Hello,

Thanks for posting your query.

There could be various causes of pain in the rectal area. The first possibility which comes in mind could be due to:

1) The presence of vascular deformities like hemorrhoids, rectal prolapse or inflammatory bowel disease like Crohn’s disease.

2) Procatlgia fugax: It is episodic anal pain that occurs due to contraction of the anal muscles. Treatment involves warm sitz baths, over the counter pain killers like ibuprofen.

3) Levator ani syndrome: Levator ani is group of muscles that surrounds and supports the anus. Spasms of these muscles are believed to cause rectal pain and can occur frequently in men.

Some suggestions for you:
1. Dietary fiber may lessen symptoms. You should drink plenty of water, and avoid soda, alcohol which may cause gas and abdominal discomfort.

2. Eating smaller meals may lessen the incidence of pain.

3. Low fat and high carbohydrate meals such as pasta, rice, and whole grain breads may help.


If your condition does not improve then consider getting per rectal examination and investigations like colonoscopy, nerve conduction velocity and ultrasound done to confirm the diagnosis. Kindly visit your Primary Physician and if required he might refer you to a Surgeon.

Hope this answers your query. I will be glad to answer the follow up queries that you have.

Please accept my answer in case you do not have further queries.

Wishing you good health.

Regards.
Dr. Rakhi Tayal.

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