Post-Defecation Sensations: A Gastrointestinal Perspective

Q: Post-Defecation Sensations: A Gastrointestinal Perspective

Hello： Generally, there is a feeling of relief after a bowel movement. <br>If you experience any abnormal sensations after defecation or feel that you are not completely emptying your bowels, you should consider visiting a colorectal specialist for an examination. <br>Wishing you

The sensation of the anus?

Sometimes after having a bowel movement, there is still a sensation in the anus.
I stand up first and do not immediately sit down after finishing.
I wait until the sensation in the anus subsides before sitting down.
What should I do about this?

1, 30~39 year old female. Ask Date: 2021/04/03

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello: Generally, there is a feeling of relief after a bowel movement.
If you experience any abnormal sensations after defecation or feel that you are not completely emptying your bowels, you should consider visiting a colorectal specialist for an examination.
Wishing you peace and good health.
Sincerely, Dr.
Lin Ming-Hui, Attending Physician, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2021/04/03

More Info

Understanding post-defecation sensations can be quite complex, as it involves various physiological and psychological factors. After a bowel movement, it is common for individuals to experience lingering sensations in the anal area. These sensations can range from a feeling of fullness to slight discomfort or the urge to defecate again.
From a gastrointestinal perspective, several factors can contribute to these sensations. First, the rectum and anus are highly sensitive areas with numerous nerve endings. After defecation, the rectal walls may still be slightly distended, leading to a sensation of fullness or pressure. This is particularly true if the bowel movement was large or if there was straining involved.
Additionally, the process of defecation involves the coordination of various muscles, including the pelvic floor muscles and the anal sphincters. If these muscles do not relax completely after a bowel movement, it can lead to a sensation of tightness or discomfort. This is often referred to as "tenesmus," which is the feeling of incomplete evacuation or the persistent urge to defecate.

Moreover, psychological factors can also play a role. Anxiety or stress can heighten awareness of bodily sensations, making one more attuned to feelings in the anal area after a bowel movement. If you find yourself feeling anxious about these sensations, it may exacerbate the experience, creating a cycle of discomfort and worry.

To address your concern about how to manage these post-defecation sensations, consider the following strategies:
1. Relaxation Techniques: Engaging in relaxation techniques such as deep breathing, meditation, or gentle stretching can help ease any tension in the pelvic area and reduce the sensation of discomfort.

2. Posture Awareness: You mentioned standing up after a bowel movement. It may be beneficial to experiment with different postures. Some individuals find that sitting comfortably for a few moments after defecation allows the body to relax and the sensations to subside.
3. Hydration and Diet: Ensure you are well-hydrated and consuming a diet rich in fiber. This can help promote regular bowel movements and reduce the need for straining, which can contribute to post-defecation discomfort.

4. Pelvic Floor Exercises: Strengthening and relaxing the pelvic floor muscles through exercises like Kegels can help improve muscle coordination and reduce sensations of tightness or discomfort.

5. Consultation with a Specialist: If these sensations persist or worsen, it may be beneficial to consult a gastroenterologist or a pelvic floor specialist. They can provide a thorough evaluation and recommend specific treatments or therapies tailored to your situation.

In summary, post-defecation sensations are a common experience influenced by various physiological and psychological factors. By adopting relaxation techniques, being mindful of posture, maintaining a healthy diet, and possibly seeking professional advice, you can manage these sensations more effectively. Remember, it’s essential to listen to your body and seek help if you feel that your symptoms are impacting your quality of life.

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