers Tkachenko Fedot Gennadievich:

2009-03-09 16:44:51

Katya asks:

Hello. I am 22 years old. such a problem. Last year, severe and constant pain began in the lower abdomen. Naturally, the first thing to do is see a gynecologist. They diagnosed endometriosis or adnexitis as questionable. They treated me with hormones and still haven’t made an accurate diagnosis, but this treatment is of no use. There are pains, aching, and going to the toilet can be painful (stabbing sharp pains, after the toilet stop immediately), Lately Constipation began to appear (previously a very rare occurrence). When the stomach was examined, they found Helicobacter ++ and treatment with antibiotics, which made it even worse... my face and shoulders broke out small pimples and in the morning the nausea is just wild((... I lost weight dramatically and by 6 kg in a week. Please tell me if I need to examine my intestines and if so, how better way? Could this be some kind of dysbacteriosis? The thing is that the gynecologist can’t tell me anything for sure. “well, clinically it looks like endometriosis, but not uterine, but somewhere in the peritoneum and most likely in the intestines. I need to take hormonal drugs again,” my ultrasound as a woman is excellent and my blood and urine tests are also normal... understand My doctor cannot tell where this pain is coming from. as a result, I cannot understand where these pains come from and what exactly hurts, what to examine and how to treat. and I’ve been tired of these aching pains for a year already, it’s just crazy... first the stomach, then left hypochondrium, then right. Even on the ultrasound, they said that I have a narrow passage in my gall bladder, and to improve digestion I need to drink choleretic drugs periodically. could this somehow affect my problem?
Or maybe it’s some kind of inflammatory disease in the intestines? Please tell me what can be done here and who can I contact with such symptoms?
thank you in advance

Answers Tkachenko Fedot Gennadievich:

Good afternoon Ekaterina. I think that in similar situation You just need a consultation with a proctologist with a full examination of the abdominal organs and possibly a consultation with some other gynecologist. Please understand me correctly, I do not question the qualifications of my colleagues who examined you and treated you before. By at least If I have any doubts about my treatment or my diagnosis, I always recommend an examination by another doctor and ask my colleagues to examine the patient. Sincerely, Tkachenko F.G.

2016-04-19 21:11:12

Dmitry asks:

Hello! I have this problem, it’s been happening almost every day for two months now. It's a dull pain in the stomach, near the navel. Nothing like this had ever happened before; my stomach rarely hurt. Before this problem, there was an incident that may have provoked this trouble. I was working out, hugging the barbell, and when I couldn’t lift it, it turned out that I put the barbell on my stomach (it pressed him), maybe this provoked all the pain and discomfort that I am now experiencing. Also then I did a new exercise, lifting a barbell from the ground to the stomach, “deadlift”, moving it through force heavy weight. On the second day I saw how my stomach swelled, it looked like my stomach had stopped working. We have a grandmother here who puts the stomach in place, she gave me a massage, adjusted it and said that it was out of place because it was moved by a lot of weight, after she pulled it from the chest to the bottom, the stomach became soft, and I used to be like a stone. I still went to the doctors to have specialists analyze it. I went to the surgeon, he felt it, but didn’t see anything. Then I went to the therapist - they took an x-ray of the stomach, they said the stomach was not missing, everything was in place, the ultrasound was also all normal. I took tests and found nothing there. Please advise what I might have. I haven’t lifted or done anything heavy for two months, and the pain appears every day, especially in the morning. What could it be? Can Nada do some exercise? I’ve already been on a diet, but nothing helps. I often have bloating, I rarely go to the toilet. I have so many plans and everything stands still, with this belly I can’t take on anything. I will be very grateful for your advice!!!

Answers Vasquez Estuardo Eduardovich:

Good afternoon, Dmitry! There was probably a bruise of the muscles of the anterior abdominal wall; the studies you mentioned in such cases show nothing, and recovery will be slow. It is necessary to continue periodic consultations and monitoring with a local surgeon and general practitioner.

2015-09-27 17:29:19

Byrjan asks:

Hello, 5 days ago I had surgery to remove an anal fissure and 2 polyps with laser. The first day after the operations, I went to the toilet for the most part, everything seemed to be fine, but then after 2 days I was discharged from the hospital; I had a slight cold, my nose was stuffy, my head hurt and I took Sinupret tablets, after which I started having terrible constipation, nothing comes out at all; in the toilet for hours, but it seems like it’s coming out, but it doesn’t come out. And the pain in my stomach feels like I really want to go to the toilet. I held on for 3 days and couldn’t go anywhere, so I went to the doctor and he did an enema, but after the enema, it was as if there was still something in my stomach. When I lie down a lot, the pain doesn’t go away much, but when I move, my stomach starts to hurt and I want to do more, but I can’t. The proctologist said that there is nothing there, everything is fine there. But your stomach still hurts, when you press on your stomach it doesn’t hurt much, you took Duphalac, a laxative doesn’t help. I haven’t gone to the toilet for 2 days, but I really want to

Additionally, women may be prescribed:

• analysis of microflora for dysbacteriosis;
• cytology;
• biopsy;
• Ultrasound genitourinary organs;
• bacterial culture of urine;
• PCR diagnostics.

If you experience pain after going to the toilet, by and large, your doctor may prescribe:

• general blood analysis;
• examination of stool for the presence of blood;
• general stool analysis;
• blood test for liver and kidney tests;
• biopsy.

The act of defecation is an intimate process, we do not want to share its details with other people, however, if your stomach hurts, after using the toilet you should not “delay it”, but it is better to seek help from a specialist.

I drove for a long time in a traffic jam, there was nowhere to go to the toilet. I endured it for almost 2 hours, almost crying. Then I barely managed to go, something shorted out. And now, for the second day, my stomach hurts, it feels like I’m having my period. What is this??

I don’t know what it is, the bubble has probably stretched

It happened once, but it went away after a couple of hours.

This could be inflammation. If you tolerate it often, for example, then it’s possible chronic illness make money. Make it a habit before going on a trip to “unsubscribe” to the last drop, even if you don’t feel like it. But once, maybe it will go away on its own.

I had this happen when I was 12 years old. I also endured it for a long time, then my lower abdomen began to hurt. I got scared and told my mom, she called an ambulance, they thought it was appendicitis (I didn’t tell the doctor anything about what I was suffering, it was uncomfortable). As a result, cystitis was treated.

It’s your cystitis that has started, it’s not only caused by congealing, but also by patience. “Tsiprolet” helps me, 1-2 tablets on an empty stomach are better, but you can take it after eating. Within an hour, the pain goes away.

Ciprolet antibiotic. Do I really have a good reason to drink it? There is no constant urge to go to the toilet, no pain when urinating, so I don’t think it’s cystitis. The pain is really like aching muscle after overvoltage.

The pain is really similar to an aching muscle after overexertion.

Stop using ciprolet - this is a high-grade antibiotic, and you are taking it uncontrollably and haphazardly, 1-2 tablets will not help, they will only muffle symptoms for a while and cause even greater resistance of microorganisms to the antibiotic with each dose.

It will come to the point that at one point, in the event of a serious illness that requires antibiotic therapy, antibiotics simply will not help you - and the doctor will rack his brains about how to treat you, because nothing will take you, and you will be dying.

She also somehow endured it, jumped out at the end, and ran into the bushes. That's how I got overwhelmed there. I barely made it home. They also diagnosed me with cystitis. True, the pain went away the next day, frequent urges there wasn't either. They prescribed some drops, I remember dropping them for sugar and taking them.

it's called super piss piss

Take spasmalgon or nimesil (or both) - it should go away.

The pain is really similar to an aching muscle after overexertion.

Well, that means it hurts. It also happened to me that I slept at night with a full bladder, then in the morning my stomach was still heavy.

Don't put up with this anymore. I should have parked somewhere near McDonald's and pee

1 to noshpa, if it really hurts. but just don't overexert yourself and everything will pass

If you endure it often, for example, then you can even develop a chronic disease. Make it a habit before going on a trip to “unsubscribe” to the last drop, even if you don’t want to.

general urine analysis; general blood analysis; special urine analysis according to Nichiporenko.

analysis of microflora for dysbacteriosis; cytology; biopsy; Ultrasound of the genitourinary organs; bacterial culture of urine; PCR diagnostics.

general blood analysis; examination of stool for the presence of blood; general stool analysis; blood test for liver and kidney tests; biopsy.

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2015-05-26 06:53:09

2015-05-26 06:53:09

Dilatation of hemorrhoidal veins

Hemorrhoids is a pathology in which expansion occurs venous vessels with the formation of nodes or bumps. Disease long time may be asymptomatic, which complicates diagnosis and makes it impossible to prescribe timely treatment.

Since the clinical picture of hemorrhoids is not specific, for precise definition nosology should consult a doctor.

Proctitis and paraproctitis

Proctitis is an inflammatory process in the mucous membrane of the rectum, which is accompanied by intense pain. There is a violation of stool consistency towards diarrhea. There is mucus in the stool and there may be streaks of blood.

The disease is caused by pathogenic or opportunistic bacteria Therefore, the basis of diagnosis is identifying the pathogen and conducting an antibiotic sensitivity test.

Paraproctitis is often a complication of proctitis and is characterized by inflammatory process in pararectal tissue. The process in this area easily becomes chronic, forming fistula tracts that require immediate surgical treatment.

Paraproctitis is characterized by a more vivid clinical picture, including fever, intense abdominal pain in the rectal area. When defecating, the pain intensifies.

Anal fissure

Anal fissure is one of the few diseases where pain is the main symptom. Pathology implies mechanical damage to the mucous membrane of the anus.

Besides acute pain, especially pronounced during defecation, anal fissure is characterized by the appearance of bloody impurities in the stool (scarlet blood, which indicates damage to the rectum and lower levels) and increase the tone of the rectal sphincter.

An anal fissure is characterized by a vicious circle that aggravates the pathology. During defecation, pain stimulates even stronger contraction of the sphincter, which is why the crack only deepens and does not heal.

There are acute and chronic courses of the disease. Acute anal fissures are characterized by a bright but short-term clinical picture. Healing occurs quickly and without leaving a trace. At chronic course the pain becomes constant, intensifying with defecation or changing body position. It is also possible to develop stool phobia, when a person is very afraid to go to the toilet.

In what case should you see a doctor immediately?

If the pain after using the toilet is regular, the patient should consult a proctologist. If it is impossible to consult a proctologist, see a surgeon. It is important to receive on time medical assistance and start treatment as soon as possible.

Often painful sensations in the abdominal cavity indicate the most serious illnesses Gastrointestinal tract, genitourinary system and other pelvic organs. Patients, for example, complain to doctors that their lower abdomen hurts and they really want to go to the toilet.

They experience discomfort and severe colic. Of course, doctors cannot ignore patients’ complaints, so they make an accurate diagnosis and prescribe treatment appropriate to the condition based on the results of the examination.

Why does my stomach hurt?

Abdominal pain is a symptom of many diseases. The nature of the pain various diseases can vary from acute, intense, to subtle, aching, etc. The cause of pain is a decrease in blood supply to the organ, injury, or the development of an inflammatory process in it. The most common reasons for the development of this symptom may be:

• Pathology urinary system
• Pathology of the female reproductive system

Pathology of the digestive system

Intestinal diseases

A cancer tumor located in the rectum or near the anus is a mechanical obstacle to the path of feces. With this pathology, pain during defecation will be associated with mechanical damage tumor growth. There may also be bloody impurities or mucus in the stool. A characteristic feature Spontaneous bleeding from the anus is also considered cancer.

Volodya. Sun, 08/01/ — 14:19

Judging by the fact that you are now reading these lines, victory in the fight against gastrointestinal diseases intestinal tract not yet on your side...

Have you already thought about surgery? This is understandable, because the stomach is very important organ, and its proper functioning is the key to health and wellness. Frequent pain in the stomach, heartburn, bloating, belching, nausea, bowel dysfunction... All these symptoms are familiar to you firsthand.

What does pain in the lower abdomen and constipation mean?

Constipation may appear as a separate symptom diseases and independent pathologies. Often this phenomenon is associated with errors in nutrition, when a person drinks little, takes diuretics and does not eat foods containing fiber.

Constipation and associated pain is a rather delicate condition that requires close attention and appropriate response.

Diseases in women

If the patient has a history of hemorrhoids or any inflammatory diseases rectum, a condition such as rectum prolapse should be expected. This condition accompanied by painful sensations, especially in the case of ulceration.

Sometimes patients are perplexed why it hurts to go to the toilet after sex, and do not suspect that during physical activity loss occurs, which causes pain.

There are three stages during the disease:

1. Prolapse of the mucous membrane during defecation and its self-reduction;
2. Intestinal prolapse during any physical activity and self-reduction does not occur;
3. Constant prolapse of the intestine, even just in an upright position.

This disease requires surgical treatment, so at the first signs you should consult a proctologist. Pathology rarely appears on its own, so its presence indicates another advanced process in the rectum area.

Prostate inflammation

Prostate inflammation

Prostate inflammation

Prostate inflammation

Localization of pain in lower parts abdomen, relief after defecation and sheep feces indicate that the syndrome is based on damage to the distal colon.

Increased if you are prone to constipation contractile activity sigmoid colon: its rhythmic segmentation is enhanced and propulsive peristalsis is weakened, which leads to bloating and characteristic appearance feces (sheep feces).

With a tendency to diarrhea, rhythmic segmentation is weakened, and the passage of intestinal contents is accelerated. The pain is most likely caused by stretching of parts of the intestine located proximal to the spasmodic areas.

In patients with irritable bowel syndrome, the myoelectric activity of the colon changes (the proportion of slow waves with a rhythm of 2-4 contractions per minute increases). True, the specificity of these changes is questionable, since they occur in psychoneurological disorders in the absence gastrointestinal disorders.

With diarrhea, the passage of contents through the small intestine is accelerated, and with constipation, abdominal pain and bloating, it is slowed down.

Prostate inflammation

Prostate inflammation

2Symptoms and etiology of cystitis

To confirm the diagnosis, you need to undergo some tests, which will be prescribed by a urologist. Tests that a doctor may prescribe: urine test, ultrasound examination Bladder, bacterial culture test, cystoscopic examination.

In addition, you should come for a check-up with a gynecologist, since cystitis can be caused by a sexually transmitted infection.

The basis of treatment for painful bowel movements is etiological factor who called her. In this case, therapy is aimed not only at reducing pain, but also at eliminating accompanying symptoms.

If pain during defecation is associated with stool disorders, then drug treatment may not be required. The doctor, together with the patient, discusses the characteristics of nutrition and future diet, after which, if necessary, they adjust it. The basis of treatment is drinking enough water and foods rich in fiber.

For large quantity pathologies of the rectum and anus are suitable local species treatments including ointments, rectal suppositories, medicinal baths and medicinal enemas. All these types local therapy aimed at the pathogenetic component of the disease.

They reduce the inflammatory process, relieve pain and irritation, reduce discomfort and promote rapid healing of mucosal defects.

When conservative treatment becomes insufficient, in particular, such diseases include tumor processes, expansion of hemorrhoidal veins, surgical techniques are used. If we are talking about cancer, then in addition to surgical removal affected areas, apply radiation therapy and polychemotherapy.

Hemorrhoids can be treated palliatively - by ligating blood vessels or radically - by removing the defective areas.

VIDEO Blood from the anus. Causes of Bleeding. Proctologist Mukhin A.G.

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7 comments

Lately it’s become painful for me to go to the toilet, not only do I go once every 3-4 days, but the last time I noticed blood on toilet paper. What could this be, hemorrhoids or a fissure?

First of all, normalize your stool, in case of cracks and hemorrhoids, there should be no constipation, it greatly provokes them. Drink more fluids, eat porridge in the morning, normalize your diet, and at the same time begin treatment. But if I were you, I would also make an appointment with a proctologist.

There may be a crack, or there may be internal hemorrhoids. The fissure usually hurts, and hemorrhoids bleed, but without pain. I had a fissure, at first it just hurt to go to the toilet, then it started bleeding, the most important thing is to start treating it right away, otherwise it might heal and will bleed constantly, until surgical intervention.

Where should you start? How to treat? This is the first time this has happened to me, I’m afraid to go to the doctor at all, and I’m embarrassed (

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First aid

The measures described below can only be taken when pain appears for the first time and has a short-lived and unpronounced effect. It is prohibited to relieve severe pain and “mute” constant pain; in such cases, consult a doctor.

After taking the medicine, sit comfortably and try to rid your body of moving and lifting weights for 30 to 60 minutes.

You can get rid of bloating and heaviness in the stomach with the help of Smecta or Enterosgel.

If there is severe pain, you should call ambulance or seek help from a specialist. It is strictly forbidden to take any medications without the knowledge of the doctor, which may blur clinical picture diseases.

Intestinal pain can be quickly reduced with antispasmodics - No-shpa, papaverine.

You can get rid of bloating and heaviness in the stomach with the help of Smecta or Enterosgel.

Every person has had a stomach ache at least once in their life. At the same time, it is important to distinguish when pain can be a consequence of intestinal hyperperistalsis, for example, with excessive gas formation, and when it can be an important and pathological symptom.

There are two most common types of pain, this applies to abdominal pain after using the toilet.

To begin with, let's note spastic (convulsive) pain , it is also called colic. Most often, it can manifest itself in wave-like attacks, the strength of which increases or decreases. Pain is caused by deformations in the intestines (stretches or compressions), and most often will be a consequence of hyperactive peristalsis. This pain will cause excessive gas formation in the intestines, inflammatory infectious processes, or stress.

Another type is constant abdominal pain . This type of pain is characterized by a relatively constant and persistent course. Patients sometimes describe it as a “burning in the stomach,” cutting, sharp, or “hungry” pain. Many people say that when I want to go to the toilet my stomach hurts. This type pain can be considered a consequence dangerous inflammations abdominal organs, attacks of cholelithiasis, ulcerative lesions, abscesses or acute pancreatitis.

Most often, pain that lasts a few seconds to a minute is not considered big reason for concern.

Pain that lasts for hours or days is considered a serious symptom and you should visit a medical facility as soon as possible.

If lower abdomen hurts after using the toilet, then you need to remember that such pain appears spontaneously at any time. It is necessary to consider some of the most common cases of abdominal pain syndrome.

Intense pain that makes you wake up at night. It can form before or after meals. Pain can very often precede bowel movements, or manifests itself immediately after defecation. “Cutting” pain, which can occur with an intestinal ulcer, will appear immediately before eating. Severe pain, which is caused by cholelithiasis, like pain in the case of pancreatitis, most often develops after eating. Most common cause, which contributes to the development of abdominal pain will be irritable bowel syndrome (IBS) and biliary dyskinesia.

The location of pain is considered one of the main factors in diagnosing the disease. Pain that is concentrated in upper sections abdominal cavity, most often caused by problems in the intestines, esophagus, liver, biliary tract, pancreas. Pain that occurs due to cholelithiasis or inflammatory processes in the liver can be in the upper right part of the peritoneum; (may give under the right shoulder blade).

The act of defecation is an intimate process, we do not want to share its details with other people, however, if your stomach hurts, after using the toilet you should not “delay it”, but it is better to seek help from a specialist.

Below, we’ll look at why discomfort may occur after going to the toilet, what you should pay attention to, when you don’t have to worry about your health, and in what cases you need to sound the alarm.

Pain after bowel movement may be various kinds(pulling and prolonged, severe paroxysmal, etc.), pain is also distinguished by location (center of the abdomen, lower abdomen, left and Right side, pain in the anal area). This is due to the fact that defecation involves many organs and tissues of the body. The resulting “tension” causes a pain response in an unhealthy part of the body, in the form of pain after bowel movements.

Among the banal problems it is worth highlighting muscle pain(arising after severe strain during defecation), sphincter pain and pain in the large intestine (appearing as a result of tissue ruptures during the passage of feces).

But abdominal pain can also have more serious help, for example, various intestinal diseases. We'll look at them below.

Ulcerative colitis

The disease affects the intestinal mucosa. Depending on the extent of inflammation, it can affect all parts of the rectum and spread to the large intestine.

In this case, ulcers form on the mucous membrane, which are easily damaged and cause bleeding during the passage of feces.

The disease can be identified by pain in the abdomen and after bowel movements (usually on the left side).

In addition, the patient's stool is disrupted and diarrhea appears.

One of the most obvious signs is blood in the stool; it can be identified both by the natural red color of the discharge and by excessively dark stool (when the blood has had time to solidify).

To make an accurate diagnosis, you should contact a therapist, he will perform an initial examination, identify the type of pain, the presence of blood in the stool, and others. characteristic symptoms, will prescribe a number of general tests (biochemical and general blood tests, stool culture), which will confirm inflammatory processes, rule out the infectious nature of the problem and, in general, help establish further actions. Based on the initial tests, you will be referred to further treatment see a gastroenterologist, proctologist or even a surgeon. Using fibroileocolonoscopy, you can accurately determine the presence ulcerative colitis, determine the extent of the spread of the disease.

Treatment includes tablets - anti-inflammatory drugs based on mesalazine (salofalk, pentasa, mesacol, mezavant) and local ones (suppositories, enemas, rectal foam).

If they do not help, then the hormones prednisolone and dexamethasone are used to reduce the exacerbation.

Watch the video about this disease

Crohn's disease

Chronic, widespread, inflammatory disease digestive tract. The disease can affect all its parts, starting from the oral cavity and ending with the anus, and is more often localized in ileum. The inflammation is widespread; in some places, narrowing of the intestine can be observed.

Most of the symptoms are associated with the location of the granulomas.

Frequent symptoms are diarrhea, abdominal pain, lack of appetite, nausea, vomiting, weight loss, chills, fever. Less commonly – constipation, bloating (appears when the intestine narrows).

In case of complications - fistulas, anal fissures, rash, peritonitis, bleeding.

To establish a diagnosis, an extensive examination is required, including differential diagnosis, capable of excluding a number of other infectious and non-communicable diseases. Standard tests include stool, general blood and biochemistry. Next, colonoscopy and endoscopy are performed, which can convey the entire picture of the disease. Sometimes they carry out additional research, for example, radiography with contrast (to identify narrowing) or tomography (to determine the extent and nature of damaged tissue), they are designed to identify complications in order to then determine how to eliminate them.

In the normal course of the disease, it is customary to use the following groups medicines:

• salicylates;
• topical hormones;
• glucocorticoids;
• antibiotics.

Treatment of the disease is complicated by its uncertain nature, so you have to fight not the source, but the symptoms

That is why, in case of complications, there is a huge choice of treatment methods: treatment with probiotics, oxygen, stem cells, enzymes, transplantation, etc.

Chronic infectious colitis

The disease combines colitis pathogens such as viruses, fungi and bacteria. It is they that get on the mucous membrane and cause its inflammation and further destruction. Unlike the previously described inflammatory diseases, infectious colitis in chronic form, in addition to intestinal damage, causes severe intoxication due to bacterial waste products.

The main symptoms are acute pain in the abdomen, the urge to go to the toilet without defecation, blood and mucous discharge in the stool, severe weakness, elevated temperature body, dizziness, spatial disorientation.

The causative agents of infections can be determined using special blood and stool cultures. Unlike the problems described earlier, knowledge about the pathogen is enough to begin treatment.

Tomographic and endoscopic examinations are of an applied nature and are designed to identify areas with complications and other intestinal defects that require special treatment.

Treatment of infectious colitis, even in chronic form, has quite positive result. The main drugs are:

• antibiotics;
• fluoroquinolones for dysentery;
• cephalosporins for E. coli;
• antifungal drugs;
• rehydrants.

Other reasons

Diverticulosis

The disease affects older people and those who are neglectful plant foods. Due to the accumulation of feces, and the natural loss of elasticity of the intestine, weak areas appear on it, which become inflamed, forming diverticula. Their size is only about 1 cm and in good condition they may not cause discomfort. With complications, the number of diverticula can increase significantly, which will lead to a narrowing of the intestinal lumen, the formation of constipation, and the passage of feces can provoke diverticulum rupture and bleeding.

Most often, with diverticulosis, constipation and abdominal pain on the left side are observed. After going to the toilet, acute, spasmodic attacks of pain may appear. Often constipation is replaced by diarrhea and vice versa.

The problem can be diagnosed after completing the following studies:

• blood analysis;
• stool analysis;
• irrigoscopy;
• colonoscopy.

Treatment consists of taking antispasmodics, as well as reviewing the diet. The diet is structured in such a way as to prevent constipation.

In case of complications, the presence of extensive bleeding or intestinal obstruction, the patient is admitted to a hospital and treated based on the circumstances, including surgery.

Cancerous formations

The main problem with tumors is that they can only be detected on late stages when the size of the formation is so large that it provokes narrowing of the intestine and constipation, or pain occurs after the passage of feces along the formation.

The main symptoms are sudden pain in the abdominal area. More often acute attacks accompany defecation and some period after emptying the intestines. In addition, weakness appears and constipation may occur.

Diagnosis is standard - blood, urine and stool tests to determine cancer agents. Next, penetrating scans (X-rays, tomography, MRI) are carried out to determine the size and location of the tumor.

In what case should you see a doctor immediately?

We have selected a list of the most dangerous symptoms, if detected, you should go to the hospital as soon as possible:

• pain after bowel movements has appeared several times recently;
• constipation alternates with loose stools;
• the intestines hurt before defecation, during and for some time after;
• there is fresh blood in the stool or it is dark in color (a sign of dried blood);
• frequent urge to go to the toilet that does not lead to bowel movements.

First aid, how to relieve pain?

The measures described below can only be taken when pain appears for the first time and has a short-lived and unpronounced effect. It is prohibited to relieve severe pain and “mute” constant pain; in such cases, consult a doctor.

Intestinal pain can be quickly reduced with antispasmodics - No-shpa, papaverine.

After taking the medicine, sit comfortably and try to rid your body of moving and lifting weights for 30 to 60 minutes.

You can get rid of bloating and heaviness in the stomach with the help of Smecta or Enterosgel.

For constipation over 2 days, it is best to start treatment with plenty of fluids, eating vegetables and dried fruits. This food promotes bowel movements. If constipation lasts more than 5 days or is accompanied by pain, take laxative tablets or drops. If unsuccessful, try increasing the dose or consult a doctor.

Diarrhea should be stopped immediately with any fastening medications, for example Loperamide.

Prevention

To exclude relapses and prevent the manifestations of the diseases described, simple but effective preventive measures should be taken. Among them:

• proper nutrition (will prevent constipation and diarrhea, helps maintain intestinal tone even in old age);
• hygiene ( correct processing food products – The best way protect against infectious colitis);
• disease prevention (regular medical check-ups will help identify possible deviations at the stage of development and quickly cure them);
• physical activity (strengthened abdominal muscles make defecation easier).

Conclusion

When your stomach hurts immediately after defecation, this is a symptom that indicates an existing problem. From our article you know that the reasons may be somewhat banal or, on the contrary, put the patient on the operating table.

So as not to worry about trifles and not to miss serious problem– Monitor symptoms closely. They are the ones who will tell you whether you should see a doctor or not.

If it really hurts to go to the toilet, then this symptom cannot be ignored, because it is the first sign serious pathologies intestines, which must be quickly diagnosed and treated.

Normally, a person’s trip to the toilet should not be accompanied by any unpleasant sensations, even if you have to push. If it is difficult and difficult to go to the toilet, and even more so if pain occurs, then you need to pay attention to this symptom and start looking for the reasons, especially if this happens often.

Painful bowel movements in men and women of any age can be caused by:

• Functional disorders of the intestinal tract, accompanied by constipation.
• Constipation due to spasm of the sphincter or rectal muscles.
• Enlargement of the uterus and increased pressure on the rectum, blocking its lumen during pregnancy in women.
• Various intestinal pathologies (especially the rectum).
• Diarrhea, which irritates the intestinal wall and causes pain.

Pain after going to the toilet or during bowel movements can occur with varying frequency and intensity, but if the situation worsens, then the pathology is progressing and it is necessary to immediately look for ways to solve the problem.

When people find it difficult to go to the toilet due to pain, they subconsciously block this reflex, which subsequently only worsens the person’s general well-being. The hardest thing is for a man, since he is embarrassed to talk about such a problem and for a long time does not try to find out why this happens. But you shouldn’t be ashamed of this pathology, you need to see a doctor and identify the cause of the disease, this applies to absolutely all people.

One of the main causes of constipation and diarrhea is use various medications . To improve bowel function after taking medications, you need to do it every day. drink a simple remedy ...

When it is painful to defecate for a long time, and the cause of difficulties with going to the toilet is not clear, then associated symptoms which will help clarify the diagnosis. TO additional features that occur together with pain during bowel movements include:

• Changes in stool color and consistency (with diarrhea it is liquid, with constipation it is very dense).
• Change in the smell of stool - fetid, putrid, etc.
• , lower intestines (stomach hurts in different parts, but always more in the lower abdomen).
• In the stool and is noted.
• When going to the toilet there is a feeling of a foreign object in the intestines, sometimes this feeling is also present at other times.
• After using the toilet, there remains a feeling of incompleteness of the process, even if the person has completely emptied his bowels.
• Pulsation in the anus (especially noticeable after constipation, when the intestines have finally been emptied).
• General feeling feeling unwell— fatigue and drowsiness, decreased performance, because when you don’t go to the toilet for a long time, toxins begin to accumulate and poison the body.

If it is very painful to have a bowel movement and they begin to appear additional symptoms of the above in various combinations, then you should go for a diagnosis and see a doctor to quickly find the cause.

It is intestinal diseases that most often cause problems in the toilet with bowel movements. Pathologies are different, but it is better to identify any of them on early stage so that treatment does not take a lot of effort, time and money, as happens when the disease has already played out in earnest in the body. Let's look at the main pathological conditions which can cause pain during bowel movements.

Constipation

This is the most common problem that causes a painful trip to the toilet. Prolonged stagnation of feces in the intestines leads to compaction of the masses, making it difficult for them to leave the body. Dry and hard stool upon exiting, it begins to injure the mucous membrane of the rectum and anus and pain appears.

Constipation can occur for several reasons:

• Nutrition problems.
• Taking antibacterial drugs.
• Stress.
• Impaired intestinal motility.

These and many other reasons can lead to complicated bowel movements. If the pain is only mild and the constipation is not chronic, then this problem does not always require specific treatment, it’s enough to follow a diet and not be nervous and then everything will work out.

Anal fissures

A crack in the lumen of the anus can form due to external or internal influence. Internal effects include damage from dense, dry feces. External ones include having sex, using various toys and trauma.

Hemorrhoids are often accompanied by prolapse of nodes, as well as prolapse of the rectum. If the reduction of the intestine or node does not occur on its own, then you need to sound the alarm as soon as possible, otherwise the disease may later lead to the operating table.

With hemorrhoids, the pain in the first stages is not severe, but as inflammation increases, it will increase. Particularly painful is felt after physical activity, when the rectum prolapses even more and the nodes become inflamed.

This pathology is characterized by an inflammatory process of the rectal mucosa. Inflammation can be local - covering only a small area, or general - completely affecting the mucous membrane. This inflammation constantly causes severe pain during defecation, and at other times it is mild. A person with proctitis often experiences diarrhea, as well as various impurities in the stool.

If proctitis is not treated for a long time, then paraproctitis may occur against its background - inflammation of the perirectal tissue, that is, the area surrounding the rectum. Paraproctitis is more difficult to treat and its symptoms are more pronounced, which causes more inconvenience to a person, so this disease should not be ignored.

Intestinal oncology

Oncology can affect any organ, but if cancer tumor occurs in the rectal area, pain will be the first symptom that will let you know about changes. A small tumor may not bother a person at all, but if it begins to enlarge or the mucous membrane becomes severely inflamed, pain will be felt not only during bowel movements, but also simply while sitting, lying down, and even when walking.

With intestinal cancer, when pain has already occurred, other symptoms quickly begin to appear - blood in the stool, mucus, constipation or diarrhea, which may alternate with each other. Bleeding can also occur spontaneously at any time if the tumor is already severely damaged by previously passing feces. This condition cannot be ignored; intestinal cancer should be treated immediately.

What do Israeli proctologists say about constipation?

Constipation is very dangerous and very often this is the first symptom of hemorrhoids! Few people know, but getting rid of it is very simple. Just 3 cups of this tea a day will relieve you of constipation, flatulence and other problems with the gastrointestinal tract...

Foreign objects can also be food - large hard-to-digest bones. Also, foreign objects can enter the intestines through accidental ingestion, which often happens to children - they swallow toys and other garbage, and then it gets stuck in the rectum and causes pain when stool comes out.

Also, foreign objects can get into the rectum if a person prefers unconventional sex using various toys and stimulants, which can break off or simply get stuck in the intestines.

Eliminate foreign object It’s better not to do it at home, but to consult a doctor, since an incorrect movement can cause severe damage to the mucous membrane and, as a result, bleeding, which in itself can cause great damage to the body.

What to do if it really hurts to go to the toilet?

If you have difficulties with bowel movements, you need to undergo diagnostics and find out what is causing painful sensations. A person must:

1. Contact a proctologist.
2. Take stool, urine and blood tests.
3. Carry out a sigmoidoscopy or colonoscopy; if it is not possible to insert a probe into the rectum, then take an X-ray with contrast.
4. Be examined by a doctor himself so that he can palpate the intestinal walls, examine the anus and collect an anamnesis.
5. Start treatment based on the established diagnosis.

Video

You won’t be able to treat pain in the intestines during bowel movements on your own with regular tablets and you shouldn’t even try. The problem needs to be eliminated, and the pain, as a symptom, will then go away on its own. It is not always possible to do this at home, and therefore a trip to the doctor for pain during bowel movements is mandatory.