What causes the feeling of wanting to pass gas but being unable to do so at night while sleeping, and what should be done about it?

Being unable to pass gas at night despite the urge may be caused by gastrointestinal disorders such as gastrointestinal dysfunction, constipation, or intestinal obstruction. Treatment should be based on the specific underlying cause. Detailed analysis is as follows:

1. Gastrointestinal Dysfunction

This condition can weaken gastrointestinal motility. Due to insufficient peristalsis, patients may feel the need to pass gas but are unable to do so. Medications such as domperidone tablets or mosapride citrate tablets may be taken under medical guidance.

2. Constipation

Constipation causes abnormally dry stools, which restrict bowel expansion and severely impair intestinal motility, making it difficult to pass gas. Lactulose oral solution, bentong tablets, or similar medications may be used as directed by a physician.

3. Intestinal Obstruction

This condition involves a blockage in the intestines. Patients with complete intestinal obstruction may stop having bowel movements and passing gas altogether, and may also experience symptoms such as abdominal distension and vomiting. Surgical intervention is usually required.

In addition to the common causes listed above, conditions such as proctitis, irritable bowel syndrome, or hemorrhoids may also be responsible. If any discomfort occurs, prompt medical attention is recommended. Patients experiencing symptoms should seek hospital care as soon as possible.