Can Rectal Injury from a Foreign Object Cause Immediate Symptoms?

If the rectum is injured, will there be an immediate reaction?

A few days ago, I had a situation where a vibrator fell into my rectum.
After an X-ray, the doctor said it was lodged in the rectum, and at that time, the vibration switch was still on.
Later, it was removed using an enema.
I looked up the thickness of the rectal wall, which seems to be only 0.2 cm.
Could the vibrations cause a rectal perforation or tear?

AA, 20~29 year old female. Ask Date: 2017/07/11

Dr. Xu Kaixi reply Surgery

Mild damage to the rectal mucosa typically heals on its own, and symptoms may include rectal bleeding or pain.
If there is persistent significant bleeding, it is advisable to seek medical attention.

Reply Date: 2017/07/11

More Info

Rectal injuries from foreign objects can indeed cause immediate symptoms, but the severity and type of symptoms can vary widely depending on several factors, including the nature of the object, the force applied, and the duration of the injury. In your case, the use of a vibrating massage device that became lodged in the rectum raises concerns about potential injury to the rectal wall.

When a foreign object is inserted into the rectum, it can lead to a range of symptoms, including pain, bleeding, and difficulty with bowel movements. If the object exerts enough pressure or if there is a significant force involved, it can cause trauma to the rectal tissue, leading to conditions such as rectal perforation or laceration. Rectal perforation is a serious condition where a hole forms in the rectal wall, which can lead to peritonitis (inflammation of the abdominal cavity) and requires immediate medical attention.

In your situation, since the object was removed using an enema and you did not report any immediate severe symptoms such as intense pain, rectal bleeding, or signs of infection (like fever or chills), it is possible that you may not have sustained a significant injury. However, the thickness of the rectal wall, which is indeed quite thin (approximately 0.2 cm), means that even minor trauma could potentially lead to injury.

It is crucial to monitor for any delayed symptoms that may arise following the incident. Symptoms to watch for include:
1. Increased Pain: If you experience worsening pain in the rectal area, this could indicate a more serious injury.

2. Bleeding: Any rectal bleeding, whether bright red or dark, should be evaluated by a healthcare professional.

3. Fever or Chills: These could be signs of infection, which may occur if there was a perforation or significant injury.

4. Changes in Bowel Habits: Difficulty passing stool or changes in bowel movements can indicate complications.

If you experience any of these symptoms, it is essential to seek medical attention promptly. A healthcare provider may recommend imaging studies, such as a CT scan, to assess for any internal injuries that may not be immediately apparent.

In conclusion, while immediate symptoms may not always be present following a rectal injury from a foreign object, it is essential to remain vigilant for any signs of complications. If you have any concerns or if symptoms develop, do not hesitate to consult a healthcare professional for further evaluation and management.

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