
What Causes Persistent Rectal Pressure, Bleeding And Pain After Bowel Movement?

Please give additional information.
Detailed Answer:
Hi.
Thanks for your query, albeit shortand very specific.
To recapitulate: Female/31 - persistent rectal pressure and pain after bowel movement - some bleeding at times.
Your additional history would help me to assist you further:
- Since when have you got this problem?
- Is the feeling of rectal pressure for all the times or sometimes you are symptoms-free?
- BM: frequency, consistency, smell, mucus, feeling of incomplete evacuation?
- Can you feel small wound or burning at the front or back portion of anus?
- Any other history that you may please share to add to my knowledge.
With a very short history you have provided, this looks to be fissure-in-ano problem, wherein one gets pain on BM and the pain may persist for longer duration of time.
But there are few other conditions that can mimic, hence the need of detailed history.
Awaiting for your feedback.


Investigations are needed as well as an opinion of a Gastroenterologist.
Detailed Answer:
Thanks for your feedback.
Your additional history is suggestive of the following things and need proper evaluation:
- Can be a form of proctitis or a part of colitis. in this there is inflammation of the colon. Rectum being part of the intestinal tract also gets inflamed. And can give symptoms as you have.
- IBS - irritable bowel syndrome can present like this. In this condition all the investigations will be necessarily normal to name the condition as IBS.
- Rectocele even though present can not cause these symptoms.
I can understand the embarrassment/plight you must be going through.
Since this is now affecting the your quality of life, you need to undergo the following:
Consultation of a Gastroenterologist for clinical evaluation.
Tests of blood, urine, stool.
Colonoscopy (includes ano-proctoscopy).
Further investigations as may be needed.
These will help to get a proper diagnosis, which in turn help to get a proper plan for treatment and possible cure and the best of life one can have.

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