Anal Discomfort: Causes and Solutions for Your Symptoms

Q: Anal Discomfort: Causes and Solutions for Your Symptoms

Hello： 1. Please pay attention to whether there is any bloating or abdominal distension. If not, there is no need to worry. Additionally, if the condition of the hemorrhoids is more severe, it may affect gas passage and bowel movements. You may consider consul

Anal discomfort or soreness?

1.
I went for an examination regarding my rectum, and the doctor said I have mild hemorrhoids, possibly caused by frequent trips to the bathroom due to previous stomach discomfort.
Now, sometimes my anus feels sore, and I have the sensation of gas being trapped, making it difficult to pass gas.
Just now, after applying ointment, I was able to release gas immediately after removing the applicator.
Why does gas get trapped there?
2.
Also, why do I go to the bathroom three times a day, and one of those times I feel no sensation in my stomach, but I feel pressure in my rectum, and when I squat to use the toilet, I can pass stool? The first two times were normal bowel movements.
3.
Now, I find that every morning when I wake up, I have the urge to have a bowel movement, even though I don't feel anything in my stomach.
This wasn't the case before.
Now, when I go to the bathroom, I only pass the stool that I feel, and it takes about ten seconds to finish.
In the past, I would sit for a while longer and continue to pass more stool.
Now, I feel like my rectum has lost strength.
4.
This is the medication prescribed by my doctor: Gascol (50 mg, Dimethicone), Ningzhi Zhuang (20 mg, Gastrointestinal Motility Capsule), and Nanguang Changbin (405 mg, Intestinal Regulator).
5.
I have undergone stool tests and a digital rectal examination, and the doctor said there is nothing to worry about, but I still feel anxious.
What should I do?

Nìmíng, 20~29 year old female. Ask Date: 2021/06/02

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello:
1.
Please pay attention to whether there is any bloating or abdominal distension.
If not, there is no need to worry.
Additionally, if the condition of the hemorrhoids is more severe, it may affect gas passage and bowel movements.
You may consider consulting a colorectal surgeon for evaluation.

2.
The sensation of bloating may indicate a feeling of urgency to defecate, which is caused by increased pressure in the rectum.

3.
It is normal to have a bowel movement once every morning; if it feels incomplete, there is no need to be overly concerned.
You can wait until you feel the urge to go again later in the day.

4/5.
In fact, there is no need to worry too much at this stage.
Pay attention to your diet and mental stress, and consider whether there have been any changes compared to before, as these factors can have an impact.
If symptoms persist, you may return for a follow-up visit to assess the necessity of undergoing a colonoscopy.

Changhua Hospital cares about your health.

Dr.
Tsai An-shun

Reply Date: 2021/06/02

More Info

Understanding anal discomfort can be quite complex, as it involves various physiological and psychological factors. Based on your symptoms and the information provided, let's break down the potential causes and solutions for your discomfort.

1. Trapped Gas Sensation: The feeling of gas being trapped in the rectum can be attributed to several factors. When you have hemorrhoids, the swelling and inflammation can create a sensation of fullness or pressure, making it difficult to pass gas. This can lead to discomfort and the feeling that gas is "stuck." Additionally, if you have been experiencing gastrointestinal issues, such as diarrhea or constipation, it can disrupt your normal bowel function and gas passage. The act of straining to pass gas or stool can also exacerbate this sensation, leading to a cycle of discomfort.

2. Bowel Movement Patterns: The changes in your bowel habits, such as having a bowel movement three times a day with varying sensations, can be influenced by several factors. If you are experiencing a feeling of fullness or pressure without the typical urge to defecate, it may indicate a change in your bowel motility. This can be caused by dietary changes, stress, or even the medications you are taking. It's important to note that the consistency and frequency of bowel movements can vary widely among individuals, and what is normal for one person may not be for another.

3. Morning Bowel Movements: The new pattern of needing to have a bowel movement first thing in the morning, even without the typical urge, could be linked to your body's circadian rhythms and how your digestive system functions upon waking. This could also be a response to your diet, hydration levels, or even anxiety about your symptoms, which can create a psychological urge to relieve yourself.

4. Medication Effects: The medications you mentioned, such as simethicone (Gas-X) and other gastrointestinal agents, can help alleviate gas and bloating but may also have side effects that impact bowel habits. It's essential to discuss any concerns regarding your medications with your healthcare provider, as they can provide guidance on whether adjustments are necessary.

5. Reassurance from Medical Evaluation: It's understandable to feel anxious about your symptoms, especially after undergoing examinations and receiving a diagnosis of mild hemorrhoids. However, if your healthcare provider has conducted thorough evaluations, including stool tests and a digital rectal exam, and found no significant issues, it is likely that your symptoms are manageable. It's crucial to trust your healthcare provider's assessment while also advocating for your health by seeking further clarification or a second opinion if needed.

Solutions and Recommendations:
- Dietary Adjustments: Incorporate a high-fiber diet to promote regular bowel movements and reduce straining. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also essential.

- Regular Exercise: Engaging in regular physical activity can help stimulate bowel function and reduce feelings of bloating or discomfort.

- Stress Management: Since anxiety can exacerbate gastrointestinal symptoms, consider incorporating stress-reducing techniques such as mindfulness, meditation, or yoga into your routine.

- Follow-Up with Your Doctor: If your symptoms persist or worsen, it’s important to follow up with your healthcare provider. They may recommend further testing or a referral to a gastroenterologist for specialized care.

- Medication Review: Discuss your current medications with your doctor to ensure they are appropriate for your symptoms and to explore alternatives if necessary.

In conclusion, while anal discomfort can be distressing, understanding the underlying causes and implementing lifestyle changes can significantly improve your symptoms. Always communicate openly with your healthcare provider about your concerns and any changes in your condition.

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