Sudden Rectal Pain: Is It Related to Prostatitis? - Surgery

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Anal pain


Hello, doctor.
Recently, I've experienced sudden sharp pain near my rectum when watching thrilling scenes in movies or looking down from a height (about four stories).
The pain lasts only about 1-2 seconds and then quickly disappears.
I have a history of aseptic prostatitis.
I would like to know if the sudden pain in my rectum is related to my prostate condition.
Thank you for your response!

A Ben, 30~39 year old female. Ask Date: 2016/10/17

Dr. Ke Fangxu reply Surgery


It may be related or could be due to higher anal sphincter pressure.
If it does not significantly affect daily life, there is no need for concern.
However, if it has a substantial impact, one might consider undergoing sphincterotomy.

Reply Date: 2016/10/17

More Info


Sudden rectal pain can indeed be concerning, and understanding its potential relationship with prostatitis is important for proper diagnosis and management. Prostatitis, particularly chronic prostatitis or chronic pelvic pain syndrome, can manifest in various ways, including pelvic pain, discomfort in the perineum, and sometimes rectal pain.
In your case, the sudden, brief episodes of rectal pain you experience, especially when triggered by specific stimuli like watching a tense movie or looking down from a height, could be related to a few factors. First, it’s essential to understand that the pelvic region is interconnected. The prostate gland, rectum, and surrounding muscles share nerve pathways, which means that irritation or inflammation in one area can lead to sensations in another.
The pain you describe lasting only 1-2 seconds and occurring sporadically may not necessarily indicate a severe underlying condition, especially if it resolves quickly. This type of pain could be due to muscle spasms in the pelvic floor or rectal area, which can be triggered by stress, anxiety, or even physical positioning. The pelvic floor muscles can contract involuntarily in response to various stimuli, leading to a brief sensation of pain or discomfort.

Regarding your existing condition of non-bacterial prostatitis, it is possible that the inflammation or irritation in the prostate could contribute to sensations of discomfort in the rectal area. However, it is also important to note that not all rectal pain is directly related to prostatitis. Other factors, such as dietary habits, bowel movements, or even psychological stress, can also play a role in the sensations you are experiencing.

If the pain becomes more frequent, intense, or is accompanied by other symptoms such as changes in bowel habits, urinary issues, or persistent discomfort, it would be advisable to seek further evaluation from a healthcare professional. They may recommend a thorough examination, including a digital rectal exam, to assess the prostate and surrounding structures, as well as possibly imaging studies or laboratory tests to rule out other conditions.

In summary, while there is a potential relationship between your rectal pain and your history of prostatitis, the brief nature of the pain and its specific triggers suggest that it may not be a direct manifestation of your prostatitis. However, maintaining awareness of your symptoms and consulting with a healthcare provider if they change or worsen is crucial for your health and peace of mind. Regular follow-ups and discussions about your symptoms can help manage your condition effectively and address any concerns you may have.

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