How many of you have been told you aren't taking enough fiber? And when you do exactly that, you feel worse? Let me know what you're thinking with comment!
I found that the best poop softener is the kefir (I think the homemade is a bit better than the one of them supermarket) but both work ok. I blocked from my diet: natural rice, green bananas (that are not sweet enough) psyllium husk (plantago) flax seed fiber… I’m still doubtful if I should cut papaya from my diet ( I’ve been eating it with the other ingredients I am trying to avoid) I am getting suspicious it could be helping to my ROCK poop 🙈 my proctologist told me to take a spoon of olive oil each morning so water can stay more time in the colon or something like that. I’ve been drinking more water and orange juice, kiwis and coffee with milk before I eat anything in the morning. Eating big plumps could help but… I think they could be a bit dangerous for someone that is high in glucose.
Yes. I had a hysterectomy in Oct 2020. Prior to that I barely ate fiber. I started having problems with BM. Got religious about getting enough fiber. They recommended 35 mg a day. Usually got to 20-25. My stomach issues are worse than they ever have been. I did have some issues before surgery, but yes so much worse now. The gas yesterday was horrible. I even increased slowly. Psyllium makes it worse. Flax seems to be better but I don’t know. I feel like I’ve been a walking experimenting with diet, etc. so desperate. I am so bloated. I have lost weight, but I look 5 months pregnant. Never knew has pains could be so painful. And the hemms and fissure omg. So bad. So with fiber even if I’m drinking enough water, can it result in incomplete emptying?
You're spot on with the fiber debate. I suffer from stage 2 internal hemorrhoids. My proctologist suggested that I increase my fiber intake. I got it up to 25g of fiber per day and my rear was hurting so bad that I can't sit in a chair now. I noticed that it made me more constipated than before. Then I had a hard beginning and a loose tail. Then I reduced the fiber and had a stool with a sweet potato fiber and it felt like my internal hemorrhoids were getting lacerated after every release. Fiber swelled my hemorrhoids and made it way worse than before.
Thank you doctor. finally a doctor speaking the truth. This guy is absolutely correct. Because of the pain meds I take. I’ve been having constipation for years. Every time I see a doctor, they say take more fiber, and when I tell them, that’s the worst thing I should do. They look at me like I’m an idiot. Finally, I see a doctor telling the truth. I am stunned that I a janitor am actually smarter than most doctors out there. Also, he’s right about bulking up. Sometimes my stool is so large the anus stretches and it comes out, covered in blood. Never fully trust doctors there people and make mistakes like all people do.
I totally experience exactly what you are talking about! I am a mostly plant based eater with a primary focus on eating freshly prepared vegetables and non-refined starches like rice and potatoes. I eat a lot of fiber everyday and I still have issues with my bottom end. I would say that 2 things contribute most to my constipation, gas and bloating. 1- not chewing my food well. 2-eating lots of cruciferous vegetables in any given day.
I fucking love you man. I have been suffering on ans off for a year. Just had a fissurectomy forst time and botox for a second. If this fails I am coming to see you wherever you are man. As I lay in pain on the shower floor I listen yo your videos. It's key to my hopeful recovery. Bless you for your work friend
Finally someone said this. My hemorrhoids go crazy when i am eating a plant based diet. But when i go back to eating normal food they go away. I thought i was crazy.
Taking a fiber supplement won't help you if you eat constipating foods. It's better to eat foods that are high in fiber. I've also found that it's best for the fiber to be wet, such as with oatmeal or fresh fruit, not dry like cereal. If you eat cereal then drink lots of juice or eat jello with it. For snacks during the day I eat granola bars and fruit snacks. Gelatin is a natural laxative.
I have had a fissure and hemroid At the same time, metamucil 2 times a day big tablespoon, for 4 weeks religiously, went from pain all the time to just pain after #2, for an hour after going to the bathroom, listen to your body, now I'm on a fiber substitute diet forever, welcome to old age!
This video was spot on for me. I followed my doctor’s advice to take more fiber, and it made things worse! I probably had enough fiber in my diet without adding the powder.
@@yourfriendlyproctologist This is what i am currently exp. Im taking Fiber supps eating tons of greens and stool softners and super struggling with my hemroids. My Dr told me I cant take enough fiber and ive been spiraling out of control.
I so appreciate you and your channel. As a lifelong IBS sufferer I have gotten so many different opinions. Listening to you has been very helpful ; putting things in perspective. Takes alot of the anxiety away. Thank you
Yes! Hydrating fluids over time is #1. Fiber must be met with plenty of fluid! Fiber without fluid is basically concrete! #2 everyone is different in their response. Pay attention to what works for you! #3 timing! Do not do fiber at bedtime. If you do you may spent weeks or months recovering from the result!
I want to say I APPRECIATE your conversation on this topic. I have constipation and other issues. I have done a bunch of research, but I'm still learning much from your videos. 😊
Here in europe when doctors are talking about "eat fiber", they are relating to "eat more vegetables" and "have a fiber rich diet". Is this still the same for you Dr. Chung? Fiber suppliments is not common here as far as i know. And eating more vegetables makes stool always kind of "perfect". All the best and thank you very much for your videos.
Finally someone is saying this. I had to learn it the hard way after listening to so many doctors 😭 they don't even ask how is my stool, how often I have it, what is like .... They hear a fissure or hemoroids and they say fiber and water. 🤦🏼 I eat too much fiber just from my diet and my doctors didn't check my diet... They just said add more fiber supplement. It was so bad for me and made me worse 🤕 I think extra fiber is good only for people who don't eat fiber at all or have loose stool. I wish doctors at least gave a referral for a nutritionist or at least say to be careful with fiber or send your video to their patients!
I have learned so much from you since discovering your channel. I literally almost spit out my coffee when I read Comet poop! I never had that but my anal fissure in 2015 was caused by several Ass-terhoids.😂 I have since struck a balance on fiber and water consumption. Great advice and video.
@@OscarHernandez-bv3pr I stir in about a tablespoon of orange flavor metamucil with about 10oz. of water. Less water makes it too thick and I usually use room temp water. I drink this down before I go to bed and when I get up the next day It's not long before I have to go.
I have had slow motions or constipation my entire life. Now at the age of 62 trying to heal a 4 year old fissure I have finally worked out that THE bad thing for me is bread! (After red meat, alcohol, dehydration, coconut & tomatoes) Been eating wholemeal for 30+ years. It gives me a large and firm stool. Always had sandwiches for lunch at work! Psyllium didn't work for me. Some oat cereal with nuts, banana & yoghurt is my start to the day. Still trying to work the rest out to get regular. I have comet poo at the moment! I always hotch from side to side to coax it out & avoid a relapse caused by pushing. I drink water during the night, helped a bit but not 100%.
Thank you, doctor! I understand now why I get bulky hard evacs on days I don’t drink enough water! Why just this week I paid $500 for emergency plumber service on my toilet. Yes, it was brutal coming out and the plumber had to use an augre to nudge it down. I apologize for being so graphic, but I am so relieved to know why I’m constipated when I have high fiber diet: tofu, lean pasture raised meat, fruits, veges, no sugar, no refined carbs, no processed foods, no alcohol, no carbonated drinks. The answer was right in front of me, I just didn’t see it. Thank you!
Thank you for discussing this problem. It's something that affects us daily, but mostly we don't want to talk about it. Honestly, when your GI system is working well, it's a good day, and when it isn't, you're miserable. I do find that just the right amount of fiber is the answer, and it can take a bit to find that place. I found three prunes a day helps, but I need to be careful not to add too much to that, maybe just some fresh vegetables like a salad will to it. Your videos are very helpful.
You are spot on Doc. Had a hemorrhoidectomy recently and for some reason decided to load up on fibers during recovery. Not a good decision as I have a lot of bloating which is making me very uncomfortable. Wish I watched this video earlier on. Thanks for the education.
I've suffered a lifetime of bloating, constipation, and hemorrhoids due to eating nuts, fruit, veggies, whole foods, etc., (even been vegan for a few years)
Have had fissures for 6 months now after giving birth and am basically vegetarian whole foods plant based all my life, used to poop once a day but bc I added more plant food or wheat bran would go 3-4 times a day but bc the doctors hears fissures and hemorrhoids they tell me to eat more fiber. The fiber has made my anus stretch so much, it has made it worse and doctors who don’t ask about my first and how many times I go are bad too
IDK what giving birth is like but what I went through the last 6 months i feel i might qualify. My Dr has me all over the place with Fiber and I just dont want to poop anymore
So helpful. Was recommended to add 30mg of fiber a day. And definitely have the comet poops. My doctor wants a sphincterotomy but I want to find a solution. He didn't even care to listen about how my poops were.
I had good results having a breakfast of spouted oatmeal cooked with prunes. I like this food form of fiber better than powdered fiber supplements I.e. psyllium.
just to share my experience my problem was softer stools and frequent defacation. ADDING FIBER WITH EVERY MEAL, has helped me TREMENDOUSLY. its regulated me, made my stools solid and makes cleaning out sooo kuch easier and quick. LOVE FIBER. i AM WAY MORE GASSY but burp wise not fart wise. but worth it
I sometimes take psyllium husks. A heaped dessertspoonful, on a morning, with plenty of water. Works great, but if I keep taking it for more than a week or two, it stops working. So, it's not for constant use - at least not in my case. I do need my fiber, though, but, as you say, you must also consume a good amount of fluid, or it can have the opposite effect of what you want.
tried high fiber diet and the bloating was awful. also made it hard to pass stool becuase it was just mush and couldnt push it out. now im eating lots of chicken and green beans and getting a perfect consistincy.
I think "artificial " fiber,(not attached to the fruit or seed or vegetable) and not chewing well the food, all affect the transit in the gi tract. Once I added psyllium husk to my already high fiber whole food plant based diet and I started getting hemorroids. I blame the Metamucil for my hemorrhoids to this day.
I lost twenty seven pounds and twenty eight days doing a fiber diet. It made me feel so much better than I had ever felt. Then I did another thing. I had been able to go to the bathroom more with eating more fibre and drinking a lot of water with that.
Most people do not get gas bloating or cramps when taking fiber at normal dosages. In my opinion its better to take fiber than synthetic stool softners that cause electrolyte imbalance constipation and other colonic problems which are not meant for long term use. Fiber can be taken long term without problems.
Very true, I agree with you are bodies are designed to take in fiber, I think the reason why half these people on here get constipated is because they've been on the standard American diet almost all of there lives. And when switching up there diet after 20 years of eating crap. The body goes nuts and doesn't know what to do.. it's like taking a street drug then going cold turkey the body will goes nuts for it.
if ur taking about using if for years and years maybe. but using it for a while will not alter anything dramatic. and NORMAL dosages is different for everyone thats; the key part.
This is so true. Big pharma is pushing a lot of stuff on us. I used to take the recommenced amount of psyllium husk and I had massive soft stools. I cut down by 3/4 and it got better but now I’m trying to eliminate it all together. I use myralax and magnesium. Trial and error. Thanks for your advice.
Psyllium husk did the exact thing for me. I was taking around 15-20g of psyllium every single day. It caused comet poops aswell as huge sized poop that caused a severe hemorrhoid inflammation the next day.
I keep getting comet poops. With very long tails. I had used to experiment with fiber before it started, because of semi-hard greasy poops that were almost impossible to pass. Wheat fiber made my stools WIDE. Rye fiber - mixed results, usually softer, but it had these sharp texture... And finally ground flaxseed - the best results, but after some time, it got worse, so I dropped it. Now, I get comet poops even though my fiber intake isn't high, only from dinner vegies. I don't even eat rye bread I loved so much, because of that sharp texture it was giving me. So I eat the wheat one. I don't think gluten is the cause, as I have never had any issues with it, and days I don't eat it, it doesn't get better. The only thing that slightly helped me was string beans, especially in a soup. But can't eat it everyday. Honestly, it's so complicated, I'm not sure what to eat anymore. Not easy to test what food is good/bad if I poo every 3 days. Big amount of soft poo after the initial (semi) hard beginning. And what's funny, sometimes I get a round two 8-10h later after I sleep. Then I'm done for another 3 days. I don't feel the urge to poo everyday like I used to. Sometimes, I feel maybe it's time, but... it's not. And next day I don't feel anything, like it moved back or something lol. Then after 3 days, I get this big urge that I need to rush to get rid of this big load. Maybe lack of exercise is the cause, used to be very active pre covid era. But now, it's not that easy to motivate myself with hem flareups :( Got pretty painful one lately, not even sure why, as the last poo was pretty soft, and it didn't take long. So like, fiber bad, fighting for good soft stools - bad anyway as I got the flareup, ugh it's so annoying.
My doctor told me to use Benefiber. It caused me to have severe bloating, gas, and pain. My stools were so loose that I was going 10 times a day. When I told her all of this she was visibly upset, and said I was the first person in 17 years, which she said 3 times. She had told me to take 2tsp twice a day and it hurt so bad. I even had problems at 1tsp a day. I have to find something else.
My doctor is pushing benefiber…up to 3 tbs a day no no no I hurt. So I switched backed to a slightly rounded tbs of Metamucil. 3-4 poops a day. So happy
by proof-mistake I realized fiber just make the things worse . So I use magnesium after see the results for many years in the past but it's something many doctors don't mention .
I started fiber few days ago and and my stool was super soft. The first few days was perfect. Stool was super soft and and going was so easy. I decided to add a little more. Which was a big mistake. I had the “comet” poop, hard in the beginning and soft at the end. Which opened up my fissure again. Thank you for all the information doctor. I was so confused why I was back to square one. Now I know. Thank you so much for all you do.
@@kavitasankar9252 It comes down to keeping your stools soft. I stayed on stool softeners for two weeks straight. Be careful with this stuff, it can cause an imbalance in your electrolytes. I eat lots of vegetables and drink plenty of water. Small salads with every meal and boiled broccoli for snacks etc. I still eat everything I love but always eat a small salad in between. I use Diltiazem at night for about 2 weeks to help relax anal muscles for the next morning poop. I wouldn’t say I’m fully healed but my stools are now soft and fissure doesn’t hurt or bleed. I’m going on 3 weeks without an incident. I hope this helps.
@@sharkfinn8091 so u still eat alot of fiber foods? i don't take fiber powder any more. but i am recovering from a fissure and using smoothlax. and is helping but still some bits of hard stool. i think do to eating fiber with EVERY meal. greens, whole grain ect.
@@banderas2000 I stop taking fiber supplements and eating high fiber foods. I think I found out why I’ve been having digestive issues. My stomach does not make enough acid to break down the food properly. I started taking apple cider vinegar every night before bed. It helps with my digestive issues and put back good gut bacteria to help break down foods. My stool are soft and smooth now without taking fiber supplements. I’m suffering from a chronic fissure. It heals at times but is unable to fully heal due to the damaged tissue. It’s something I’ve learn to live with now at my age. I refuse to have surgery. I feel at my age, it’ll make things worse.
This is great info what u said made total sense to me and I was so confused about what I was “doing wrong” I’m going to consider this info and even dome of the things you said about a low fiber diet
I see so many women who say they do Metamucil at night . Also you’re not supposed to take it 2 hrs before or after medication. It says right on the bottle! Yet the hospital nurses did it and pretty much smirked at me when I said something
I have suffered with constipation on and off most of my life - now 69. Also had anal fissures many years ago. I now stay regular by taking 5g - 10g of psyllium husk per day which keeps me flowing without issue
I have had slow motions or constipation my entire life. At the age of 62 trying to heal a fissure I have finally worked out that THE bad thing for me is bread! Been eating wholemeal for 30+ years. It gives me a large and firm stool. Always had sandwiches for lunch at work & evening snacks! Psyllium didn't work for me.
Thank you Doc! You're amazing! My poop is always as you described! Hard begining, soft tale. I was searching for an answer for a long time, and now I got the answer. Thank you so much.
I wish someone had told me this a few months ago when my haemorrhoids went crazy and I started experience anal pain and inflammation so bad I couldn't sit. I guess you can have too much of anything! My diet has been plant based (mostly raw) with a few animal products here and there for a few years now. I accidentally came across the low fiber / low residue diet published by the NHS in the UK and in a couple of days all my discomfort and pain went away after months of suffering. Not to mention that it's nice to only go to the loo once per day instead of 2-3 times and not feel like a balloon all the time
15 - 20 grams of chicory inulin daily helps quite a bit. Actually there are 2 types of fiber, inulin and psyllium. First one is water - soluble and is a prebiotic, it feeds the good bacteria in intestines and psyllium is the one that needs water to become a soft gel. Or maybe I am not right? Anyways, inulin seems working for me.
I totally agree with the symptoms you described except I am not taking fibre supplements but vegetables and fruits. So obvious question is for dinner what would you recommend? And I assume you would want to have dinner much earlier so you can drink more and not too late...
Thank you doctor 🥹❤ could you make a video for “safe” foods we can eat in case of constipation and bloating? Because oats can cause constipation but do mandarines or spinach as well? Aren’t all fiberous? Thanks in advance 🙏🏻
I think you can reach more people on TH-cam than possible in the office aetting. This is wonderful. If you come to Jasper Indiana, I will buy you a beer, a good European beer. Thank you so much my favorite Doctor.
I've had constipation all my life, off and on, since age 4. My mother used to have to give me Fletcher's Castoria (anyone remember that?) As I'm older, it's worse. My doctor prescribed Linzess. It helps but it's not always best. I don't know if I should drink more with it. I don't know how it works, and I really don't want to, but it sometimes needs help from Dulcolax. I'm wondering if this is harmful? All I can say is that it's a relief to NOT have pain down there from straining, and various other things over the years to help out. I used to take milk of magnesia and finally got to the point I could hardly get it down. I have had hemorrhoid problems off and on since I was a teen. I had a colonoscopy last May and the doctor said everything was fine. The time before he sad I had small hemorrhoids near the outer part. I wanted to say tell me something I don't know... I like your channel. Just found it today.
According my personal experience your are very right: to much fibre does exactly as you explain, with the amounts i took it did not do me any good I continue trying to find the right measure
OMG! Thank you Dr. Albert Chung! I knew it. Taking fiber-riched food is not always good for hems. I already observed that, and as per experience also, that comet poop, ugh, you're right, Doc. Then, what should be our diet now, Doc? 🙂
This!!! Thank you Dr Chung! 🥺🥲 this has been my concern… My diet consist of mostly veggies / leafy green (i love greens so much), some fish and egg, a very little meat and i barely eat carbs.. I drink 2-2.5L water a day.. and i’ve been having hemoroid since teenager.. My doc told me to take more fiber.. 🥲 although that’s already most of the things i eat.. i’m bloated daily, but not farting often, so imagine the tightness i feel in my tummy.. not pooping daily so my poop is the Bristol no 1 a dark pebbles or Bristol no 2 a huge clump.. and sometimes a COMET POOP like you describe.. Now i’m finally enlighten thanks to YOU, i’ve been eating TOO MUCH fiber.. I just had laser hemoroid procedure for grade 4 hemoroid, it’s day 6 post op and doc told me to eat like normal and eat my fiber.. i didnt poop for 5 days after the procedure, and been eating porridge + chopped veggies / meat + juice (hospital meals) and they gave me Lactulose at night.. didnt help.. and finally i POOPED day 5 at night… a nightmare a hard one Bristol no 2…. And i had blood with my poop.. day 6 at night (today) it got worst, the water in the closet turned all red from blood i barely able to see my Bristol no 1… i’ve checked the bleeding has finally stopped…. But now i’m anxious and scared if the bleeding gonna get worse, since i ate “normal” fiber today as my doc’s recommendation… 😱😭 I told the doc, i ate tons of veggies.. doc was not convinced and said, eat more.. it’s always good to have MORE fiber.. 😭😭 if only you can educate doctors here about the fiber problem…
thank you doc. makes so much sense. my previous doctor would say OH u need more fiber. take this once a day blah blah. would this also account for fiber foods? broccli , spinach, ect. i feel i eat fiber with every meal food wise. maybe i should cut down some.
I agree with this. I went on a diet to lose weight and was eating a large bowl of oats every other day and also plenty of baked beans. It made my stools so hard to pass that eventually I ended up with an anal fissure which was extremely painful. So for fiber yes have a little with plenty of water now and again but not big quantities.
@@hsk7289 Just make sure if you're eating a lot of fiber drink plenty of water/liquids. I did this and was fine afterwards but used a mild laxative for a day or two to help me out. Exercise as well will help a lot keep you regular even if it's just 20-30 min a walk every day.
I've gained weight due to poop issues celiac,acid reflux. Working with doctor.i eat keto for health issues due to starches and sugar due to mygrsins and sick
First thing my Colon Rectal Surgeon insists I does take more fiber. I try to tell her I already am & she she says take Metamucil & my gastroenterologist says Benefiber.
Thank you very much doctor I have finally saw this kind of video. I've been having hard stool with a bit of blood and causes anal fissure, because of eating too much fiber. Thank you very much my mind is at ease now.❤
I'm currently on a medium serving of porridge with some nuts and chis seeds for breakfast, soup with 3 slices of whole grain bread for lunch and dinner, drinking alot of water 5 pints a day roughly, seems to work took a few days to kick in
Thank you Doctor, I have learned so much from you at a crucial time for me. I am hoping to have an exroid procedure once I heal from a fissure. I was prescribed the no. 1 ointment your recommend, but not the no. 2 drug you also recommended. You stated that you rarely see a fissure heal without the addition of the no. 2 drug. Is my Doctor missing a trick here? Or is it that my fissure is not that bad and the no. 1 drug is enough to clear the issue? You seemed emphatic about the no. 2 drug in your video.
I drink pinch magic fiber after dinner in a 16oz shaker follwed up with 32oz of water and i poop at the same time every am and my poop is some nice pipe with no poop on the paper,i also drink water all day and absolutely no milk!
Oh god yes the hard/large stool followed by soft end with remnants difficult to pass (and sometimes clean - horrible). I think I overdosed on fiber 7g psyllium 3x day stacked on top of food sources. Hell. The psyllium I was already taking but added more after MD's prescription. I was also taking at night right before bed. I really want to provide this feedback as I went through hell. Now I'm trying to moderate... Obviously all white flour and sugar and meat and cheese doesn't work also!
How many of you have been told you aren't taking enough fiber? And when you do exactly that, you feel worse? Let me know what you're thinking with comment!
I found that the best poop softener is the kefir (I think the homemade is a bit better than the one of them supermarket) but both work ok. I blocked from my diet: natural rice, green bananas (that are not sweet enough) psyllium husk (plantago) flax seed fiber… I’m still doubtful if I should cut papaya from my diet ( I’ve been eating it with the other ingredients I am trying to avoid) I am getting suspicious it could be helping to my ROCK poop 🙈 my proctologist told me to take a spoon of olive oil each morning so water can stay more time in the colon or something like that. I’ve been drinking more water and orange juice, kiwis and coffee with milk before I eat anything in the morning. Eating big plumps could help but… I think they could be a bit dangerous for someone that is high in glucose.
Me
OMG you know other doctors to a T. You are the best doc.
Yes. I had a hysterectomy in Oct 2020. Prior to that I barely ate fiber. I started having problems with BM. Got religious about getting enough fiber. They recommended 35 mg a day. Usually got to 20-25. My stomach issues are worse than they ever have been. I did have some issues before surgery, but yes so much worse now. The gas yesterday was horrible. I even increased slowly. Psyllium makes it worse. Flax seems to be better but I don’t know. I feel like I’ve been a walking experimenting with diet, etc. so desperate. I am so bloated. I have lost weight, but I look 5 months pregnant. Never knew has pains could be so painful. And the hemms and fissure omg. So bad. So with fiber even if I’m drinking enough water, can it result in incomplete emptying?
I take 1tbsp of mixed seeds & then Detox Tea, colon massage
I take fibre moderately & gradually increase it
You're spot on with the fiber debate. I suffer from stage 2 internal hemorrhoids. My proctologist suggested that I increase my fiber intake. I got it up to 25g of fiber per day and my rear was hurting so bad that I can't sit in a chair now. I noticed that it made me more constipated than before. Then I had a hard beginning and a loose tail. Then I reduced the fiber and had a stool with a sweet potato fiber and it felt like my internal hemorrhoids were getting lacerated after every release. Fiber swelled my hemorrhoids and made it way worse than before.
What did you end up doing?
@@SuperFriday I ended up finding out I had an anal fissure. I got a botox injection and now I'm healed.
@@SuperFriday curious myself
25 grams per day is way too much especially if you are not hydrated sufficiently.
****Update. My colorectal surgeon discovered an anal fissure. I got the botox injection and now I'm fine.
Thank you doctor. finally a doctor speaking the truth. This guy is absolutely correct. Because of the pain meds I take. I’ve been having constipation for years. Every time I see a doctor, they say take more fiber, and when I tell them, that’s the worst thing I should do. They look at me like I’m an idiot. Finally, I see a doctor telling the truth. I am stunned that I a janitor am actually smarter than most doctors out there. Also, he’s right about bulking up. Sometimes my stool is so large the anus stretches and it comes out, covered in blood. Never fully trust doctors there people and make mistakes like all people do.
what does being a janitor have to do with having a degree of knowledge? no one is BETTER than anyone. glad ur getting better.
@@banderas2000 you don’t get what he’s trying to say? What are you …twelve?
Exercise 1 hour, jogging, eating curd in the morning, can help a lot for good bowel health.
I totally experience exactly what you are talking about! I am a mostly plant based eater with a primary focus on eating freshly prepared vegetables and non-refined starches like rice and potatoes. I eat a lot of fiber everyday and I still have issues with my bottom end. I would say that 2 things contribute most to my constipation, gas and bloating. 1- not chewing my food well. 2-eating lots of cruciferous vegetables in any given day.
plant based is suicide and gov brainwashing
I fucking love you man. I have been suffering on ans off for a year. Just had a fissurectomy forst time and botox for a second. If this fails I am coming to see you wherever you are man. As I lay in pain on the shower floor I listen yo your videos. It's key to my hopeful recovery. Bless you for your work friend
Finally someone said this. My hemorrhoids go crazy when i am eating a plant based diet. But when i go back to eating normal food they go away. I thought i was crazy.
Taking a fiber supplement won't help you if you eat constipating foods. It's better to eat foods that are high in fiber. I've also found that it's best for the fiber to be wet, such as with oatmeal or fresh fruit, not dry like cereal. If you eat cereal then drink lots of juice or eat jello with it. For snacks during the day I eat granola bars and fruit snacks. Gelatin is a natural laxative.
I have had a fissure and hemroid At the same time, metamucil 2 times a day big tablespoon, for 4 weeks religiously, went from pain all the time to just pain after #2, for an hour after going to the bathroom, listen to your body, now I'm on a fiber substitute diet forever, welcome to old age!
Yes! You know you are getting advice from a fantastic doctor who focuses on personalized treatments and not one size fits all!
This video was spot on for me. I followed my doctor’s advice to take more fiber, and it made things worse! I probably had enough fiber in my diet without adding the powder.
Yes! This exactly!
@@yourfriendlyproctologist This is what i am currently exp. Im taking Fiber supps eating tons of greens and stool softners and super struggling with my hemroids. My Dr told me I cant take enough fiber and ive been spiraling out of control.
I've found that if I need to increase fiber, I proportionally increase water intake and everything is good.
I so appreciate you and your channel. As a lifelong IBS sufferer I have gotten so many different opinions. Listening to you has been very helpful ; putting things in perspective. Takes alot of the anxiety away. Thank you
Yes! Hydrating fluids over time is #1. Fiber must be met with plenty of fluid! Fiber without fluid is basically concrete! #2 everyone is different in their response. Pay attention to what works for you! #3 timing! Do not do fiber at bedtime. If you do you may spent weeks or months recovering from the result!
I want to say I APPRECIATE your conversation on this topic. I have constipation and other issues. I have done a bunch of research, but I'm still learning much from your videos. 😊
Here in europe when doctors are talking about "eat fiber", they are relating to "eat more vegetables" and "have a fiber rich diet". Is this still the same for you Dr. Chung? Fiber suppliments is not common here as far as i know. And eating more vegetables makes stool always kind of "perfect". All the best and thank you very much for your videos.
Finally someone is saying this. I had to learn it the hard way after listening to so many doctors 😭 they don't even ask how is my stool, how often I have it, what is like .... They hear a fissure or hemoroids and they say fiber and water. 🤦🏼 I eat too much fiber just from my diet and my doctors didn't check my diet... They just said add more fiber supplement. It was so bad for me and made me worse 🤕
I think extra fiber is good only for people who don't eat fiber at all or have loose stool. I wish doctors at least gave a referral for a nutritionist or at least say to be careful with fiber or send your video to their patients!
Some doctors are just going to do the very minium. Or prescribe medications as that's what there taught in medical school.
fiber is only temporarily useful if you suffer from dysbacteriosis.
I have learned so much from you since discovering your channel. I literally almost spit out my coffee when I read Comet poop! I never had that but my anal fissure in 2015 was caused by several Ass-terhoids.😂 I have since struck a balance on fiber and water consumption. Great advice and video.
Lol!! Ass-teroids!!
What your fiber and water intake regimen?
@@OscarHernandez-bv3pr I stir in about a tablespoon of orange flavor metamucil with about 10oz. of water. Less water makes it too thick and I usually use room temp water. I drink this down before I go to bed and when I get up the next day It's not long before I have to go.
I have had slow motions or constipation my entire life. Now at the age of 62 trying to heal a 4 year old fissure I have finally worked out that THE bad thing for me is bread! (After red meat, alcohol, dehydration, coconut & tomatoes) Been eating wholemeal for 30+ years. It gives me a large and firm stool. Always had sandwiches for lunch at work! Psyllium didn't work for me. Some oat cereal with nuts, banana & yoghurt is my start to the day. Still trying to work the rest out to get regular. I have comet poo at the moment! I always hotch from side to side to coax it out & avoid a relapse caused by pushing. I drink water during the night, helped a bit but not 100%.
Thank you, doctor! I understand now why I get bulky hard evacs on days I don’t drink enough water! Why just this week I paid $500 for emergency plumber service on my toilet. Yes, it was brutal coming out and the plumber had to use an augre to nudge it down. I apologize for being so graphic, but I am so relieved to know why I’m constipated when I have high fiber diet: tofu, lean pasture raised meat, fruits, veges, no sugar, no refined carbs, no processed foods, no alcohol, no carbonated drinks. The answer was right in front of me, I just didn’t see it. Thank you!
Excellent video on fiber; and all so true! Fiber can cause constipation, I learned the "hard" way for sure!
Please do a video on foods to eat!!
I think pay attention to the body. Eat variety of whole foods skip refined sugar.
Thanks for the information. It’s better to know how things work rather than through trial and error.
Never thought I would say this: man I enjoy your channel. Thank you. As my mother used to say when she gave me a glass of medicine: bottoms up.
Thank you for discussing this problem. It's something that affects us daily, but mostly we don't want to talk about it. Honestly, when your GI system is working well, it's a good day, and when it isn't, you're miserable. I do find that just the right amount of fiber is the answer, and it can take a bit to find that place. I found three prunes a day helps, but I need to be careful not to add too much to that, maybe just some fresh vegetables like a salad will to it. Your videos are very helpful.
Thanks, no wonder my stool has always been so large and hard due to proctologist’s recommendation of more and more fibers.
Yes! It's awful. We, as physicians, need to listen to our patients!!
You are spot on Doc. Had a hemorrhoidectomy recently and for some reason decided to load up on fibers during recovery. Not a good decision as I have a lot of bloating which is making me very uncomfortable. Wish I watched this video earlier on. Thanks for the education.
Glad you're making it through your recovery!
Can u ask you a question? How long did the bloating last
How is your recovery after operation?
I've suffered a lifetime of bloating, constipation, and hemorrhoids due to eating nuts, fruit, veggies, whole foods, etc., (even been vegan for a few years)
Yes Drs do need to losten and teach. I’ve learned more from you than from any of them.
Have had fissures for 6 months now after giving birth and am basically vegetarian whole foods plant based all my life, used to poop once a day but bc I added more plant food or wheat bran would go 3-4 times a day but bc the doctors hears fissures and hemorrhoids they tell me to eat more fiber. The fiber has made my anus stretch so much, it has made it worse and doctors who don’t ask about my first and how many times I go are bad too
IDK what giving birth is like but what I went through the last 6 months i feel i might qualify. My Dr has me all over the place with Fiber and I just dont want to poop anymore
So helpful. Was recommended to add 30mg of fiber a day. And definitely have the comet poops. My doctor wants a sphincterotomy but I want to find a solution. He didn't even care to listen about how my poops were.
I had good results having a breakfast of spouted oatmeal cooked with prunes. I like this food form of fiber better than powdered fiber supplements I.e. psyllium.
just to share my experience my problem was softer stools and frequent defacation. ADDING FIBER WITH EVERY MEAL, has helped me TREMENDOUSLY. its regulated me, made my stools solid and makes cleaning out sooo kuch easier and quick. LOVE FIBER. i AM WAY MORE GASSY but burp wise not fart wise. but worth it
My favorite line from a doctor is it will get worse before it gets better.
Lol. Sucks, to be sure.
Oh man do I relate to this!!! Thank you for shedding light about fiber !!!!!
I sometimes take psyllium husks. A heaped dessertspoonful, on a morning, with plenty of water. Works great, but if I keep taking it for more than a week or two, it stops working. So, it's not for constant use - at least not in my case. I do need my fiber, though, but, as you say, you must also consume a good amount of fluid, or it can have the opposite effect of what you want.
But the thing about stool softeners is that some doctors do not recommend to take them long term.
So confusing
tried high fiber diet and the bloating was awful. also made it hard to pass stool becuase it was just mush and couldnt push it out. now im eating lots of chicken and green beans and getting a perfect consistincy.
beans are extremely toxic
I have learned so much from listening to your videos please continue thank you
I think "artificial " fiber,(not attached to the fruit or seed or vegetable) and not chewing well the food, all affect the transit in the gi tract. Once I added psyllium husk to my already high fiber whole food plant based diet and I started getting hemorroids. I blame the Metamucil for my hemorrhoids to this day.
I lost twenty seven pounds and twenty eight days doing a fiber diet. It made me feel so much better than I had ever felt. Then I did another thing. I had been able to go to the bathroom more with eating more fibre and drinking a lot of water with that.
Most people do not get gas bloating or cramps when taking fiber at normal dosages. In my opinion its better to take fiber than synthetic stool softners that cause electrolyte imbalance constipation and other colonic problems which are not meant for long term use. Fiber can be taken long term without problems.
Very true, I agree with you are bodies are designed to take in fiber, I think the reason why half these people on here get constipated is because they've been on the standard American diet almost all of there lives. And when switching up there diet after 20 years of eating crap. The body goes nuts and doesn't know what to do.. it's like taking a street drug then going cold turkey the body will goes nuts for it.
if ur taking about using if for years and years maybe. but using it for a while will not alter anything dramatic. and NORMAL dosages is different for everyone thats; the key part.
@@banderas2000 Its still bad in short term, its a chemical. Fiber is natural, safe, healthy and more effective.
I do even with tiny amounts
This is so true. Big pharma is pushing a lot of stuff on us. I used to take the recommenced amount of psyllium husk and I had massive soft stools. I cut down by 3/4 and it got better but now I’m trying to eliminate it all together. I use myralax and magnesium. Trial and error. Thanks for your advice.
Psyllium husk did the exact thing for me. I was taking around 15-20g of psyllium every single day. It caused comet poops aswell as huge sized poop that caused a severe hemorrhoid inflammation the next day.
I keep getting comet poops. With very long tails. I had used to experiment with fiber before it started, because of semi-hard greasy poops that were almost impossible to pass. Wheat fiber made my stools WIDE. Rye fiber - mixed results, usually softer, but it had these sharp texture... And finally ground flaxseed - the best results, but after some time, it got worse, so I dropped it. Now, I get comet poops even though my fiber intake isn't high, only from dinner vegies. I don't even eat rye bread I loved so much, because of that sharp texture it was giving me. So I eat the wheat one. I don't think gluten is the cause, as I have never had any issues with it, and days I don't eat it, it doesn't get better.
The only thing that slightly helped me was string beans, especially in a soup. But can't eat it everyday. Honestly, it's so complicated, I'm not sure what to eat anymore. Not easy to test what food is good/bad if I poo every 3 days. Big amount of soft poo after the initial (semi) hard beginning. And what's funny, sometimes I get a round two 8-10h later after I sleep. Then I'm done for another 3 days. I don't feel the urge to poo everyday like I used to. Sometimes, I feel maybe it's time, but... it's not. And next day I don't feel anything, like it moved back or something lol. Then after 3 days, I get this big urge that I need to rush to get rid of this big load.
Maybe lack of exercise is the cause, used to be very active pre covid era. But now, it's not that easy to motivate myself with hem flareups :( Got pretty painful one lately, not even sure why, as the last poo was pretty soft, and it didn't take long. So like, fiber bad, fighting for good soft stools - bad anyway as I got the flareup, ugh it's so annoying.
You’re so right about this!! I would also love to know your thoughts about probiotics!
Me too
YOU are right ✅
I start low fibre 1st & then high fibre
My doctor told me to use Benefiber. It caused me to have severe bloating, gas, and pain. My stools were so loose that I was going 10 times a day.
When I told her all of this she was visibly upset, and said I was the first person in 17 years, which she said 3 times.
She had told me to take 2tsp twice a day and it hurt so bad. I even had problems at 1tsp a day. I have to find something else.
I need you as my Dr. You are my Dr now. 😅
Yes right knowledge is truth is wisdom is powers that will set you free
Thanks Doc.
👩❤️👨💥🌈
My doctor is pushing benefiber…up to 3 tbs a day no no no I hurt. So I switched backed to a slightly rounded tbs of Metamucil. 3-4 poops a day. So happy
Your videos are helping so many people. Thank you.
My pleasure!
by proof-mistake I realized fiber just make the things worse . So I use magnesium after see the results for many years in the past but it's something many doctors don't mention .
I started fiber few days ago and and my stool was super soft. The first few days was perfect. Stool was super soft and and going was so easy. I decided to add a little more. Which was a big mistake. I had the “comet” poop, hard in the beginning and soft at the end. Which opened up my fissure again. Thank you for all the information doctor. I was so confused why I was back to square one. Now I know. Thank you so much for all you do.
what are you eating now? Are you cured?
@@kavitasankar9252 It comes down to keeping your stools soft. I stayed on stool softeners for two weeks straight. Be careful with this stuff, it can cause an imbalance in your electrolytes. I eat lots of vegetables and drink plenty of water. Small salads with every meal and boiled broccoli for snacks etc. I still eat everything I love but always eat a small salad in between. I use Diltiazem at night for about 2 weeks to help relax anal muscles for the next morning poop. I wouldn’t say I’m fully healed but my stools are now soft and fissure doesn’t hurt or bleed. I’m going on 3 weeks without an incident. I hope this helps.
@@sharkfinn8091 so u still eat alot of fiber foods? i don't take fiber powder any more. but i am recovering from a fissure and using smoothlax. and is helping but still some bits of hard stool. i think do to eating fiber with EVERY meal. greens, whole grain ect.
@@banderas2000 I stop taking fiber supplements and eating high fiber foods. I think I found out why I’ve been having digestive issues. My stomach does not make enough acid to break down the food properly. I started taking apple cider vinegar every night before bed. It helps with my digestive issues and put back good gut bacteria to help break down foods. My stool are soft and smooth now without taking fiber supplements. I’m suffering from a chronic fissure. It heals at times but is unable to fully heal due to the damaged tissue. It’s something I’ve learn to live with now at my age. I refuse to have surgery. I feel at my age, it’ll make things worse.
YES, makes it WORSE..... agreed 👍
This is great info what u said made total sense to me and I was so confused about what I was “doing wrong” I’m going to consider this info and even dome of the things you said about a low fiber diet
I see so many women who say they do Metamucil at night . Also you’re not supposed to take it 2 hrs before or after medication. It says right on the bottle! Yet the hospital nurses did it and pretty much smirked at me when I said something
Hi Doc, I'm loving each of your videos they are so informative, thank you!
I have suffered with constipation on and off most of my life - now 69. Also had anal fissures many years ago. I now stay regular by taking 5g - 10g of psyllium husk per day which keeps me flowing without issue
I have had slow motions or constipation my entire life. At the age of 62 trying to heal a fissure I have finally worked out that THE bad thing for me is bread! Been eating wholemeal for 30+ years. It gives me a large and firm stool. Always had sandwiches for lunch at work & evening snacks! Psyllium didn't work for me.
I wish you were my doctor
Yes, specific to each person. I agree. Is it better to have more soluable than insoluble for persons with internal hemorrhoids?
Both soluble AND insoluble fibres bulk the stool and make it greater in size, take that into consideration.
Soft no pushing soluble let it fall out no pushing.
hi Dr, can you explain about how pelvic floor therapy can help patient to deal with fissure and hemorrhoids problem in a video
Check out today's new video! It might be what you're looking for.
Thank you Doc! You're amazing!
My poop is always as you described! Hard begining, soft tale. I was searching for an answer for a long time, and now I got the answer. Thank you so much.
This is extremely helpful video, thank you for reminding us to listen to our bodies.
I wish someone had told me this a few months ago when my haemorrhoids went crazy and I started experience anal pain and inflammation so bad I couldn't sit. I guess you can have too much of anything! My diet has been plant based (mostly raw) with a few animal products here and there for a few years now. I accidentally came across the low fiber / low residue diet published by the NHS in the UK and in a couple of days all my discomfort and pain went away after months of suffering. Not to mention that it's nice to only go to the loo once per day instead of 2-3 times and not feel like a balloon all the time
Thank you for another Informative and helpful video. God bless you
15 - 20 grams of chicory inulin daily helps quite a bit.
Actually there are 2 types of fiber, inulin and psyllium. First one is water - soluble and is a prebiotic, it feeds the good bacteria in intestines and psyllium is the one that needs water to become a soft gel. Or maybe I am not right? Anyways, inulin seems working for me.
I totally agree with the symptoms you described except I am not taking fibre supplements but vegetables and fruits. So obvious question is for dinner what would you recommend? And I assume you would want to have dinner much earlier so you can drink more and not too late...
Due to high fiber diet for fissure treatment, i have lost my weight a lot. If anyone faced the same problem, please comment
What is the best natural stool softener for fissure patient? and how should it be taken?
Thank you doctor 🥹❤ could you make a video for “safe” foods we can eat in case of constipation and bloating? Because oats can cause constipation but do mandarines or spinach as well? Aren’t all fiberous? Thanks in advance 🙏🏻
I think you can reach more people on TH-cam than possible in the office aetting.
This is wonderful.
If you come to Jasper Indiana, I will buy you a beer, a good European beer.
Thank you so much my favorite Doctor.
I've had constipation all my life, off and on, since age 4. My mother used to have to give me Fletcher's Castoria (anyone remember that?) As I'm older, it's worse. My doctor prescribed Linzess. It helps but it's not always best. I don't know if I should drink more with it. I don't know how it works, and I really don't want to, but it sometimes needs help from Dulcolax. I'm wondering if this is harmful? All I can say is that it's a relief to NOT have pain down there from straining, and various other things over the years to help out. I used to take milk of magnesia and finally got to the point I could hardly get it down. I have had hemorrhoid problems off and on since I was a teen. I had a colonoscopy last May and the doctor said everything was fine. The time before he sad I had small hemorrhoids near the outer part. I wanted to say tell me something I don't know... I like your channel. Just found it today.
According my personal experience your are very right: to much fibre does exactly as you explain, with the amounts i took it did not do me any good I continue trying to find the right measure
OMG! Thank you Dr. Albert Chung! I knew it. Taking fiber-riched food is not always good for hems. I already observed that, and as per experience also, that comet poop, ugh, you're right, Doc. Then, what should be our diet now, Doc? 🙂
th-cam.com/video/96E1f9HreI0/w-d-xo.html
Thanks so much, great video!
Thank you for your educational video
So glad i found this channel because I would have never gotten this advice from my doctors. All they talk about is Fiber for real....lol
My first start to pooping feels like broken glass I think it was eating seed grain bread the morning before or the French fries
This!!! Thank you Dr Chung! 🥺🥲 this has been my concern…
My diet consist of mostly veggies / leafy green (i love greens so much), some fish and egg, a very little meat and i barely eat carbs.. I drink 2-2.5L water a day.. and i’ve been having hemoroid since teenager..
My doc told me to take more fiber.. 🥲 although that’s already most of the things i eat.. i’m bloated daily, but not farting often, so imagine the tightness i feel in my tummy.. not pooping daily so my poop is the Bristol no 1 a dark pebbles or Bristol no 2 a huge clump.. and sometimes a COMET POOP like you describe..
Now i’m finally enlighten thanks to YOU, i’ve been eating TOO MUCH fiber..
I just had laser hemoroid procedure for grade 4 hemoroid, it’s day 6 post op and doc told me to eat like normal and eat my fiber.. i didnt poop for 5 days after the procedure, and been eating porridge + chopped veggies / meat + juice (hospital meals) and they gave me Lactulose at night.. didnt help..
and finally i POOPED day 5 at night… a nightmare a hard one Bristol no 2…. And i had blood with my poop.. day 6 at night (today) it got worst, the water in the closet turned all red from blood i barely able to see my Bristol no 1… i’ve checked the bleeding has finally stopped…. But now i’m anxious and scared if the bleeding gonna get worse, since i ate “normal” fiber today as my doc’s recommendation… 😱😭
I told the doc, i ate tons of veggies.. doc was not convinced and said, eat more.. it’s always good to have MORE fiber.. 😭😭 if only you can educate doctors here about the fiber problem…
thank you doc. makes so much sense. my previous doctor would say OH u need more fiber. take this once a day blah blah. would this also account for fiber foods? broccli , spinach, ect. i feel i eat fiber with every meal food wise. maybe i should cut down some.
What are your thoughts on glycerin suppository for hard stools and constipation? Can it be used in addition to Metamucil and Miralax?
Interested in the answer to this question.
I agree with this. I went on a diet to lose weight and was eating a large bowl of oats every other day and also plenty of baked beans. It made my stools so hard to pass that eventually I ended up with an anal fissure which was extremely painful. So for fiber yes have a little with plenty of water now and again but not big quantities.
How u overcome ?
@@hsk7289 Just make sure if you're eating a lot of fiber drink plenty of water/liquids. I did this and was fine afterwards but used a mild laxative for a day or two to help me out. Exercise as well will help a lot keep you regular even if it's just 20-30 min a walk every day.
@@antonichristian5845 how many months you suffered and how many months you followed this diet and got recovered?
I wish I would have seen this video before listening to Kaiser doctor. I started Metamucil and ended up with a fissure.
This guy is good.
What helps me poop regularly is eating tomatoes, celery, apples, oranges, avocados etc and not all at the same time.
I've gained weight due to poop issues celiac,acid reflux. Working with doctor.i eat keto for health issues due to starches and sugar due to mygrsins and sick
First thing my Colon Rectal Surgeon insists I does take more fiber. I try to tell her I already am & she she says take Metamucil & my gastroenterologist says Benefiber.
Very useful information. Thank you.
Do you think we should still try to get fiber through foods? I need a little bulk so I can get it out. So frustrating
Thank you very much doctor I have finally saw this kind of video. I've been having hard stool with a bit of blood and causes anal fissure, because of eating too much fiber. Thank you very much my mind is at ease now.❤
I'm currently on a medium serving of porridge with some nuts and chis seeds for breakfast, soup with 3 slices of whole grain bread for lunch and dinner, drinking alot of water 5 pints a day roughly, seems to work took a few days to kick in
Thank you Doctor, I have learned so much from you at a crucial time for me. I am hoping to have an exroid procedure once I heal from a fissure. I was prescribed the no. 1 ointment your recommend, but not the no. 2 drug you also recommended. You stated that you rarely see a fissure heal without the addition of the no. 2 drug. Is my Doctor missing a trick here? Or is it that my fissure is not that bad and the no. 1 drug is enough to clear the issue? You seemed emphatic about the no. 2 drug in your video.
Is fibre from fruit and vegetables ok
Yep!
Yep I started eating huge amounts of cabbage and was bulking up so much I couldnt have a movement without an enema and thats with an enlarged haemmy
right on you are my favorate doc
I drink pinch magic fiber after dinner in a 16oz shaker follwed up with 32oz of water and i poop at the same time every am and my poop is some nice pipe with no poop on the paper,i also drink water all day and absolutely no milk!
Great Vid Bud....!!!
Thanks!
Thank you so much! Very appreciated!
Oh god yes the hard/large stool followed by soft end with remnants difficult to pass (and sometimes clean - horrible). I think I overdosed on fiber 7g psyllium 3x day stacked on top of food sources. Hell. The psyllium I was already taking but added more after MD's prescription. I was also taking at night right before bed. I really want to provide this feedback as I went through hell. Now I'm trying to moderate... Obviously all white flour and sugar and meat and cheese doesn't work also!