Rectal Sensations: Causes and When to Seek Help - Gastroenterology and Hepatology

Q: Rectal Sensations: Causes and When to Seek Help

Hello： You can take a warm bath while showering. If you have any ointment for warts, you can also use it. For any areas that do not improve, please consult your clinician during your next visit. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

Anorectal foreign body sensation

I have been experiencing frequent urges to use the restroom for the past few days, and I feel bloated and uncomfortable at night.
I visited a doctor, but over the last three days, I haven't felt particularly unwell, just a slight bloating sensation in the evenings.
However, since the night before last, I've had a feeling in my rectal area that resembles the sensation of having underwear stuck there.
Sometimes it feels like I need to pass gas or have a bowel movement.
When I saw the doctor a few days ago, they mentioned that my symptoms appeared mild and could be related to psychological factors.
I also underwent a stool test and am currently waiting for the results.
What could this sensation be? There is no pain or bleeding, just some mucus when wiping.
When I try to use the restroom, I only pass a small amount of mucus.
In the past, when I experienced this sensation, I was able to relieve it by having a bowel movement.

Niming, 20~29 year old female. Ask Date: 2021/05/27

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: You can take a warm bath while showering.
If you have any ointment for warts, you can also use it.
For any areas that do not improve, please consult your clinician during your next visit.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2021/05/27

More Info

Understanding rectal sensations can be quite complex, as they can stem from various causes, both physical and psychological. Based on your description, it seems you are experiencing a combination of sensations in the rectal area, including a feeling of fullness or pressure, and the presence of mucus without any pain or bleeding.
Firstly, the sensation of needing to have a bowel movement, accompanied by feelings of bloating or pressure, can often be attributed to gastrointestinal issues. These may include constipation, irritable bowel syndrome (IBS), or even dietary factors that could lead to gas accumulation. The fact that you mentioned feeling bloated at night suggests that there might be some digestive disturbances occurring, possibly related to what you are eating or how your body is processing food.

The feeling of something being "stuck" or the sensation akin to having underwear caught can sometimes be related to rectal sensitivity or even the presence of mucus in the rectal area. Mucus can be a normal secretion, but if it is excessive or accompanied by other symptoms, it may indicate an underlying issue such as inflammation or irritation of the rectal lining.
Your doctor’s suggestion that your symptoms may be linked to psychological factors is also worth considering. Stress and anxiety can significantly impact gastrointestinal function, leading to sensations that may not have a clear physical cause. This is often seen in conditions like IBS, where stress can exacerbate symptoms.

Given that you have undergone a stool test and are awaiting results, this is a prudent step. Stool tests can help identify infections, inflammation, or other abnormalities that could explain your symptoms.
Here are some potential causes for your sensations:
1. Constipation: If you are not having regular bowel movements, this can lead to a feeling of fullness or pressure in the rectal area.
2. Irritable Bowel Syndrome (IBS): This condition can cause a variety of symptoms, including bloating, gas, and changes in bowel habits. Stress and diet often play significant roles in IBS.

3. Rectal Irritation: Conditions such as hemorrhoids or anal fissures can cause discomfort and a sensation of fullness, even if they are not currently painful.

4. Psychological Factors: Anxiety and stress can lead to heightened awareness of bodily sensations, which may explain why you are more aware of these feelings.

5. Mucus Production: The presence of mucus can occur due to irritation or inflammation in the intestines.
When to seek further help:
- If you experience any new symptoms such as pain, bleeding, or significant changes in bowel habits.

- If the sensation persists or worsens despite waiting for your test results.

- If you notice any other concerning symptoms, such as weight loss, fever, or persistent changes in appetite.

In the meantime, consider keeping a food diary to track what you eat and any symptoms that arise. This can help identify any dietary triggers. Additionally, managing stress through relaxation techniques or counseling may also help alleviate some of your symptoms.

It’s essential to follow up with your healthcare provider once you receive your test results to discuss the next steps based on those findings. They may recommend further testing or a referral to a specialist if necessary.

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