Ibs constipation rectocele

[chicken123]

I suffer from bloating and I constantly look pregnant. I'm within my optimal BMI and therefore don’t think my weight is the issue. I also run and like to keep fit. I think it’s worse because after 2 pregnancies, I still have a gap between my abdominals. I have started trying to stick to gluten free bread and lactofree milk, limiting pasta and other wheat type products which does help (don’t get as uncomfortable or have as much flatulence). I also get quite stressed (busy working mum) and I don’t think that helps with my stomach. I can’t wear tight fitting clothes and have to wear baggy tops due to this.
Also I’m worried about my bowels. After watching embarrassing bodies, there was a lady with a rectocele. I also have to press on my perineum to go to the toilet, which probably means I will get blocked up & constipated. I’m ok with this now and it doesn’t cause pain or anything, but will it get any worse if I don’t get it seen to?

Any help would be appreciated! If there's anything I can be prescribed that would be great. Bloating always get worse when in holiday & I'm going away soon!

Thanks

[Debbie Stuart]

You have a number of issues - the separation in your tummy muscles is called Diastasis Recti and is a common legacy of pregnancy! This will make it difficult for you to hold your stomach in and may also be making you feel as though your stomach 'looks huge' . Traditional sit ups will make the separation worse but don't despair ask to be referred to a Women's Health Physiotherapy Department - a specialist physiotherapist will be able to measure the abdominal separation and teach you exercises to correct it.
Many people notice that certain foods aggravate bloating and you may benefit from seeing a dietitian who will be able to advise you in more detail.
If you suffer with constipation it would be worth mentioning this to your GP as chronic straining can lead to prolapse. Often simple dietary changes or stool softeners help to ease straining when emptying your bowels and reduce the risk of prolapse. You say that you think that you may have a prolapse (rectocele) - again mention this to your GP who will be able to assess you and if appropriate refer you to a Consultant for further assessment and treatment. If there is a small prolapse you may be referred for pelvic floor exercises.