Rectal Weakness: Symptoms, Causes, and When to Seek Help

There is a feeling of weakness in the anal sphincter, sometimes accompanied by constipation, while at other times there is no constipation. There is also sticky blood when wiping after a bowel movement?

I experience a feeling of weakness in my anal contractions, and it is difficult to exert force.
I often eat fruits, but sometimes I have constipation and other times I suddenly do not.
Just now, I suddenly had a strong urge to defecate after a long time of constipation, and I passed a sticky stool that was not watery.
However, when wiping, I noticed some sticky spots of blood on the toilet paper.
Could this be a sign of colorectal cancer? What kind of examinations should I undergo?

Colin, 20~29 year old female. Ask Date: 2016/04/03

Dr. Ke Fangxu reply Surgery

The likelihood of developing colorectal cancer at the age of 22 is not zero, but it is generally very low.
Based on your description, it seems more like irritable bowel syndrome (IBS).
I recommend starting with a light diet and maintaining a good lifestyle routine.
If symptoms persist without improvement, you can consult a physician for medication.
If there is still no improvement or if you are very concerned, a colonoscopy can be arranged.

Reply Date: 2016/04/03

More Info

Understanding rectal weakness and associated symptoms can be concerning, especially when there are changes in bowel habits and the presence of blood. Rectal weakness can manifest as a feeling of reduced control over bowel movements, difficulty in expelling stool, or a sensation of incomplete evacuation. The symptoms you describe, including alternating between constipation and sudden urges to defecate, as well as the presence of mucus and blood on toilet paper, warrant careful consideration.

Symptoms and Potential Causes
1. Rectal Weakness: This can be caused by various factors, including nerve damage, muscle weakness, or conditions affecting the pelvic floor. Conditions such as pelvic floor dysfunction, rectal prolapse, or even neurological disorders can contribute to these symptoms.

2. Bowel Habits: The fluctuation between constipation and diarrhea can indicate a functional gastrointestinal disorder, such as irritable bowel syndrome (IBS), or it could be related to dietary factors, such as fiber intake or hydration levels.

3. Blood in Stool: The presence of blood, even if it is minimal and accompanied by mucus, should not be ignored. While it can be a sign of hemorrhoids or anal fissures, it can also indicate more serious conditions, including inflammatory bowel disease (IBD) or colorectal cancer. The fact that you mentioned the blood is "sticky" could suggest the presence of mucus, which can be associated with various gastrointestinal conditions.

When to Seek Help
Given your symptoms, it is crucial to seek medical attention. Here are some guidelines on when to consult a healthcare provider:
- Persistent Symptoms: If you experience ongoing rectal weakness, changes in bowel habits, or the presence of blood, it is essential to consult a healthcare professional.

- Severe Pain: If you have significant pain during bowel movements or persistent abdominal pain, seek immediate medical attention.

- Weight Loss: Unexplained weight loss accompanying these symptoms should prompt a visit to a healthcare provider.

- Family History: If you have a family history of colorectal cancer or other gastrointestinal diseases, it is advisable to be proactive in seeking evaluation.

Recommended Evaluations
1. Physical Examination: A healthcare provider will likely perform a physical examination, including a digital rectal exam, to assess muscle tone and any abnormalities.

2. Colonoscopy: This is a critical diagnostic tool for evaluating the colon and rectum. It allows direct visualization of the intestinal lining and the ability to take biopsies if necessary. Given your symptoms, a colonoscopy may be recommended to rule out conditions such as colorectal cancer or other pathologies.

3. Imaging Studies: Depending on the findings, imaging studies such as a CT scan or MRI may be utilized to evaluate the pelvic region and assess for any structural abnormalities.

4. Laboratory Tests: Blood tests may be performed to check for anemia, inflammation, or other markers that could indicate underlying disease.

Conclusion
In summary, your symptoms of rectal weakness, changes in bowel habits, and the presence of blood should be taken seriously. It is essential to consult a healthcare provider for a thorough evaluation and appropriate diagnostic testing. Early detection and intervention are key in managing potential gastrointestinal conditions effectively. Do not hesitate to seek help, as timely medical attention can significantly impact your health outcomes.

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