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Welcome to the Gastroenterology Forum! This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Kevin Pho, M.D. Acid Reflux causes, symptoms and treatments
Kevin Pho, M.D.
Internal Medicine
Private Practice

Flat stool § other symptoms

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Constipation

From ToPost
JimD
11/14/2003
.In past two months, stools have been flat, accompanied by feeling of constipation. Recent colonoscopy showed no issues (one polyp), but Doc did say one area looked "tight" or narrow. He did not appear to be concerned.

In past few weeks, ocassionally dull pain in upper to mid right side of ab area--sometimes feel warm or hot, but not always. Some gas in upper right and mid ab; almost feels like there is something there.

I also feel like I am always holding/contracting rectum, as if cutting off urine or defecation. It is as if I let go, I might pass urine.

Are there other causes of flat stools? Where is stool formed? Do you think I may have gallstones? Or, am I a headcase, and the contraction is causing some of the symptoms? How can I relax in this area? It sometimes feels like I am sitting on something.

Thanks for the help.
Forum-M.D.-KYP
11/16/2003
JimDWith a recent colonoscopy being negative, it would be unlikely that any major disease (i.e. cancer) is responsible. It is also possible that the area of tightness can cause the stools to be flat. There are some cases of irritable bowel syndrome that can affect stool shape.

A few words on how stool is formed can be found here:
http://www.fruit-eze.com/education/colon/stool.html
and here:
http://www.drmirkin.com/archive/6864.html

If you continue to have symptoms, then gall stones are certainly a possibility. An abdominal ultrasound would be the most appropriate test to evaluate this.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.

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Flat stool § other symptoms - Gastroenterology and Liver Diseases Forum