Rectal Issues: When to Seek Surgical Consultation

Doctor, may I ask?

Hello doctor, I previously inquired about a "round object inside the anus" on October 11, 2017.
Since then, my bowel movements improved to twice a week, but I haven't been able to reduce the frequency further.
Recently, I've noticed that the round object seems to be getting closer to the anus.
Additionally, I've been experiencing increasing difficulty with bowel movements, requiring significant effort.
For the past few days, my abdomen has felt bloated, and today I have little appetite; after eating, my stomach feels very full, and drinking water also contributes to this feeling.
Could you please advise me on which specialist I should see? Thank you for your response!

Niming, 10~19 year old female. Ask Date: 2018/01/30

Dr. Ke Fangxu reply Surgery

Having a bowel movement only twice a week is still considered severe constipation.
It is recommended that you visit a colorectal surgeon for treatment and to investigate what you refer to as the "round object."

Reply Date: 2018/01/30

More Info

It sounds like you are experiencing some concerning symptoms related to your rectal area, and it's important to address these issues promptly. Based on your description, it seems that you have a mass or lump that has become more prominent and is causing difficulties with bowel movements. Additionally, the feeling of abdominal bloating and decreased appetite can indicate that there may be an underlying issue that needs to be evaluated.

Given these symptoms, it would be advisable to seek a consultation with a colorectal surgeon or a gastroenterologist. These specialists are trained to diagnose and treat conditions related to the rectum, anus, and gastrointestinal tract. They can perform a thorough examination, which may include a physical exam, imaging studies, or possibly a colonoscopy, to assess the situation more accurately.

The lump you mentioned could be a hemorrhoid, a rectal prolapse, or another type of mass, such as a polyp or even a more serious condition. Hemorrhoids are swollen veins in the rectal area that can cause discomfort and difficulty with bowel movements. If the lump is indeed a hemorrhoid, it may require treatment ranging from lifestyle changes and topical medications to surgical intervention if it is severe.

On the other hand, if the mass is a rectal prolapse, where part of the rectum protrudes through the anus, this condition often requires surgical correction. Similarly, if there are polyps or other growths, they may need to be removed to prevent complications, including the risk of cancer.

The symptoms of abdominal bloating and decreased appetite are also concerning. They could indicate that the bowel is not functioning properly, possibly due to an obstruction or other gastrointestinal issue. This is particularly important to evaluate, as any significant changes in bowel habits or abdominal discomfort should not be ignored.

In summary, I recommend that you make an appointment with a colorectal surgeon or gastroenterologist as soon as possible. They will be able to provide a comprehensive evaluation and determine the best course of action based on your specific symptoms and medical history. Early intervention is key to managing any potential issues effectively, so do not hesitate to seek help.

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