Rectal Pressure and Bowel Movement Issues: What to Do?

Anal defecation issues..?

For the past month, I have been feeling a heaviness in my anus, as if I need to have a bowel movement, but I can't.
I have a bowel movement at least once a day, sometimes every two days, with varying amounts.
The color and consistency of the stool seem normal, and the odor is not particularly strong.
Occasionally, I experience abdominal pain, but it resolves after passing gas.
However, I feel the urge to pass gas throughout the day, and it doesn't seem to have much odor.
I constantly feel like there is something in my anus that needs to be expelled.
What could this condition be? What kind of examinations do I need to undergo? Thank you.

Q Jie, 30~39 year old female. Ask Date: 2017/06/30

Dr. Chen Qifeng reply Gastroenterology and Hepatology

You can visit a gastroenterologist or a colorectal surgeon.
If necessary, you may undergo a colon X-ray or a colonoscopy.

Reply Date: 2017/06/30

More Info

The symptoms you are experiencing, such as a sensation of rectal pressure and difficulty with bowel movements, can be quite distressing. It is important to understand that these sensations can arise from various underlying causes, and addressing them often requires a comprehensive approach.

Firstly, the feeling of rectal pressure, combined with the urge to have a bowel movement but being unable to do so, can be indicative of several conditions. One possibility is that you may be experiencing a form of functional bowel disorder, such as irritable bowel syndrome (IBS). IBS is characterized by a combination of symptoms, including abdominal pain, bloating, and altered bowel habits, which can include constipation or diarrhea. Stress and anxiety can exacerbate these symptoms, leading to a cycle of discomfort.

Another potential cause could be related to pelvic floor dysfunction. The pelvic floor muscles play a crucial role in bowel control, and if these muscles are either too tight or too weak, it can lead to difficulties in passing stool. This can manifest as a sensation of heaviness or pressure in the rectal area. Engaging in pelvic floor exercises, such as Kegel exercises, may help strengthen these muscles and improve bowel function.

Additionally, you mentioned experiencing abdominal pain that resolves after passing gas. This could suggest that gas buildup is contributing to your discomfort. Gas can accumulate in the intestines due to various factors, including diet, swallowing air, and gut motility issues. Keeping a food diary to identify any potential triggers, such as high-fiber foods, dairy, or carbonated beverages, may help you manage gas-related symptoms.

Given that you are experiencing these symptoms consistently, it would be advisable to consult with a healthcare professional. A thorough evaluation, including a physical examination and possibly imaging studies or endoscopic procedures, may be necessary to rule out any structural abnormalities or other gastrointestinal conditions, such as hemorrhoids or rectal prolapse.
In terms of management, lifestyle modifications can be quite beneficial. Increasing your fluid intake and dietary fiber can help promote regular bowel movements. Engaging in regular physical activity can also improve gut motility and reduce feelings of bloating and discomfort. Additionally, practicing relaxation techniques, such as deep breathing or mindfulness, can help alleviate stress, which may be contributing to your symptoms.

If your symptoms persist or worsen, or if you experience any alarming signs such as significant weight loss, blood in your stool, or severe pain, it is crucial to seek medical attention promptly. These could be signs of more serious conditions that require immediate evaluation and treatment.

In summary, the sensations you are experiencing could be related to functional bowel disorders, pelvic floor dysfunction, or gas accumulation. A comprehensive approach that includes dietary modifications, pelvic floor exercises, and stress management techniques may help alleviate your symptoms. However, consulting with a healthcare professional for a thorough evaluation and personalized treatment plan is essential for addressing your concerns effectively.

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