I have to sit in the toilet few hours everyday but still couldn't go sometime

I think you have mentioned three main problems here.
1) Feeling the need to defecate and not being able to.
2) Sitting on the toilet a long time in order to defecate.
3) Inflammation of your intestines
1) If you have the need to defecate and are not able to do so then you perhaps should be thinking in terms of an enema. An enema is the squirting of purified water or a medicinal liquid into your rectum via the anus so that the stool is washed out. If the stool at this point is hard then you have had constipation which means that when the stool first presented to your anus you were not able to go to the toilet and so it receded back up your rectum into your intestine and it has had more liquid withdrawn from it. It has become hardened which makes passing difficult and can require you to strain. If you strain your pelvic organs (uterus, bladder and bowel) are strained and stretched and this can lead eventually to damage and prolapse especially in the case of mothers of more than one baby. Please make sure you talk to your chemist or your doctor about enemas first.
If the stool is higher than your rectum then you can massage your abdomen (that area between your thorax and your cervix) starting from your right side just above your cervix, continuing up over your belly button and then down your left side. This massaging will eventually help to move the stool through with the release of gas. So you may be looking at doing this when you go to sleep and then next morning you will be able to easily pass stool.
Some people prefer to take laxatives. These are certainly effective in accelerating stool through the intestines, but they can also be quite painful and it is recommended that they not be used long term as they become less effective. Fruits can often act as good laxatives: granny smiths green apples, prunes, and then according to the individual what works for them: some people find paw paws suitable for this.
2) Instead of sitting on the toilet, it should prove more effective if after a meal (perhaps twenty minutes after breakfast) you walk and stand so that your intestines can relax and stretch. In this way the stool will find its way gently down into your rectum and you should be able to pass stool without straining. People don’t like to do this as it requires the release of wind and with someone with prolapse this can be a noisy process, but really it is the best, most effective way. Either you can take opportunity when no-one else is around, or you will have to stiffen your resolve and risk embarrassing yourself in front of someone. Then again if you have more than one toilet or the privacy of one take a newspaper in with you and don’t sit but stand and pace and read until you are relaxed enough to perform.
3) Inflammation of the intestines makes your abdomen swell, bloat and feel uncomfortable and sometimes painful. This condition can be caused by eating a food that does not agree with you, catching a germ or the effect of toxins from constipation or diarrhea. Because I eat a western diet things like yoghurt, sauerkraut, blue vein cheese (a risk if pregnant) and so on (see Christine’s DVD “Vulva Vaginal Health”) are most helpful in avoiding and/or relieving this situation. As you are in Asia you need to search out similar healthy bacteria and molds. This will relieve this condition. Also taking paracetamol when this inflammation situation is bad will certainly give you relief. Again people are afraid to take too many drugs, but an emergency is really an emergency. The sooner you can relieve yourself, and move on, the better chance you have of correcting your overall situation.
The main point of course is to make sure that you defecate and urinate smoothly each day. This means eating the right foods for you. This is important for the American food pyramid although going worldwide will not necessarily suit your particular body (and that includes Americans). The other important thing to do is to relieve the stresses in your life. Stress usually means that your toileting situation becomes at times unmanageable. All this takes time, and you need to work at it steadily just as you need to work at WW posture because once you work at relieving your prolapse the less disabling all these other things become. The remedies I have mentioned (apart from healthy bacteria and moulds) are to be applied when things have worsened which they will from time to time when your life suddenly changes and you are not able to plan your meals and activities. So the fact that this situation has been going on so long for you means you must now take serious consideration of your diet and start analyzing why certain situations are stressful for you. Start with diet first the rest of the stuff involving stress will follow because you will have become more aware. And the knowledge as to what works best for you and what meals and activities are best takes some time and patience, but you are a woman and you have that in abundance. So start noting when things are ok and when they are not. A food diary would help.
Good luck.

Thanks for all this great info, Fab. Yes, it does sound like your constipation is aggravating your prolapse. The constipation is the major problem you are facing. Once you get that under control you can concentrate on your prolapse symptoms.

I would also like to add that you don't say what sort of operation the doctor is talking about. What does *he* say is the problem or problems? What sort of prolapses do you have? Are there other medical issues?

What type of foods do you mainly eat?

Dear Amitabha,
I am glad things are working out for you. You can translate English into Vietnamese:
Open a new window
type in google translate
go in
copy the english text and Google will translate it into vietnamese for you
so
I typed in Thong Truc trang and it translated as Thong rectum
so that may mean rectocele.
The translations may not be perfect, but they sure help. If it is rectocele that you have then the toilet issue and the posture are really important things for you to master.

Hi Amitahba

Yes, rectocele makes sense. This is when the rectum becomes full, and curled up like a length of messed up garden hose. It kind of squashes itself down, and won't let the water flow through properly. Then the rectum pushes forward on the vagina. If there is some fascia damage between vagina and rectum the rectum will bulge into the vaginal space, but behind the vaginal wall. This is the rectocele. If you can straighten your rectum out in the longer term the stool will come out of it more easily. At the moment, if your abdomen is bloated, there is not a lot of room for the pelvic organs to move around inside you, because your intestines are taking up a lot of room. Having the intestinal contents softer, and therefore less rigid, makes the intestines more flexible and it is easier to pass stool. It may take some time to clear the backlog.

I suggest that you visit the toilet about 20 minutes after you eat. This is the time when your stomach has finished digesting your food and the valve opens to allow it into the small intestine for the next stage of digestion. So the intestines have a period of peristaltic activity, and it is the most likely time to be able to empty easily. Just stay on the toilet until you have passed something, then go on with your day. It doesn't matter if you have to pass a little eight or ten times a day. It all contributes to clearing the backlog in your gut. There may not be the need to sit on the toilet for as long as you do. The urge is there, or it has gone.

You can do splinting to help move the contents of the rectum. This is putting your thumb in your vagina and pressing the rectocele back so the vagina no longer has a bulge. This helps to straighten the rectum, and often results in passing some more stool. This is good first aid. I used to have to do it for every bowel movement, but a few years later, I haven't had to do it for about 12 months.

I would suggest that whole grain rice would be more stimulating to your intestines than polished rice. It will make your gut move faster.

I am surprised that the doctor didn't recommend an enema, as you seem to be in pain, and have a very swollen abdomen. Is there any chance of having an enema? Don't use enemas on a regular basis, because the gut gets lazy, but they are very good for getting your gut moving.

Louise

You definitely need to get the straining under control, or you will only continue to make your prolapse worse. And you have been given lots of excellent suggestions to help you do this.

At the same time, you need to start working on prolapse management for the long term. Fab has mentioned posture a couple of times, and she is referring to Whole Woman posture.

If you haven't already, I'd like for you to do this: Click on the "resources" tab up above, and then look for the link to "Whole Woman Videos". Watch the first video on that page, called "The Whole Woman Solution to Pelvic Organ Prolapse and Urinary Incontinence". It's only 20 minutes long, so please watch it all the way through, perhaps more than once. It will explain why you need to stay away from surgery, and what you can do instead to manage this. Don't put it off! Good luck to you. - Surviving