On Thursday Morning I Woke Up With A Severe Cramp

Posted on Sat, 16 Mar 2019

Question: On Thursday morning I woke up with a severe cramp in my rectum. Also had some abdominal pain. This lasted about 40 min I could not hardly stand it. Once it subsided my whole groin and lower abdominal area was sore. I also felt like I was going to have diarrhea but never did. Over the last two days I have been really tender in the rectal and lower abdominal area. I have had normal bowel movements. But have had a temperature at night ranging from 99-101 F. I don’t
Have any other symptoms other than when I sit down I feel a discomfort in my rectum the radiates up to just above my pubic bone. I am not Fatigued or any other symptoms. I have had the rectal spasms before but never this bad. Thoughts?

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
proctitis, sigmoid diverticulitis likely possible.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As there is presence of severe pain with fever, suggests internal inflammation at lower
part of colon most likely involving rectum, anal canal as proctitis, sigmoid diverticulitis
or else ( which can be possible with normal bowel movements ).

My guidelines at present

- Primary relief with analgesic as paracetamol or prescription of dicyclomine from your
general physician.
- Avoid hard stools by consuming plenty of liquids and high fiber diet.
- Avoid consumption of spices, non veg stuffs till possible.
- Definite diagnosis requires proctoscopy examination by consultant surgeon.

Would like to discuss further doubts regarding the issue.
Wish you fast recovery.

Regards.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Bhagyesh V. Patel (18 minutes later)

Would the sever recital spasm possibly cause the pain in the area just above my pubic bone. It almost feels like muscle pain. I also do feel cramps at times. I did have 3 very hard bowel movements prior to Thursday. Then took mirolax and been softer since

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
follow up .

Detailed Answer:
Hi
Welcome for the follow up.

* Severe rectal spasms due give pain above pubic
bone via referred pain through nerve supply.

* Presently should focus on maintaining soft bowel
evacuations and watch for the progress of the
condition accordingly.

Thanks.

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Above answer was peer-reviewed by : Dr. Kampana