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What Causes Severe And Burning Pain In The Rectum?

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Posted on Thu, 16 Jun 2016
Question: I am having severe burning pain in my rectum. I had 3 polyps removed in 2010, but have not had a colonoscopy since then. I had stapled hemorrhoidectomy shortly after the colonoscopy. I have been having intense burning and pain in my rectum for 3 weeks now. I have been to my primary care physician who prescribed Hydrocod/acetam 10-325 Tab Mal, Proctosol HC 205% cream and Proctofoam-HC 1% AER MED for pain. I also take sitz baths with epson salt added to the water. I hurt so bad I can't function. There have been times that I have laid in bed with pillows under my tummy trying to get some relief. I have had very few days without pain for the past 3 weeks. I am waiting now for a return call from my doctor about getting a colonoscopy scheduled. My doctor did an exam after I told him I do have a small external hemorrhoid, but I didn't think it could be causing this much pain because I had had worse one in the past. He agreed that it shouldn't be the cause. Do you have any recommendations as to what I can do? Thank you, XXXX
doctor
Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Disturbing Burning Pain in Rectum for 3 weeks / Under Evaluation

Detailed Answer:
Brief Ans-Disturbing Burning Pain in Rectum for 3 weeks / Under Evaluation
Mostly from external engorged infected hemorrhoids with ano-proctitis with multiple fissures from infection.

Hi Dear !! Thanks for your health query to My HCM Virtual Clinic.
Read and Reviewed your query facts and correlated with your health concerns of Painful rectum.
From the past history -about 6 yrs back, though you are afraid for its recurrence, in view of your story and facts of query,

In My opinion and experience-
You seem to suffer from Acute Proctitis with accompanied Colitis with painful infected external hemorrhoids for last 3 weeks.
Burning pain is from anal cryptitis and from multiple anal fissures with engorged painful infected external hemorrhoids.

Dear, please update- if you had any hotel / street food /or spicy party foods, 3-4 weeks back.Mostly that food insult has lead to Colitis with Proctitis, and accompanying external hemorrhoids.

Do'S Suggested-
Consult with Surgeon and get the proctoscopy with lignocaine jelly- for anal and rectal examination, which would fix the cause.
Anal cryptitis with ano-rectal inflammation with Engorged infected external hemorrhoids would be seen-and needs to be treated as follows-
Tab Ciplox Oz- 1 x 2 times per day x 7-10 days time.
Cap Dafflon- 1 x 3 times / 1 week to control engorged external hemorrhoids and would reduce the accompanied pains.
Tab Motrin- 400 mg x 2 per day x 7-10 days
Tab Zincovit-1 x 2 weeks.
skimmed thin watery Butter Milk x 2-3 times a day.
Take plenty of fluids daily.
High fiber diet and bland diet x 2 weeks
Bowel Evacuants- like-Tab Dulcolax x 2 hs-to treat accompanied Constipation if need be.
Isabgol husk powder-2 tsf x daily x 3 days time for stool binding effect
Sietz bath with dettol solution x 2 times /day for 3-5 days would bring this pain under control- and would reduce the engorged external hemorrhoids.
Anovate Cream locally- 3 times a day x 5 days time.
Rest with trendlenburg -head low position- to control engorged external hemorrhoids.
Colonoscopy-only if no relief- to fix polyposis coli with colitis accompanied would be needed.If no relief you would need Colonosocopic examination in your case.

Hope this would resolve your burning anal pain with procto-colitis.

Hope this reply would satisfy you and help you to deal this burning rectal pain -which is mostly from engorged hemorrhoids with anal cryptitis and with Proctitis
and could be treated with help of your attending doctor there as suggested above.

Welcome for any further query in this regard.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear,if satisfied with this reply, Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.

If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS



Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Mukund Savaskar (4 hours later)
Thank you for your quick reply. I will investigate your recommendations to see if it gives me some relief. If so, I will be satisfied and will close my discussion with you. Or, would it be better to close this discussion and open another if I need to?
Thank you, XXXX
doctor
Answered by Dr. Mukund Savaskar (2 hours later)
Brief Answer:
Welcome 24x7 for taking further treatment!!

Detailed Answer:
Hi,Dear !! Thanks for your appreciative response.

I am happy you are satisfied and willing to act on my opinion. As this execution of remedies suggested- would take at least-1 to 2 weeks time, I would suggest you to close this query and reopen after 1-2 week to keep me updated by a direct query on my link:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Don't forget to close this query with your pleasing and excellent feedback comments to rate this reply and service experience, to boost the morale of incoming Emergency patients like YOU, at HCM services.

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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What Causes Severe And Burning Pain In The Rectum?

Brief Answer: Disturbing Burning Pain in Rectum for 3 weeks / Under Evaluation Detailed Answer: Brief Ans-Disturbing Burning Pain in Rectum for 3 weeks / Under Evaluation Mostly from external engorged infected hemorrhoids with ano-proctitis with multiple fissures from infection. Hi Dear !! Thanks for your health query to My HCM Virtual Clinic. Read and Reviewed your query facts and correlated with your health concerns of Painful rectum. From the past history -about 6 yrs back, though you are afraid for its recurrence, in view of your story and facts of query, In My opinion and experience- You seem to suffer from Acute Proctitis with accompanied Colitis with painful infected external hemorrhoids for last 3 weeks. Burning pain is from anal cryptitis and from multiple anal fissures with engorged painful infected external hemorrhoids. Dear, please update- if you had any hotel / street food /or spicy party foods, 3-4 weeks back.Mostly that food insult has lead to Colitis with Proctitis, and accompanying external hemorrhoids. Do'S Suggested- Consult with Surgeon and get the proctoscopy with lignocaine jelly- for anal and rectal examination, which would fix the cause. Anal cryptitis with ano-rectal inflammation with Engorged infected external hemorrhoids would be seen-and needs to be treated as follows- Tab Ciplox Oz- 1 x 2 times per day x 7-10 days time. Cap Dafflon- 1 x 3 times / 1 week to control engorged external hemorrhoids and would reduce the accompanied pains. Tab Motrin- 400 mg x 2 per day x 7-10 days Tab Zincovit-1 x 2 weeks. skimmed thin watery Butter Milk x 2-3 times a day. Take plenty of fluids daily. High fiber diet and bland diet x 2 weeks Bowel Evacuants- like-Tab Dulcolax x 2 hs-to treat accompanied Constipation if need be. Isabgol husk powder-2 tsf x daily x 3 days time for stool binding effect Sietz bath with dettol solution x 2 times /day for 3-5 days would bring this pain under control- and would reduce the engorged external hemorrhoids. Anovate Cream locally- 3 times a day x 5 days time. Rest with trendlenburg -head low position- to control engorged external hemorrhoids. Colonoscopy-only if no relief- to fix polyposis coli with colitis accompanied would be needed.If no relief you would need Colonosocopic examination in your case. Hope this would resolve your burning anal pain with procto-colitis. Hope this reply would satisfy you and help you to deal this burning rectal pain -which is mostly from engorged hemorrhoids with anal cryptitis and with Proctitis and could be treated with help of your attending doctor there as suggested above. Welcome for any further query in this regard. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear,if satisfied with this reply, Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS