Hello Madam, My name is Bishal, I have a problem...

Symptomes and management of Defecation hesitancy
Defecation hesitancy is a functional disturbance in the motion of defectation through the bowel that manifist as dalayed emptying and problematic defecation that is associated with cramping, abdominal pain and flatulance, it cause the patient to have a frequent desire to defecate due to incomplete rectal emptying, it result from inflammatory, parastitic or functional colonic motion disturbances, the cause should be investigated properly along taking Lactulose syrup 15 ml twice daily and consult a gastroentrologist 
Investigations 
After proper physical exam the rectal tone is checked by your treating doctor, stool analysis for parasitic detection and calprotectin which is specific for crohns disease, Colonoscopy for any masses of sigmoid anatomical malformations, Defecography studies should be done to detect defecation process malfuncion ,Thyroid funtion TSH, T4 to detect hypothyroidism 
Causes 

• Parastitic infection 
• Inflammatory bowel disease 
• Colonic inertia
• Sigmoid congenital anomalies 
• functional disturabce 
• Colonic tumors 
• Hypothyroidism 

Our advice 
You are adviced to have a well balanced diet rich in fruites and vegetables, avoid seeds and red meat , avoid smoking and have regular exercise