What causes lower abdominal cramps during a bowel movement?
Patient: Hello, I have recently had lower stomach cramping while having a bowel movement and losing all color in my face, becoming very hot, extremely light headed and almost passing out. Can you please tell me what this might be? There was no diarrhea or vomiting. Thank you. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.  I have reviewed your query and here is my advice.  * The presentation of narrated symptoms suggest that there can be various reasons for the same as: - Straining due to hard stool  - Inadequate evacuation  - Associated heart problem which show up particularly during this type of activity as inducible ischemia or others  - Bleeding in stool  - Other systemic causes.  * I recommend to visit an ER without delay for the diagnosis of the same and prevent future such episodes.  Hope I have answered your query.  Let me know if I can assist you further.