Persistent Rectal Pain

My Mom is 70 yrs currently at nursing home with her right leg paralyzed. She has been experiencing severe rectal pain for more than a month now. She is eating regularly but cannot sit for too long. She's not constipated and does not experience pain during bowel movement. Nothing found on her rectal exam, nothing on ultrasound of her reproductive system, found normal results on colonoscopy except for two polyps that were removed and is undergoing analysis by a pathologist. The only relief that she's getting is regular in take of tylenol 2 twice a day. She keeps asking when will these pain go away but could not find what medicine she can take to finally cure her.

Medicines that she's currently taking are: Celexa.Metoprolol,Mogadon,Micro K Potassium,Ramipril & Tylenol 2.Could you please advise what kind of test or remedies that she can take.

Thanks


This discussion is related to Need help with severe Rectal Pain.

[ggreg]

Since all her tests came up negative, then.... I don't know what paralyzed her leg, but sometimes lower back issues will hurt down into the buttocks and make it hard to sit.  A scan of her lower spine should reveal any changes there or reveal possibly a growth that wouldn't have shown up on the exams she's already had.  She could also have a pinched nerve in her back that's radiating down and doing this.  I think that scan should be the first approach to find out what's wrong, since it could be the most serious to her health.  

The pain needs to be defined more, like if it's continuous, or if it only hurts when she sits, or if it's a stinging rather than shooting pain.  Look and see if it's bruised back there, which would indicate she was banged there a little too hard, and if so, it will go away in time.  If it stings when she sits, then the nurses should put plain KY jelly on her backend area for a couple weeks, to prevent stinging and chaffing.  There are a few other possibilities that a straightforward external physical look-see by a physician or nurse would reveal, like a bed sore or inflammation from a fissure or hemorrhoid.  

I immediately thought of a hemorrhoid that has grown significantly since her last exam, either internal or external...until that gets ruled out or confirmed and treatment given, she can try sitting on a donut-shaped pillow, to take the pressure off that area.  People with hemorrhoids sit on those, you can put a pillowcase over it, so it will just look like a regular pillow.  And if they don't find anything wrong after all is said and done, then she should at the very least get better pain control.  I hope something in here helps you.