[30F] Experiencing rectal pain unless sitting on the toilet

What might be happening

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

• Hemorrhoids: These are swollen veins in your lower rectum and anus. They can cause pain, especially when sitting, and may feel better when you are on the toilet. Hemorrhoids can be caused by straining during bowel movements, sitting for long periods, or other factors.

  • Treatment: Over-the-counter creams, ointments, or suppositories can help relieve symptoms. Increasing fiber intake and staying hydrated can also help prevent constipation and reduce straining.

• Anal Fissures: These are small tears in the lining of the anus, which can cause pain, especially during bowel movements. They can be caused by passing hard stools or other trauma to the area.

  • Treatment: Warm sitz baths, stool softeners, and topical anesthetics can help relieve pain and promote healing.

• Proctitis: This is inflammation of the lining of the rectum, which can cause pain and discomfort. It can be caused by infections, inflammatory bowel disease, or other conditions.

  • Treatment: Treatment depends on the underlying cause and may include antibiotics, anti-inflammatory medications, or other therapies.

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 help alleviate your symptoms:

1. Maintain Good Hygiene: Keep the area clean and dry. Use gentle, unscented wipes or a soft cloth to clean the area after bowel movements.
2. Warm Sitz Baths: Soak in a warm bath for 10-15 minutes several times a day to help relieve pain and promote healing.
3. Increase Fiber Intake: Eating a diet rich in fiber can help soften stools and reduce straining during bowel movements. Consider adding fruits, vegetables, and whole grains to your diet.
4. Stay Hydrated: Drink plenty of water to help keep stools soft and prevent constipation.
5. Over-the-Counter Treatments: Consider using over-the-counter creams, ointments, or suppositories designed to relieve hemorrhoid or anal fissure symptoms.
6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening pain
• Bleeding from the rectum
• Signs of infection, such as fever, chills, or pus
• Inability to pass stools or gas
• Any other concerning symptoms

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