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Forum Name: Gastroenterology Topics

Question: Hard Stool with Pain in lower left side


 redfence800 - Thu Sep 16, 2004 10:41 am

I have been passing hard/small stool over the past few days, basically constipation (ie less BM's, hard to pass, straining). During this time, I have had a slight dull discomfort in my lower Left side. And also a dull pain in my right side right under my ribs. Bloating, and acid reflux also. Is this a normal thing to have during constipation? I have had a sigmoidoscopy with no problems found. Never had blood in stool. Should I be considered about this?
 Dr. Tamer Fouad - Sat Feb 25, 2006 5:27 pm

User avatar Hello,

A patient that presents with constipation that is accompanied by weight loss, anemia, hematocezia, fecal occult blood should undergo colonoscopy or barium enema plus flexible sigmoidoscopy.

If constipation is not associated with the organic symptoms mentioned above, then medications that cause constipation are excluded as well as certain systemic diseases. If these are normal then depending on the patients age, the doctor may order a flexible sigmoidoscopy (above 45 years old) vs a therapeutic trial of fiber, fluids or stool softners (younger than 45 years old). If no improvement occurs then anorectal / pelvic floor functions tests or a colonic transit time test may be required.

Best regards.

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