What does it mean when I feel like I need to have diarrhea but can't pass any?

Jun 25, 2024 Source: Cainiu Health
Disease description:

The past two days, I have been experiencing intermittent mild abdominal pain, along with a frequent urge to defecate. I feel as if I might have diarrhea, yet I am unable to pass stool. What could be causing this?

Doctor's answer (1)
Dr. Shen Yonghua
Feeling the urge to have a bowel movement without being able to pass stool can be caused by various factors. Indigestion may affect intestinal motility and bowel movements, leading to difficulty defecating and constipation; undigested food in the intestines can also irritate the bowel, causing a sensation of needing to defecate. Inflammatory conditions such as gastroenteritis and proctitis may also cause intestinal discomfort, increasing the sensation of needing to evacuate without actual bowel movement. Additionally, conditions like chronic colitis, intestinal obstruction, and irritable bowel syndrome (IBS) can cause this symptom. Regarding treatment, in addition to medication, lifestyle adjustments are also important, such as increasing dietary fiber intake and maintaining regular bowel habits. If symptoms persist, timely medical consultation is recommended to determine the underlying cause and receive professional treatment.