Hello
Yes — this sounds like fecal impaction with severe constipation, worsened by piles. You need stool softening + rectal relief, not straining.
What you can do NOW
1) Syrup to soften stool (very important) Lactulose syrup (Duphalac / Looz / Cremaffin Plus liquid) 👉 20–30 ml at night, daily → It pulls water into stool and makes it soft (not habit-forming)
OR PEG solution (Cremaffin Plus / Polyethylene glycol) 👉 1 sachet in water once daily
Stool may pass in 12–24 hours, sometimes 2 days — be patient.
2) Rectal help if stool feels stuck Glycerin suppository (adult) — insert once daily → Softens stool directly in rectum and helps it slide out → Very useful in piles + impaction
If still stuck: Small enema (only once, gentle) Do NOT repeat frequently
3) Reduce piles pain while passing stool Warm sitz bath (10–15 min, 2× daily) Piles ointment (lidocaine + sucralfate type) before motion Apply coconut oil or lignocaine jelly before trying
What to AVOID ❌ Straining Sitting long on toilet Hard laxatives / senna tablets now Dry foods, bakery items
Diet for next few days Plenty of warm water Isabgol husk 2 tsp at night with warm water (after stool softens) Soft foods: dal, khichdi, curd, fruits (papaya, pear)
12 days is long — if medicines don’t work, manual disimpaction by a doctor may be needed
I trust this helps Thank you! Take care
Hello dear I think it is severe constipation Iam suggesting some medication for improvement Please follow them for atleast a week Lactulose solution twice a day for 5 days Polyethylene glycol medication twice a day for 5 days Lignocaine gel topical application twice a day for 1 week Take fibres Take warm bath Avoid junk food and heavy meals In addition get following tests done and share result with gastroenterologist for better clarity Rectum USG Rectal physical examination CBC Esr Serum ferritin Colonoscopy if recommended by gastroenterologist Hopefully you recover soon Regards
Addressing your situation efficiently is important, given the prolonged period of constipation and presence of hemorrhoids. What you are describing does indeed sound like it could be fecal impaction, especially considering the hard, dry stools and difficulty in passage. First, it is crucial to relieve the immediate problem while also addressing the longer-term management of your constipation and piles.
For immediate relief, you should consider using an osmotic laxative such as polyethylene glycol (PEG). This type of laxative can help draw water into your intestines, which can soften stool and make it easier to pass. PEG-based laxatives are generally considered safe for short-term use and can be found over-the-counter. Follow the dosing instructions on the package but if unsure, consulting a pharmacist or healthcare provider would be beneficial. Alternatively, a stool softener like docusate sodium might help but may not be as effective for more severe impactions.
Additionally, for localized relief around the anal region from the piles, using over-the-counter hemorrhoid creams or suppositories containing hydrocortisone or witch hazel can help reduce swelling and discomfort. This may, in turn, alleviate the tightness you’re experiencing.
If you do not have relief soon or if the symptoms worsen, it’s important to seek medical attention. Your doctor might consider manual disimpaction, particularly if oral medications are ineffective or if there are additional symptoms like nausea, vomiting, or severe abdominal pain, which could suggest a bowel obstruction.
For long-term management, increasing dietary fiber gradually can be very beneficial. Aim for 25-30 grams per day from whole grains, fruits, and vegetables. Adequate hydration is key too, so drink plenty of water. Regular light exercise can stimulate bowel movements, so incorporate some physical activity into your daily routine if possible.
Persistent constipation and untreated piles can lead to complications, so follow up with a healthcare professional who can offer tailored advice and conduct necessary exams if symptoms persist or become more severe. Always consult a healthcare provider before starting new medications or significantly changing your treatment regimen if you’re already on regular medication.
