Q&A for How to Soften Hard Stools

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Question

Why are my stools so hard?

Dale Prokupek, MD
Board Certified Gastroenterologist
Dale Prokupek, MD is a board-certified Internist and Gastroenterologist who runs a private practice based in Los Angeles, California. Dr. Prokupek is also a staff physician at Cedars-Sinai Medical Center and an associate clinical professor of medicine at the Geffen School of Medicine at the University of California, Los Angeles (UCLA). Dr. Prokupek has over 30 years of medical experience and specializes in the diagnosis and treatment of diseases of the liver, stomach, and colon, including chronic hepatitis C, colon cancer, hemorrhoids, anal condyloma, and digestive diseases related to chronic immune deficiency. He holds a BS in Zoology from the University of Wisconsin – Madison and an MD from the Medical College of Wisconsin. He completed an internal medicine residency at Cedars-Sinai Medical Center and a gastroenterology fellowship at the UCLA Geffen School of Medicine.

Dale Prokupek, MD

Board Certified Gastroenterologist

Expert Answer

You may need to increase your fiber intake. I recommend you get at least 25 to 30 grams of fiber in your diet each day.

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Question

Can hard stools cause bleeding?

Chris M. Matsko, MD
Family Medicine Physician
Dr. Chris M. Matsko is a retired physician based in Pittsburgh, Pennsylvania. With over 25 years of medical research experience, Dr. Matsko was awarded the Pittsburgh Cornell University Leadership Award for Excellence. He holds a BS in Nutritional Science from Cornell University and an MD from the Temple University School of Medicine in 2007. Dr. Matsko earned a Research Writing Certification from the American Medical Writers Association (AMWA) in 2016 and a Medical Writing & Editing Certification from the University of Chicago in 2017.

Chris M. Matsko, MD

Family Medicine Physician

Expert Answer

Yes, hard stools can cause hemorrhoids and bleeding due to the increase in pressure that results from pushing.

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Question

Which suppository should I use to release impaction?

Chris M. Matsko, MD
Family Medicine Physician
Dr. Chris M. Matsko is a retired physician based in Pittsburgh, Pennsylvania. With over 25 years of medical research experience, Dr. Matsko was awarded the Pittsburgh Cornell University Leadership Award for Excellence. He holds a BS in Nutritional Science from Cornell University and an MD from the Temple University School of Medicine in 2007. Dr. Matsko earned a Research Writing Certification from the American Medical Writers Association (AMWA) in 2016 and a Medical Writing & Editing Certification from the University of Chicago in 2017.

Chris M. Matsko, MD

Family Medicine Physician

Expert Answer

If you are impacted you need to see a surgeon. You may have to get manually disimpacted. I do not recommend explosive medication to relieve your situation, as this can cause harm.

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Question

How can I make it easier to go to the bathroom without straining?

Wendy Powell
Maternal Health & Exercise Specialist
Wendy Powell is a Maternal Health and Exercise Specialist and the Founder and CEO of MUTU System, the world's best-selling, medically recommended online fitness education program for mothers. Wendy specializes in pregnancy, post-baby recovery, postpartum exercises, fitness education, and body confidence. Wendy works to shift the conversation on women's bodies towards equality and empowerment for health, confidence, and power. She is a published author, international speaker, and award-winning entrepreneur. Wendy is on the Women's Development Board of the MicroLoan Foundation and is a frequent contributor to the BBC. MUTU System has been featured in Vogue, the Huffington Post, Fox News Health, Daily Mail, and The Guardian, and is recommended by Hollywood Trainer, Jeanette Jenkins.

Wendy Powell

Maternal Health & Exercise Specialist

Expert Answer

Prop your feet on a stool or a low ledge while you're going to the bathroom. That puts you in a more natural position by raising your knees above your hips, so you may not have to strain as much.

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