Anal Foreign Bodies: Symptoms and When to Seek Help

Rectal foreign body

It seems that you have a small polyp at the anal opening that feels elongated and causes a sensation of something being stuck when standing still.
You experience pain when wiping or with any friction, and occasionally notice blood streaks.
There is also tearing pain when you exert pressure on the anal sphincter, and you feel the urge to have a bowel movement but are hesitant to strain.
What should you do? Which specialist should you see?

Xiao Wu, 40~49 year old female. Ask Date: 2018/04/13

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir.
You can seek treatment at the gastroenterology or colorectal surgery outpatient clinic.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/04/13

More Info

When dealing with symptoms related to anal foreign bodies or any abnormalities around the anal region, it is crucial to understand the potential underlying issues and when to seek medical attention. Based on your description, it sounds like you may be experiencing discomfort that could be related to a variety of conditions, such as hemorrhoids, anal fissures, or possibly even a polyp or other growth.

Symptoms to Consider
1. Pain and Discomfort: The sensation of something being "stuck" or "pulled" can indicate swelling or irritation in the anal area. Pain during bowel movements, especially if it feels like tearing, is often associated with anal fissures or hemorrhoids.

2. Bleeding: Occasional blood streaks can be alarming. While minor bleeding can occur with hemorrhoids or fissures, it is essential to monitor the frequency and amount of blood. If you notice significant bleeding or if it persists, this warrants a medical evaluation.

3. Changes in Bowel Habits: If you feel the urge to have a bowel movement but are hesitant to push due to pain, this can lead to constipation and further complications.
4. Physical Changes: The mention of a "small polyp" or growth that seems to be elongating could indicate a benign condition, but it is essential to have it evaluated to rule out any malignancy.

When to Seek Help
Given the symptoms you described, it is advisable to seek medical attention. You should consider visiting a gastroenterologist or a colorectal surgeon. These specialists are trained to handle conditions related to the gastrointestinal tract, including the anal and rectal areas.

Diagnostic Approach
During your visit, the doctor may perform a physical examination, which could include:
- Visual Inspection: To check for any visible abnormalities such as hemorrhoids, fissures, or polyps.

- Digital Rectal Examination (DRE): This allows the doctor to assess the condition of the anal canal and rectum.

- Anoscopy or Sigmoidoscopy: If necessary, these procedures allow for a more detailed examination of the anal canal and lower rectum.

Treatment Options
Depending on the diagnosis, treatment options may include:
- Topical Treatments: Creams or ointments to relieve pain and inflammation.

- Sitz Baths: Soaking in warm water can help soothe the area and promote healing.

- Dietary Changes: Increasing fiber intake to prevent constipation and reduce straining during bowel movements.

- Surgical Intervention: In cases of severe hemorrhoids, fissures, or polyps, surgical options may be considered.

Conclusion
While it can be uncomfortable to discuss symptoms related to the anal area, it is essential to address these issues promptly. Early intervention can prevent complications and improve your quality of life. Do not hesitate to reach out to a healthcare provider to discuss your symptoms in detail. Remember, your health is paramount, and seeking help is a proactive step towards recovery.

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