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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 53147
Experience:  GP in the United States
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Hello Doctor, My question is rather long and somehow embarrassing,

Customer Question

Hello Doctor,
My question is rather long and somehow embarrassing, however, I feel
that it is absolutely necessary to tell you everything to be able to diagnose what might be wrong with me.
I have been diagnosed with Parkinson's Disease since August 2007. Part and parcel of the problem is of course constipation. In the past, due to agonizing opening of my bowels, I had to do it manually on few occasions. I do take some lactulose and senokot.
My problem now is that, I experience backache severely 2-3 times a day and I feel that
there is always a foecal matter that wants to come out. I do rush to the toilet but nothing comes out. After trying my back hurts badly to the point that it disables me, in that I could not walk- lasting for 1-2 hours. Sometimes more than. What could be wrong with me. I am worried.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 2 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
I'm very sorry about this
Most likely you have a chronic fecal impaction
You need to do a few things
1)if you haven't had a colonoscopy yet you need one. Starting at age 50 one is recommended for screening purposes anyways
2)you need to get on a better drug for constipation.
I would be on miralax daily
If this doesn't work, then you need a new drug called linaclotide. It works amazingly well
A simple xray of the belly right now will show if you have an obstruction now which I bet you do.
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 53147
Experience: GP in the United States
Dr. Phil, MD and 3 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

If indeed there is obstruction, is this easy enough to correct and if so what will be the procedure to undergo?

Expert:  Dr. Phil, MD replied 2 years ago.
Hopefully it is easy to fix
You might need an enema.
However if there is something bad causing this like scar tissue or cancer that will be a whole separate issue

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