Rectal Foreign Sensation: When to Seek Medical Advice

Anorectal foreign body sensation

Doctor, I'm sorry to bother you.
I would like to ask about my company's health check.
My stool immunochemical test result is 26, which is within the normal range.
Is this considered normal, or do I need to return for a follow-up? For the past couple of years, I've been unable to clean myself properly after bowel movements.
Whenever I urinate, there are still some traces of stool.
This has been quite troubling for me.
Recently, I've also been feeling a sensation of something foreign in my anus, as if there is something at the anal opening, but I can't seem to find anything when I check.
Could this be related to frequent wiping? It's been a source of concern for me.

joyce, 30~39 year old female. Ask Date: 2018/03/20

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Miss.
The values are normal, so there is no need to worry.
For anal discomfort, you can clean the area with water after a bowel movement and apply an internal hemorrhoid ointment.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/03/20

More Info

When it comes to rectal foreign sensation and related concerns, it's essential to understand the underlying causes and when to seek medical advice. Based on your description, it seems you have been experiencing a persistent feeling of incomplete cleanliness after bowel movements, along with a sensation of something foreign in the rectal area. Let's break this down.

Firstly, the fecal immunochemical test (FIT) result of 26, which falls within the normal range, suggests that there are no signs of blood in your stool, which is a positive indicator. However, this does not necessarily address your other symptoms, which could be indicative of various conditions.

The sensation of having something in the rectum can arise from several factors. One common cause is hemorrhoids, which are swollen veins in the lower rectum and anus that can cause discomfort, itching, and a feeling of fullness. Another possibility is anal fissures, which are small tears in the lining of the anus that can cause pain and discomfort during bowel movements. Both conditions can lead to a sensation of incomplete evacuation or a feeling of pressure in the rectal area.

Frequent wiping after bowel movements can indeed contribute to irritation of the anal region, leading to increased sensitivity and discomfort. This irritation can exacerbate the sensation of a foreign body. Additionally, if you are experiencing any changes in bowel habits, such as increased frequency, straining, or changes in stool consistency, it is crucial to discuss these with a healthcare provider.

In some cases, the feeling of a foreign object could be related to pelvic floor dysfunction, where the muscles that support the pelvic organs do not function correctly. This can lead to issues with bowel movements and sensations of pressure or fullness.
Given your symptoms, it is advisable to seek medical advice, especially if the sensation persists or worsens. A healthcare provider can perform a thorough examination, which may include a digital rectal exam or other diagnostic tests, to determine the underlying cause of your discomfort. They may also assess for any signs of hemorrhoids, fissures, or other rectal conditions.

In summary, while your FIT result is normal, the symptoms you are experiencing warrant further investigation. It is essential to communicate openly with your healthcare provider about your concerns, as they can provide guidance tailored to your specific situation. Do not hesitate to seek medical attention, especially if you experience additional symptoms such as bleeding, severe pain, or changes in bowel habits. Your health and peace of mind are paramount, and addressing these concerns early can lead to more effective management and relief.

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