Severe Constipation Dilemma
As an 18-year-old female college student who weighs 140 pounds and stands at 5'10", I take Ritalin at a dosage of 10mg twice daily. I have no notable health concerns and maintain a routine of drinking at least two liters of water each day. Currently, I'm grappling with an excruciating bout of constipation that is unlike anything I've ever experienced. I haven't had a bowel movement in five days. Just yesterday, when I finally sensed a need to relieve myself, I found it impossible to do so. It felt as if everything was stuck in my rectum and it was too large and hard to be expelled. Each attempt resulted in considerable discomfort, making the whole experience unbearable. This morning, the situation escalated to the point where I chose to skip all my classes to remain in my dorm due to the severity of my condition. In an effort to alleviate the problem, I purchased a saline enema and a bottle of magnesium citrate. About 50 minutes ago, I ingested the magnesium citrate and administered the saline enema, holding it in for a full 15 minutes, but ultimately, nothing was expelled. Currently, I’m dealing with intense pressure in my rectum, as if something significant is lodged inside, unable to exit. There is a constant dull ache that I experience with each passing moment. Every attempt to use the restroom results only in overflow diarrhea, while my hard stool remains stubbornly stuck. The sensation is persistent; I can feel the pressure while walking, sitting, and even lying down in bed.
Answers (1)
2/12/2026, 8:00:53 PM
OpenHealth AI
It sounds like you’re experiencing a very challenging and painful episode of severe constipation. The fact that you haven’t had a bowel movement in five days, along with intense discomfort and the inability to pass hard stool, requires urgent attention. Let’s discuss some important points and potential next steps.
Explanation
Constipation can be caused by several factors, including dietary choices, lifestyle, medication side effects, and stress. Ritalin (methylphenidate) can sometimes contribute to constipation as a side effect. Your hydration levels seem good, as you mention drinking at least two liters of water daily, but additional factors may be at play.
Given your symptoms, it's crucial to act promptly because prolonged constipation can lead to more severe complications, such as fecal impaction.
Prioritized Next Steps
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Avoid Straining: While it's uncomfortable, trying to avoid straining during bowel movements helps prevent injury or worsening your condition.
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Use Over-the-Counter Suppositories: If you have access to glycerin or bisacodyl suppositories, consider using one. These can help stimulate bowel movements by softening the stool or inducing a reflex.
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Warm Baths: Taking a warm bath may help relax your muscles and stimulate bowel movement. The warm water can ease cramping and may assist with reducing the pressure you’re feeling.
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Gentle Movement: If you feel up to it, gentle walking can stimulate bowel activity. Even small movements can help your digestive system function better.
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Dietary Considerations: Focus on consuming high-fiber foods once you’re able to move your bowels (like fruits, vegetables, whole grains), as these can help prevent future issues.
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Regularly Monitor Symptoms: Keep track of any changes in your symptoms. If there’s no relief, or if the pain worsens, it’s very important to seek medical attention.
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Contact a Healthcare Provider: If your symptoms persist or worsen significantly (e.g., severe pain, vomiting, fever, or blood in stool), it’s essential to contact a healthcare provider immediately. Medical personnel can offer treatments such as manual disimpaction or prescribe stronger laxatives.
Remember, while it’s normal to feel a bit embarrassed about bathroom issues, healthcare providers are there to help and handle these situations regularly. Take care, and make sure to prioritize your comfort and health during this time.
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