Rectal Foreign Bodies: Symptoms and Concerns - Gastroenterology and Hepatology

Q: Rectal Foreign Bodies: Symptoms and Concerns

Hello： I have a sensation of a foreign body at the anal opening. <br>I have a history of hemorrhoids and colon polyps. <br>The most common cause of the sensation of a foreign body at the anal opening is hemorrhoids. <br>Is there a possibility of concurrent polyps or tumors? I rec

Rectal foreign body

I would like to ask about a situation.
Three years ago, I underwent a colonoscopy and a small polyp was found, which was cauterized at that time.
A large internal hemorrhoid was also discovered, and I attempted a ligation a month later, but it was unsuccessful due to its size.
I haven't addressed it since then.
Recently, during a company health check, occult blood was detected in my stool.
Occasionally, when I sit down, especially when I have a lot of heat or drink less water, I feel a foreign body sensation near my anus, but it goes away quickly.
Could you please tell me what this might be?

Pangzi, 20~29 year old female. Ask Date: 2019/11/14

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello: I have a sensation of a foreign body at the anal opening.
I have a history of hemorrhoids and colon polyps.
The most common cause of the sensation of a foreign body at the anal opening is hemorrhoids.
Is there a possibility of concurrent polyps or tumors? I recommend follow-up examinations with a colorectal surgeon or a gastroenterologist.
Wishing you safety and health! Dr.
Lin Ming-Hui, Attending Physician, Department of Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/11/14

More Info

Understanding rectal foreign bodies and the associated symptoms is crucial for timely diagnosis and treatment. Based on your description, it seems you have a history of rectal issues, including a polyp that was cauterized and a large internal hemorrhoid that was not successfully treated. The recent findings of occult blood in your stool and the sensation of a foreign body in the anal area warrant further investigation.

Symptoms of Rectal Foreign Bodies
1. Foreign Body Sensation: The feeling of something being present in the rectum can be due to various reasons, including hemorrhoids, rectal prolapse, or even retained stool. In your case, the sensation could be related to the large internal hemorrhoid or possibly a new growth.

2. Occult Blood in Stool: The presence of blood in the stool, even if it is not visible, is a significant symptom that should not be ignored. It can indicate various conditions, including hemorrhoids, polyps, or more serious issues like colorectal cancer.

3. Pain or Discomfort: If you experience pain, especially during bowel movements, it could indicate inflammation or irritation in the rectal area, possibly due to hemorrhoids or an anal fissure.

4. Changes in Bowel Habits: Any changes in your bowel habits, such as constipation or diarrhea, can also be associated with rectal issues.

Concerns and Recommendations
Given your history and current symptoms, there are several concerns to consider:
1. Hemorrhoids: Large internal hemorrhoids can cause discomfort and a sensation of fullness or pressure. They can also lead to bleeding, especially during bowel movements.

2. Polyps or Tumors: While you had a polyp removed three years ago, new growths can develop. The sensation of a foreign body could be due to a new polyp or even a tumor, which is why the occult blood in your stool is particularly concerning.

3. Anal Fissures: If you are experiencing pain during bowel movements, it could be due to an anal fissure, which can occur alongside hemorrhoids.

4. Rectal Prolapse: This condition occurs when part of the rectum protrudes through the anus, leading to a sensation of a mass or foreign body.

Next Steps
1. Consult a Gastroenterologist: Given your symptoms and history, it is essential to consult a gastroenterologist for a thorough evaluation. They may recommend a repeat colonoscopy to assess for any new polyps, tumors, or other abnormalities.

2. Stool Testing: Further stool tests may be necessary to evaluate the source of the occult blood. This could include testing for infections or other gastrointestinal issues.

3. Dietary Changes: Increasing your fluid intake and dietary fiber can help alleviate constipation and reduce the strain during bowel movements, which may help with hemorrhoid symptoms.

4. Monitoring Symptoms: Keep track of any changes in your symptoms, including the frequency and severity of the foreign body sensation, any pain, and changes in bowel habits. This information will be valuable for your healthcare provider.

Conclusion
The symptoms you are experiencing could be related to your previous rectal issues, but they could also indicate new problems that require attention. It is crucial to seek medical advice promptly to rule out any serious conditions and to receive appropriate treatment. Early intervention can significantly improve outcomes and alleviate discomfort.

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