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Colorectal Diseases

Constipation

12/01/2008

Question:

I am 41 year old male. Got operated for Piles during Aug 2008. For the past one month, I have constipation. Although, I have the urge to pass stool, the stool is initially hard and brown in color for an inch length and the subsequent stool is soft and yellow. Also, I notice a thin streak of blood along the stool. Why is the stool hard initially and then soft subsequently? There is no adverse condition reported on Sigmoid scan before I got operated for Piles.

Answer:

The stool that first passes is apparently more dry than the stool that follows. Try taking a hydrophillic fiber supplement every day, and possibly a stool softener, to prevent hard stool. The small streak of blood may be from a fissure, or a small area of healing tissue at the operative site.

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Response by:

Janice Frederick Rafferty, MD Janice Frederick Rafferty, MD
Professor of Surgery
Chief of Colorectal Surgery Division
College of Medicine
University of Cincinnati