Rectal Pain and Pressure

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Febuary 21st I noticed I was getting sore in my rectum when I would sit some times. I had  some bright blood earlier that month on my tp, but I have had a small hemroid for many years, so I did not think anything of it.But as the month went on I kept getting sore more and more.I went to my GI, who by the way has been seing me over the last 5 years for Acid Indegestion and IBS Symptoms. I had a Colonoscopy 2 1/2 years ago for pain in abs, came back normal, with a palyop that was sent to pathology, and was also normal. My GI Said at this visit that my pain was hemroids, and gave me some Cortizone cream...2 weeks later, i went back because I was not getting better. He said not to worry that my colonoscpy was negative 2 years ago, and he gave me supposatories this time And we schedualed a Flex Sigmoid for in his office. I seem to be getting worse , and when I called his office he was out of town, so I went to a surgeon. He did a Anoscope, and said he saw a few small Hemroids but did not think they could cause my pain, and to come back in 3 weeks if does not get better. I went back to my GI and had the Flex Sig done, and he said everything looked good , and he saw a few small Hemroids. I told him my pain was intolerable, and that we need to find out why I cant sit, for it is painful, and continues throught the day...I asked if maybe I have Levator syndrome, and he kind of shook his head, and said that was the same as IBS. Well I also asked if maybe I had endometrioses on my rectum, he said not possible... I have seen my OBGYN in between these visits and he is going to do a Laparoscopy 4-18-06 to see if I have any endo on my rectum, he says that if I am having spasms, that something has to be causing them and it could be endo. He does not see that it can be anything else...
I am at my wits end please help me......These are my symptoms
Am feel ok.....kind of
After I have a couple of bowel movements I am sore in my rectum and feel some burning sometimes, not like hemroid burn. then as the day goes by, i feel like I have to have a bowel movement and push but nothing happens and its painfull. I feel pressure in my rectum , when I sit its real painful, so I cant sit. I have a ache in my rectum all day, and some times I feel like there is something in my rectum. The pain never goes away, just varies through out the day, when I got to bed at night it seems to not be as bad, then it starts all over again in am. I take a stool softner and eat alot of fiber and water, so I m not constipated

Please help.....

[Ms_Makita]

I hope everyone is feeling better or at least found out some news! I still havent,ended up in er Fri nite severe pain ,felt like appendix acting up..had symptoms..urge to pass stool or gas ,and couldnt,nausa fever,and worst stomach pain,but after bloodwork and another catscan dr said it isnt that. 2 more days till my laparoscopy,still unable to eat or sleep..this is so #$_+(@! miserable,how do you all deal with it? I told my dr if im not on some pain managment i swear i'm about to shoot myself! ( I know I wouldnt or couldnt do that) but I guess when your in so much pain you reach point you cant take nomore.I think I reached the point I cant eat no matter how hungry i am,just been living on liquids.Anxiety attacks kick in few times a nite,thinking im not gonna wake up cuz im starving to death ,my heart is gonna stop blah blah...this really does take a toll.I use to have high tolerance for pain,this is going on for 6 months!Can endometriosis really be this painful,and make you sick? good luck to everyone!

[Hello!ToHealth!]

I usually don't post on these either but after reading this post I feel it's my duty... And Might I add, I'm so glad to have found you people.

I am a MALE (we too have this problem) and I have had this problem for 3 years now.  I know that sounds bad knowing the pain, however, the good news is I've done tons of self research and thought alot about this problem and seen many doctors, accupuncturists, and herbal medicine people for this problem and I have some help to offer you poor suffering souls! ;)

As far as this problem is concerned, I'm just like all the rest in as far as I too once could only think about my rectal problem, the feeling, the pain, etc.  I still focus on it a bit (hence tonight my searching on the net found this site) but it isn't all encompassing, one can live a good life. Since this problem started I've been around the world and lived for long durations in foreign countries with this problem.  

I believe for me this problem is caused by weak or stretched ligaments the support the rectum. The doctor I saw at Bumrungrad in Thailand also felt this to be the case and went so far as to say it looked like (from the cheap cheap tests they do in Thailand for all of us broke people in the states) the there was some abnormal descension in the region of the rectum (perianal?).  This would be why when we need to go to the toilet we REALLY feel the large mass and pain and after we've gone to the toilet the heavy feeling subsides after going.  The weight of the feces really puts a weight on the rectum.  The complete solution to this problem I haven't found, YET!, but I will.  And until then we all must keep our chins up and search inside and, importantly, outside the medical system.  Obviously there's not a lot of interest for western medicine in fixing this problem.  The doctors in the states really can't diagnosis it (and the ones in Thailand struggle as well but they are nicer and will try really diligently to diagnose the problem unlike some experiences I've had in the USA.

OK, so here are some things to do to relieve the pain and constipation:

1. Metamucil.  6 capsules every night.  The next morning drink hot water (or coffee if you must) to push through the metamucil.  This help relieve the constapation and clear out the bowel in the morning. The metamucil also isn't so bad for your health. And the hot water pushes it through.  You might have to have 2 or three cups of hot water, maybe more.  

2.Water jet enema!  My favorite! Basically, after you deficate, take a water jet from some source (get creative) and shoot some water up into the rectum.  Then expell the water.  Repeat this a few times until you feel like you have gotten rid of that "mass".   I discovered this solution staying in a 5 star hotel room that had a bidet.  If there's no bidet then I make a home made bidet.  I went to the local store and bought a spray water bottle that will produce a strong stream.  After I deficate, if I'm not near a bidet, I will use my bottle of water to clean out my rectum.   It really helps.

3.Yoga.  It's one of the few things I know of we can do to strengthen those inner muscles in the bowel area.  I did this reliegiously for 5 months and I can tell you it helps.

4.Pay attention to the foods you are eating.  Cut out the junk, the sugars, the low fat high calorie foods over processed foods.  Try to eat very natural whole foods.  I find a diet based on brown rice and vegetables really helps with the problem as well.  If I eat junky food, I can tell my symptoms get worse.

*IF ANYONE FINDS A SUCCESSFUL CURE OR REAL DIAGNOSIS MAKE A PROMISE THAT YOU WON'T FORGET THIS BOARD AND YOU WILL POST THE "CURE" OR DIAGNOSIS.  Too often people moan and groan on these sites, but when they feel better that forget all about the posts.  

I hope this has helped a few of you struggling out there.

[Ms_Makita]

I can relate to how all of you feel! its so damn depressing to live feeling this way..of course it could be worse,but the pain is unbearable!I have mutliple stomach/bowel problems..and maybe endometriosis..i have laparscopy aug 9th,finally moved it because i been in so much pain and cant eat..lost 40lbs fast,im 28 and up to this point never let it get to me,always had problems with ibs.. the runs or constipation..living on laxatives or imodium,but after easter this abdominal pain hit me like i was being stabbed everyday for 2 months along with the worst nausa ,i was able to go the bathroom ,that wasnt the issue..spent 3 days in hospital on morphine drip,had colonoscopy,endoscopy,ultrasounds,hida scan,cat scan,kidney x ray,everything was normal but mild acid reflux,so now its pointing to endometriosis.The pain stopped for few weeks,felt normal and could eat,now its all back.I've had the feeling or pressure after bm i wasnt done but it wasnt unbearable like it is now,its constant,went to dr yesterday did a rectal exam said it was roids,last week i had bad episode of constipation/impaction 5 hrs on toilet straining lucky i didnt give myself a stroke!I pulled every muscle it felt like,since then i had worse rectal pain and pressure i have to go and cant,if i do its blood ,and i get anxiety attacks before i eat cuz i dread the pain,so i basically been living on slim fast,boost,jello,juice and water cuz im afraid to eat.This is driving me nuts and causing deep depression,is there any end to this?!?

[KEH]

I have been suffering from rectal spasms for several years.  They are sporadic and usually occur when I am sleeping, so I question the diagnosis of stress.  My doctor prescribed nitroglycerine (Nitroquick tablets 0.4mg)one tablet to be disolved under the tongue.  It provides relief within 10 min.!  He said he realizes that this may seem like an odd application for the medicine but because it opens up all the blood vessels and capillaries, he felt it would provide relief, and it has!  I am a 53 yr. old female going through menopause and I have read in my research that these spasms may be related to low estrogen levels.  I also read that the spasms are usually benign and will subside over time.  I have attacks usually every 2 months or so and they are so painful that I can't get relief without the nitroquick.  So, I hope that this info may help some of you.

[Jet5L]

I havent posted in a while..my pain seemed to subside a bit, not back to normal but better until the other day i got up in the middle of the night to pee..i was sitting on the bowl and the pain started in my rectum..i started to pass out..i crawled to my bed with severe pain in my butt but also vaginally or bladder??? I dont know if i was passing out due to the pain..my DH took me to the ER but by my time we got there i wasnt passing out anymore and the pain wasnt as bad so didnt go in..Since then back to where i started with butt pain, taking ibuprofen to relax the muscles, ultracet for pain and sitting in a hottub/sitz bath..I finally have a gastro appt tomorrow..i think as some posted it could be related to the bladder and rectum or vaginally..they seem related..dragonsfire also mentioned a transrectal sonogram..good idea..and i am looking at the website for PNE..the only problem i see is convincing a doctor to check these things out too.. thanks for letting me vent

[Trelleborg]

I'm only 22 and I have some of the same problems. Right now I have an intensly painful Hemriod on the outside. I cant walk, sit, move, there is no comfortable place. I took a warm bath, I used the cream, I eat plenty of fiber and drink lots of water. Arent I too young for this? Its not my first, but it is in a new spot. I also have ovarian cysts, which I have had since I was 17. I'm on birth control and have been for a long time, so my only recollection of my natural period was that I didnt get it regularly. I also have chronic lower back pain, which wakes me up every morning, and intense sharp random pain, which feels like its attaching one ovary or the other. I also have definate bloating problems, to the point where the pain is too much to handle and I am visibly bloated.

I'm only 22 and need serious help. I am trying to put all the symptoms together, because I feel they are inter-related.

Any help, advice is welcome. Thanks!