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Old 10-14-2009, 01:30 PM   #1
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Fiber Cannot be the Answer to Incomplete Bowel Evacuation Sensation...

Hi All,

For years I have always relied on 'straining' to obtain that feeling of having evacuated completely after a bowel movement.
And this includes a period where I ate plenty of fruits, whole grains and generally healthy foods.
Straining of course resulted in some external and internal hemorrhoids. Since I stopped straining a year and half ago, I RARELY have a sensation of actually feeling as if I've completely emptied my bowels.
Adding MORE fiber to the diet does NOT seem to be an answer, and yet doctors
always advise this (not to mention scores of people on the net).

My stool this past year is usually soft (even mushy or crumbly) and even after getting the urge and stopping without straining, I never feel like a complete bowel movement was achieved. On the odd occasion I'll resort to straining a bit and more will actually come out...However, I know that if I strain too long that I'll end up with external hemorrhoids again, so I avoid doing so. But this just leaves me feeling bloated and like I still need to 'go' but without any natural urge to keep 'going.'

At any rate, suffice it to say that sometimes even if I have eaten complete junk food the day before, I will STILL have a good complete bowel movement.
Having eaten a decent amount of fiber the day before never ensures a complete bowel movement for me. In fact the generally recommended amount of fiber usually results in bloating/gas and having to go the bathroom MORE often (and still experiencing incomplete bowel movements).

I still haven't found the right mix of fiber or decent diet to keep me regular (preferably in the morning) and feeling as if I've completely evacuated following the urge to go.

I still have an internal hemorrhoid condition which I am seeing a doctor for (using rubber band ligation). He of course asks me if my stools are hard (which they usually aren't) and tells me to eat more fiber (which doesn't really help).

Anyone have any remedies for having bowel movements that actually feel complete?
I'm fairly young (30s), healthy, exercise and eat pretty decently (though I am not eating as much fiber as is generally recommended anymore---the 25 to 30 grams daily that all the gov eating reports tout).

It really sucks because sometimes I'll feel like I have to go but will need to strain to get anything out (and remain feeling incomplete). Other times I will get a bona-fide urge to go, but I'll feel like it isn't complete after doing so ( and straining a bit after will indeed cause more stool to come out).
This has actually caused me to not even bother trying to go at times.
At other times, I'll go, feel incomplete, and then have the urge to go again after 30 mins or an hour... All in all, I just wish I could go back to how things were years ago when I'd get up in the morning and evacuate completely.
I'm sick and tired of having such sensations of incomplete bowel evacuation, and also of the unpredictability of 'when' I'll get the urge.

Any sort of fiber supplements just make me feel bloated and worsen the sensations of incompleteness.
I've tried eating different foods, taking good bacterial supplements, etc.

Anyone else finding that more fiber really isn't the answer?

 
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Old 10-15-2009, 03:08 PM   #2
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Re: Fiber Cannot be the Answer to Incomplete Bowel Evacuation Sensation...

It depends on the sort of fiber you are taking.
Soluble fiber will help lubricate your bowel so that defecation is smoother and you are less likely to have to strain to pass anything. It does feel slightly bloating but not uncomfortably so.

Insoluble fiber will bulk up inside your bowel and retain water which is essential for keeping everything soft.

You might try taking olive oil (about three desert spoons twice a day) as this will give you an emulsified stool which will contain both oil and water, should be less runny and is easier to pass. If you still feel that you have not evacuated fully I would ask for a colonoscopy to make sure there is no physical cause.

Last edited by kennyboy; 10-15-2009 at 03:10 PM.

 
Old 10-27-2009, 09:39 PM   #3
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Montui HB User
Smile Re: Fiber Cannot be the Answer to Incomplete Bowel Evacuation Sensation...

Hi, you are right, fiber is not the answer, and may be the cause of your incomplete bowel evacuations. I recently found the answer for me, and I hope this helps you.

I had been suffering for some time with stomach pain, stomach cramps, nausea after some meals, and some food racing thru me ( my breakfast of wholegrain toast and/or muesli) but other times not wanting to come out completely. Like it was sticky. I was slowly eliminating foods that seemed to cause the problem, but couldn't figure out why some meals went down OK whilst others didn't. Sorry if this sounds gross, but when I went to do a poop, my anus would stay open as if there was more to come, but it wouldn't come out.

Until I finally clicked - I was intolerant to gluten. I don't have celiac disease, according to all the tests, but the change in me when I went off gluten was remarkable! No more pain. No more nausea. Poop comes out, and anus closes up straight after. No more stomach cramps. I feel great! Also no more hunger, with the stomach feeling like it is eating itself. Just normal feelings of hunger when the stomach is completely empty. So I have lost weight as a result.

So if this info sounds like it might work for you, you'll need to remove wheat, rye, bran, oats. There are gluten-free breads available, and gluten-free pastas, along with lots of other gluten-free products. Watch out for gluten in sauces and prepared foods. You learn to read ingredient lists. I found that once I went gluten-free, I felt nauseous when I ate something with gluten in it. So my body told me if I had eaten the wrong food, even if I hadn't noticed it at the time.

I hope this helps!

 
Old 10-27-2009, 09:51 PM   #4
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simplesy HB User
Lightbulb Re: Fiber Cannot be the Answer to Incomplete Bowel Evacuation Sensation...

hi . ive got a tip that may not be for you or you may reject the idea in disgust but i know it will sort your problem out temporarily. have you ever heard of a douche ? its basically washing your backside out, urgh i know , but if warm water ( soapy / slightly bubbly ) is left inside the anus for a short while it is actually a way of cleaning it out , kinda like washing inside the mouth if you will , a human bowel can hold quite an impressive amount of fesces so it would certainly help you get rid of a considerable amount of unpleasant waste .

just post 'no i wouldnt dream of it thankyou ' and go try it .trust me its a medical procedure used in elderly patients ive watched it come about on the tv.

this is not a joke and i promise you it will work .

is your excrement dryish and hard because you may just need much more fluid during the day .

 
Old 10-27-2009, 10:29 PM   #5
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interlocutor HB User
Re: Fiber Cannot be the Answer to Incomplete Bowel Evacuation Sensation...

Quote:
Originally Posted by Montui View Post
Hi, you are right, fiber is not the answer, and may be the cause of your incomplete bowel evacuations. I recently found the answer for me, and I hope this helps you.

I had been suffering for some time with stomach pain, stomach cramps, nausea after some meals, and some food racing thru me ( my breakfast of wholegrain toast and/or muesli) but other times not wanting to come out completely. Like it was sticky. I was slowly eliminating foods that seemed to cause the problem, but couldn't figure out why some meals went down OK whilst others didn't. Sorry if this sounds gross, but when I went to do a poop, my anus would stay open as if there was more to come, but it wouldn't come out.

Until I finally clicked - I was intolerant to gluten. I don't have celiac disease, according to all the tests, but the change in me when I went off gluten was remarkable! No more pain. No more nausea. Poop comes out, and anus closes up straight after. No more stomach cramps. I feel great! Also no more hunger, with the stomach feeling like it is eating itself. Just normal feelings of hunger when the stomach is completely empty. So I have lost weight as a result.

So if this info sounds like it might work for you, you'll need to remove wheat, rye, bran, oats. There are gluten-free breads available, and gluten-free pastas, along with lots of other gluten-free products. Watch out for gluten in sauces and prepared foods. You learn to read ingredient lists. I found that once I went gluten-free, I felt nauseous when I ate something with gluten in it. So my body told me if I had eaten the wrong food, even if I hadn't noticed it at the time.

I hope this helps!
Thanks for the tip. I have heard of people being allergic to wheat and gluten and always wondered if that were part of the problem.
How exactly do you know if a food contains gluten or not though? I mean other than checking the ingredient list, is it just a given fact that ALL grains contain gluten naturally? I know you mentioned 'gluten free' bread, but I'm just curious if all grains contain it unless it is removed. And if so, then it just seems like such a daunting task to exclude grains from one's diet...I mean, WHAT do you eat instead of cereals, bread, pasta etc? (I usually only eat wholegrain varieties of bread and pasta btw). Can you get gluten cereals and pasta too?

Plus, just to add some more info, I know the issue can't be about amount fiber for another reason: After eating a dinner of veal cutlets, roast beef (albeit with some potatoes and small amounts of vegetables- but not really enough to equal alot of fiber) I have a decent bowel movement the next morning...It cleans me out and isn't mushy, sticky or hard to pass. On the other hand, if I consume a high fiber cereal or bran muffins, or wholegrain high fiber pasta in decent quantities, I never eliminate easily, and it's usually sticky, mushy etc.

Also, I DON'T have a problem with hard stools. They're always soft.

At any rate, could you list what your diet consists of? I have no idea how to cut out grains and still obtain enough food. Any brand names of breads or cereals that you'd recommend that are gluten free? Any additional info would be great. Thanks.

 
Old 10-27-2009, 10:37 PM   #6
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Re: Fiber Cannot be the Answer to Incomplete Bowel Evacuation Sensation...

Quote:
Originally Posted by simplesy View Post
hi . ive got a tip that may not be for you or you may reject the idea in disgust but i know it will sort your problem out temporarily. have you ever heard of a douche ? its basically washing your backside out, urgh i know , but if warm water ( soapy / slightly bubbly ) is left inside the anus for a short while it is actually a way of cleaning it out , kinda like washing inside the mouth if you will , a human bowel can hold quite an impressive amount of fesces so it would certainly help you get rid of a considerable amount of unpleasant waste .

just post 'no i wouldnt dream of it thankyou ' and go try it .trust me its a medical procedure used in elderly patients ive watched it come about on the tv.

this is not a joke and i promise you it will work .

is your excrement dryish and hard because you may just need much more fluid during the day .
I have heard of douching of course (for females) but for an anus? I dunno exactly how that would be done...sounds almost like administering a warm water enema or something. I've been in to the doc for rubber band ligation on internal hemorrhoids and thus I am familiar with having to administer an enema before the appointment.
But I dunno if what you suggest would be healthy on a regular basis (because it would basically be like a warm water enema...and laxative type treatments are not good for you if used frequently).

And no, I rarely ever have hard dryish stools. They are always soft (and usually not firmly formed, but mushy, flaky and/or sticky, which is another problem).

Thanks for the reply,...can you confirm if I have the right concept of what you're suggesting?

 
Old 10-29-2009, 09:49 AM   #7
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Re: Fiber Cannot be the Answer to Incomplete Bowel Evacuation Sensation...

yes thats what i mean warm soapy water, back in the early last century the nurses in maternal hospitals did this so that women giving birth didnt have accidents , ( as there would be no matter left up there )

however , thinking more clearly this is not a permenant or very pleasant solution , im just trying to help i saw on the tv a couple of years ago it was now commonplace in my local hospitals for elderly patients whose muscles cannot compensate the constipation caused by medicaton . they used a medical machine that shoots warm water up and sucks it back out again , the battering of the stools weakened their structure and broke them down into basically mush . ( hence much easier to pass )

i was on medication that caused quite severe constipation a few years back and im aware of how unpleasant it is to always feel sluggish and 'unemptied' . i hope you find a permanent cure / solution

 
Old 03-10-2010, 04:29 AM   #8
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Re: Fiber Cannot be the Answer to Incomplete Bowel Evacuation Sensation...

have had the same symptoms as you, (soft stools, incomplete bowel movement,) I eat plenty of fibre, and drink at least 3pts of water a day as well as the usual tea/coffee & soft drinks).

I was told to take Fibrogel every day, increase fibre drink plenty of liquids, all the usual suggestions, but nothing worked, it took several years of perseverence, I would not give up, and eventually was referred to a Colo-rectal surgeon/specialist, after MRI scan and several other procedures was diagnosed with a rectal prolapse. I have had an operation for this a week ago and have high hopes, but it is early days yet.

Last edited by MATTIE2; 03-10-2010 at 04:30 AM. Reason: spelling mistake

 
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