Bowel probllem and very bad smell

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Hi, I’m a 21 years old male. Please forgive my bad English but this is very serious.I am currently having some evacuation problems. I just went through a series of constipation/hemorrhoid/diarrhea due to some un-balanced lifestyle (my assumption) and now, when I try to evacuate, it is like if there's always some pieces of stools staying inside my rectum. The stool seems too small in quantity for me to be able to push it out. I either have to go and remove it manually (yes, with my fingers...) or wait until the next evacuation.I have an arguably healthy diet (lots of vegetables and rarely eat junk food). I have been taking fiber supplement for the past 4 months (which do not help a great deal. It is also meant to be helping "bulking it up together"). I have also tried laxatives... hemorrhoid cream... and increasing fiber in my diet. I walk ~5km a day as an exercise and try to do sports every here and there.I drink nothing but water. (Alcohol once in a while which surprisingly seems to help but I’m not gonna turn into an alcoholic for that reason)This has been going on for almost 2 years now and I have consulted several doctors who either laughed at me or told me that I have nothing... or to simply increase my fiber intake and drink plenty of water?I have consulted a specialist in that region who refuses to perform tests on me due to the fact that I have no private health insurance and am basically telling me to just use laxative. (I don't believe a human should be taking laxatives on a daily basis...) Not only this can hurt but above everything... this will smell very badly. I am talking of a smell that will take over deodorant... perfume... soap...I have to take minimum 2 showers a day and even that is not enough. It is completely destroying my life... socially... work... relationship... home... and is literally driving me insane.And after having spent allot of money in doctors/medication/toilet paper/etc... No one has yet been able to tell me what actualy was wrong with me.I figured that this was a curse... and I would not wish this to my worst enemy. Anyway… if you can provide me with ANY useful information about this… I would greatly appreciate.PS: I swear… if I ever get over this… it’s a psychologist that I’m going to need. Everyday just sinking deeper… and deeper…

Hi INeedHelpBadly, welcome. It's often difficult on the other end of a computer screen to be sure whether the problem is a physical one, or whether it's due to a fault in expectation about what is normal, perhaps thinking that has become obsessive. There are some elements in what you say that make me suspect there is obsessive thinking. Have you considered that possibility?

Obsessive thinking.... by now, I don't really have much choice to be obsessive thinking about it... i can smell/feel it 24/7i just came back from work and by now the whole house smell like "poo" from last night (laxative makes my body even more smelly for some reason)My flatmates are starting to go nuts tooI actually skipped the beginning of the story on "how I got to this". I am a relatively hairy person and did have a lot of hair in my “ass”. I realized one day that going the toilet would make pieces of stool stick within the hair which means, I would be wondering around with “poo” in my ass. This did not smell good neither and was quite disgusting and non hygienic. I didn’t think that shaving my hair was an option so I started holding myself until I get home so I can have a shower afterward. This went on for a while without me thinking for a single moment that it could affect my body. But the condition started getting worst and worst and I started getting hemorrhoids and diarrhea (I think I ended up with irritable stomach syndrome but I managed to get rid of that). I also started to realize that I had problem evacuating once I got home… so I decided to simply shave and get to toilet training. This was becoming an “enchophirosis” or whatever the name is for “fear of the toilets” (usually happens to children’s)By then I was completely constipated… hemorrhoid all over the place and this would often just switch to diarrhea. I started by hemorrhoid cream… past some feces test in case I had bacteria and then tried the laxative and did my best to not hold myself.That was easily a year ago. I have tried a range of different product… tried to follow all the recommendations from doctors to the letter and yeah…I have seen some changes… but nothing that actually fixed the problem completely.Now… expectation of what is normal…Before all this started to happen, I though myself of being a fairly normal person (physically). I never really get sick and was relatively good at sports. But believe me… I have met a lot of people in my short life time and not once, I have met someone who smelled as bad as I do. I have met people who smelled fairly badly… from the arm pit or very old sweat smell. I did read a lot of documents of where bad smell could come from and how it develops. I was fairly safe in those regards. I really don’t think its an hygiene problem since I do my best to keep my body clean (wash twice a day with anti-bacteria soap). I can almost guarantee that the smell comes form down there. I can feel when something is stuck and I can usually smell it. Then when I get it out… the smell will kind of go away (or be much less strong). . And its not due to gasses coming out..No matter what the doctor says… I cannot believe that smelling like this is normal. Right now, it kind of feel like if I can go to the toilet but after a while, my hole will be too contracted to let anything pass through. So, some feces will stay inside. I do my best to not strain too much and let things go but there are some muscles that will contract as a reflex of having something in there.One of the theories that I came up with was:I have read somewhere that your rectum’s muscles will have the reflex of trying to push things down when it feels that they are pushed by the stool coming through which helps it go down.During the time where I was holding myself, could I have lost that reflex since my rectum would have been full almost every day for at least 3 months. Or could the side have stretched and now it always feels like if something has to go down?There are some days where I will just continually evacuate. (Of course not everything comes out at the same time so I have to go every hour or so)AnywayIs there obsessive thinking? Yes definitely. I do my best not to think about it and tell myself that everything is ok but it is almost impossible to spend a day without having it on the back of my mind.Expectation of normal? I think that if you speak with anyone who surrounds me… they don’t think I’m normal. They have not met anyone who can fill up an entire room with their smell.Physical? I have had the specialists pump air in my ass and inspect the rectum part (he did not perform the test with the camera that goes all the way in the intestines). He said that everything looks ok, that my hemorrhoids were not too big and that everything looked normal.My question really is… where am I going from here? Do I keep eating laxatives, fiber supplement, and shove hemorrhoid cream up my ass on a daily basis for the rest of my life without really moving forward?Should I try different doctors?Should I move back in a country where doctors will actually performs those tests that the specialists did not want to perform?Should I change my lifestyle from a computer based environment to one where I’m doing physical activities?Should I try to stop everything and fix this?And the main reason why I’m posting on this forum, does anyone has ever heard of anything like this? I have spent hours on google and did not find nothing that was like this. There’s “impactation” but that’s a lot more stool that stays stuck in the rectum. And there’s a whole range of other condition where they used complex medical terms to describe them which did not make sense to me.any comment/suggestion is really appreciate

Shaving the hair back there is a possibility, as you found. So is dampening the toilet paper before wiping, or using pre-moistened wipes (baby wipes).Poop might tend to stink worse if you're constipated, and it stays in your colon longer, growing bacteria, but the odor problem you describe is hard to understand.I suppose if I were you I might try to get my insurance company to pay for a sigmoidoscopy or colonoscopy, or at least a CAT scan, but it would be pretty difficult to do. It really sounds like there's a big psychological component to this problem.

i do wet the toilet paper and use soap to help wash. i think i am getting pretty good at managing the hemorrhoids... they have not been out and bleeding in a long time (the outside ones anyway). i am pretty sure that the smell do come from inside. (it will sometime leak out a bit when its stuck close to the exit) i have went and bend over to smell down and for some reason... its like if the smell does not actually comes from there. if i pay for private health insurance (which i'm not sure if i can afford), they will cover those types of tests (i still don't know what they actually look for in those tests)so do you suggest a psychologist? i do believe that i have mind power to cure myself from anything but i have been feeling a bit insane, depressed, burned out and out of my mind lately...another question is... how would i know that i can stop using the fiber supplements. using them at dinner time will prompt me to go to the toilet in the morning directly after i have had a walk (never before). it is mostly very soft and almost diarrhea like. then i have extra fiber cereal (sultana bran/all bran) which keeps me going until lunch time where i will usually go again. then keep going 1, 2 or 3 times during the afternoon until dinner... sometime its because, not everything came out at once... and sometime its just a standard one. (personally... it kind of feel like if its an on-going thing that never stops...)

I'd say if anything is starting to push out, get to a toilet right away and do your cleaning routine. (Sorry if I'm saying obvious things...I don't really know what to say.)As far as getting health insurance is concerned, what would you do if got some serious illness, like cancer? How would you be treated? I can't imaginge living without some kind of coverage. In the U.S., unless you're very poor (and have government coverage), if you get sick and have no insurance, you have a very big problem.Seeing a psychologoist (or similiar person) sounds like a very good idea. It might help you a lot, but even if it doesn't, it couldn't hurt.

The problem is that often it feels like if its pushing and there is something there but not enough to make me able to release anything... Or its there but the orifice is too tight. I have to go and manually extract it (which i'm not gonna do while I'm at work... getting that smell off your finger requires several washing and if its not dry, it can get very messy. Its kind of a courtesy of not interacting with other people when I have germs all over my hand. I don't want to make anyone as sick as I am)i do try to go several times a day but it is very hard to not force too much as well. it is the best way to get the hemorrhoids back out and i really don't want that to happen. Spending too much time on the toilet is not a good thing neither.I live in Australia so i have basic health insurance which covers parts of public and general cost but won't cover specialist and private health care. which is why they don't want to perform further tests on me. it would probably cost me near 1-2k$ which i definitely can't afford.the only thing i'm afraid about psychologist is that they will simply charge me ~500$ to get prescribe a bunch of pills which i have no interest in taking. i don't know much about psychologist... i never though i would ever need one. i have also heard some bad stories about them. i think that this thread is helping me allot (mentally) to release this load of problem that i have. i really want to thank you guys. not many people are interested in "talking sh*t"... (even doctors... most of them have not been able to handle this "professionally" which i found extremely frustrating) most people will simply make nasty subtle comments and avoid the subject (i would have probably done the same thing if i was them...). but like Stephen hawking said "you can afford to be physically handicapped with people but you definitely can't afford to be psychologically handicapped"I am originally from Canada where I believe hospital is completely free. I have though of just quitting everything and moving back down there to try to fix myself. My mother is pretty much a health specialist so she could try to help me have a very accurate diet for the situation. That would also mean dropping my career which is just starting and is pretty much what I live for. I have spent the last 4 years forging this career and spent a lot of time and effort into it. I really do not want to simply give it up. Yes I will be able to come back but definitely not easily. It is a domain where you can't really just stop and is extremely competitive. According to the specialist, its not a good idea since if i'm not doing anything, I will have nothing else to think about. On my side, I think about it all the time anyway so I don't see what difference it can make. I also seem to feel better when i'm at home on holidays relaxing (i do manage to get busy even if i'm on holidays... My career is also my main hobby and I never really do nothing). At least I don't have to be self conscious about me annoying other people with the smell. I would also have more chances to do work around the house which I believe would help me do more physical exercise.Thanks again for whatever comment you are bringing to this discussion.

I'm surprised about the doctor thing. The gastroenterolists and surgeons I've spoken to would absolutely not be fazed by anything you said. Not even close.Have you discussed your situation with your mother? She may have some good advice on your condition, and on whether it would even make sense for you to go back to Canada for health care.A psychologist is not a medical doctor, and so does not prescribe drugs. A psychiatrist is a medical doctor.I'm sorry this whole thing might derail your career, at least for a while.By the way, if you just take fiber supplements but don't drink enough water, your stool will turn into bricks. The fiber absorbs water, so you need to drink a lot to keep everything flowing. The general guideline is something like 7 cups of water a day, and more if you're active, but I'd recommend more than that for you.

not all doctor were fazed. the gastrologist was fine and actualy listened to the whole story. but mainly pharmasist and pathologists (the whole room sort of goes quiet when you say that you're here for a feces test)not yet... im about to. i rarely speak with her due to the distance and price of phone call. and im extremly embarassed...i might have mixted psychiatrist with psychologist (my bad)i drink nothing else but water. i try to drink as much as i can. i always have a botle of water next to me. as a benchmark... i try to keep my urine white at all time.

Same problem right here , believe me this is an agony i cant describe

The original poster probably isn't here any more. Don't drag up old threads unless you have something useful to add. If you need help, ask.