Rectal Foreign Bodies: Causes, Symptoms, and Treatment

Rectal foreign body

A couple of days ago, I didn't bring a spare sanitary pad because my menstrual period was almost over.
When I went to the restroom, I realized I needed to change, so I folded some toilet paper and used it as a makeshift pad.
That day, I started feeling discomfort in my anal area, and when I got home, I noticed a large white bump had developed.
This morning, the bump seemed to have shrunk, but I'm not sure if it's because I've been moving around.
By noon, when I touched it, it felt larger again.
I have experienced similar tearing pain occasionally in the past, but after cleaning or waiting a day, it usually resolved.
This time, however, it seems to have resulted in a growth.

Niming, 20~29 year old female. Ask Date: 2019/05/29

Dr. Xu Kaixi reply Surgery

Based on your description, the foreign body at the anal opening resembles an external hemorrhoid; however, due to limited information, I recommend that you visit a surgical outpatient clinic for a thorough examination to confirm the diagnosis.

Reply Date: 2019/05/29

More Info

Understanding Rectal Foreign Bodies: Causes, Symptoms, and Treatment
Rectal foreign bodies can be a concerning issue, often leading to discomfort, pain, and potential complications if not addressed properly. In your case, it appears that you may have inadvertently introduced a foreign object into the rectal area, which has resulted in discomfort and the formation of a noticeable lump. Let's break down the causes, symptoms, and treatment options for rectal foreign bodies.

Causes
Rectal foreign bodies can occur for various reasons, including:
1. Accidental Insertion: This is the most common cause, where objects such as toilet paper, tampons, or other items are accidentally inserted into the rectum.

2. Self-Exploration: Some individuals may use objects for sexual exploration, which can lead to unintentional insertion.

3. Medical Devices: Occasionally, medical devices or materials used in medical procedures can become dislodged and end up in the rectum.

4. Ingestion: In rare cases, objects ingested may pass through the gastrointestinal tract and become lodged in the rectum.

Symptoms
The symptoms of a rectal foreign body can vary depending on the size, shape, and nature of the object. Common symptoms include:
- Discomfort or Pain: You may experience a sensation of fullness, pain, or discomfort in the rectal area.

- Visible Lump: As you described, a lump or swelling may develop, which can fluctuate in size.

- Bleeding: There may be rectal bleeding, especially if the object has caused trauma to the rectal lining.

- Difficulty with Bowel Movements: You might find it painful or difficult to have a bowel movement.

- Infection Signs: If the area becomes infected, symptoms may include fever, increased pain, and discharge.

Treatment
If you suspect you have a rectal foreign body, it is crucial to seek medical attention. Here are the general steps that may be taken:
1. Medical Evaluation: A healthcare provider will perform a physical examination and may use imaging studies, such as X-rays or ultrasounds, to identify the foreign body and assess any potential damage.

2. Removal: Depending on the situation, the foreign body may be removed in a clinical setting. This can often be done with minimal discomfort using specialized instruments. In some cases, sedation may be required.

3. Management of Symptoms: If there is pain or discomfort, over-the-counter pain relief medications such as acetaminophen or ibuprofen may be recommended. However, it is essential to consult with a healthcare provider before taking any medication.

4. Follow-Up Care: After removal, follow-up care may be necessary to ensure proper healing and to monitor for any signs of infection or complications.

5. Education and Prevention: It is important to understand how to prevent future occurrences. This may involve education on safe practices regarding personal hygiene and the use of objects in the rectal area.

When to Seek Emergency Care
If you experience severe pain, significant bleeding, or signs of infection (such as fever or pus), it is essential to seek emergency medical care immediately. Delaying treatment can lead to complications, including infections or perforations of the rectum.

In conclusion, while rectal foreign bodies can be distressing, they are manageable with appropriate medical intervention. It is always best to err on the side of caution and consult a healthcare provider if you have any concerns regarding your symptoms. Your health and comfort are paramount, and seeking timely care can help ensure a swift resolution to the issue.

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