[27M] With rectal pain following difficult bowel movement

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Anal Fissure: This is a small tear in the lining of the anus, often caused by passing large or hard stools. Symptoms include pain during and after bowel movements, and sometimes itching or discomfort.

  • Treatment: Anal fissures often heal on their own with proper care. Treatments include increasing fiber intake, drinking plenty of water, taking sitz baths (soaking the anal area in warm water), and using over-the-counter creams or ointments to reduce pain and promote healing.

• Hemorrhoids: These are swollen veins in the lower rectum or anus, which can be caused by straining during bowel movements. Symptoms include pain, itching, and discomfort.

  • Treatment: Hemorrhoids can often be managed with dietary changes to prevent constipation, over-the-counter creams, and sitz baths. In more severe cases, medical procedures may be necessary.

• Rectal Prolapse: This occurs when part of the rectum protrudes through the anus. It can be caused by chronic straining or constipation.

  • Treatment: Mild cases may be managed with dietary changes and avoiding straining. Severe cases may require surgical intervention.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

1. Increase Fiber Intake: Eating a diet rich in fiber can help soften stools and make them easier to pass. Foods high in fiber include fruits, vegetables, whole grains, and legumes.
2. Stay Hydrated: Drink plenty of water throughout the day to help prevent constipation.
3. Sitz Baths: Soak your anal area in warm water for 10-15 minutes several times a day to help reduce pain and promote healing.
4. Over-the-Counter Treatments: Use creams or ointments designed to reduce pain and inflammation in the anal area.
5. Avoid Straining: Try not to strain during bowel movements, as this can worsen your symptoms.
6. Journal Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe Pain: If the pain becomes unbearable or significantly worsens.
• Bleeding: If you notice blood in your stool or on the toilet paper.
• Fever or Chills: These could indicate an infection.
• Inability to Pass Stool: If you are unable to have a bowel movement for an extended period.
• Protrusion: If you notice a lump or protrusion from your anus that doesn't go away.

Remember, while these tips can help manage your symptoms, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.