DEAR DR. GOTT: When I can’t move my bowels, I put my thumb into my vagina and push back against my colon. This helps to push the feces out and breaks it up. Is this harmful? I don’t like to use laxatives or stool softeners, but the medications I take do cause constipation. I can’t bring this up to my doctor or anyone else as it’s just too embarrassing.

DEAR READER: If you are suffering from occasional constipation, I don’t believe this method will harm you. However, you should inform your doctor. Perhaps your constipation is caused by something other than your medication, such as improper diet or a rectocele. Increase your fluid and fiber consumption to add bulk and moisture to your stool. This alone may resolve your problem. If you continue to have difficulties, a change in medication may be in order.
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