Patient's question:
I am breastfeeding. After giving birth, I often experience constipation, with very dry and difficult bowel movements. Recently, for the past two weeks, I have been experiencing daily bowel difficulties, accompanied by blood or blood clots. After taking 2-3 tablets of lactobacillus, I developed severe abdominal pain. At the same time, I felt the urge to have a bowel movement, but the pain was so intense that I felt weak and almost vomited, struggling to catch my breath.Doctor's answer:
According to your description, considering the possibility of constipation-induced anal fissures or hemorrhoids causing bloody stools, it is recommended to revisit the proctology department for a colonoscopy to confirm the diagnosis and provide symptomatic treatment. After taking lactobacillus tablets, increased intestinal peristalsis leads to dry, difficult-to-pass stools, causing abdominal pain. It is advised to use glycerin suppositories first to soften the stool. It is recommended to maintain a regular lifestyle, drink more water, engage in appropriate physical activity, follow a light and easily digestible diet, avoid spicy, irritating, and cold foods, reduce greasy and sweet foods, and eat more vegetables and fruits. A balanced combination of coarse and fine grains is recommended. If necessary, seek medical attention for a thorough examination and follow the doctor's guidance for treatment.