Rectal Foreign Body Sensation: Causes and Solutions

Rectal foreign body

Hello, doctor.
A few days ago, I had some difficulty with a bowel movement, and it happened to coincide with my menstrual period.
I went to the bathroom several times, and after straining during the last attempt, I felt a strange sensation in my anus, as if something was there or that I hadn't fully emptied my bowels.
About three days have passed, and the feeling of a foreign object has varied in intensity.
Later, while showering, I noticed a small, soft lump around my anus.
It doesn't hurt at all, and I don't feel anything when I press on it.
I gently pushed it in a bit, and it seems to have helped; I feel much more comfortable now and have less of that foreign sensation.
I usually have very regular bowel movements, going every day without any history of constipation.
I'm not sure why this suddenly happened.
Could it be due to straining during my last bathroom visit? Could this be hemorrhoids? Will it resolve on its own? Is it likely to recur in the future? Thank you, doctor.

Dudu, 10~19 year old female. Ask Date: 2021/06/23

Dr. Chen Shidian reply Gastroenterology and Hepatology

It may be internal hemorrhoids or something similar, which are harmless.
Generally, maintain cleanliness and dryness.

Reply Date: 2021/06/23

More Info

The sensation of a foreign body in the rectal area can be quite distressing and may stem from various causes. Based on your description, it seems that you experienced discomfort after a bowel movement, particularly during your menstrual period, which can sometimes exacerbate gastrointestinal issues. The presence of a small, painless "bump" that you discovered upon examination could potentially indicate a hemorrhoid or a rectal polyp, but it is essential to consider other possibilities as well.

Possible Causes
1. Hemorrhoids: These are swollen veins in the lower rectum or anus that can cause discomfort, itching, and the sensation of a lump. They can be internal or external. Given that you mentioned a "small bump" that is painless, this could be an external hemorrhoid or a thrombosed hemorrhoid, which can occur after straining during bowel movements.

2. Anal Fissures: Straining during bowel movements can lead to small tears in the lining of the anus, known as anal fissures. While these typically cause sharp pain during and after bowel movements, they can also lead to a sensation of discomfort or foreign body feeling.

3. Rectal Polyps: These are growths on the lining of the rectum that can vary in size and may not cause any symptoms. They are usually benign but should be evaluated by a healthcare provider to rule out any potential malignancy.

4. Prolapse: In some cases, the rectal tissue can protrude through the anus, leading to a sensation of fullness or a foreign body feeling. This is more common in individuals who have experienced significant straining or childbirth.

5. Muscle Spasms: Sometimes, the muscles around the anus can spasm, leading to discomfort and a sensation of pressure or fullness.

Solutions and Recommendations
1. Dietary Adjustments: Ensure you are consuming a high-fiber diet to promote regular bowel movements and prevent straining. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also crucial.

2. Avoid Straining: When using the bathroom, try to relax and avoid excessive straining. If you feel the urge to go, respond to it promptly rather than waiting, which can lead to harder stools.

3. Warm Baths: Soaking in a warm bath can help relieve discomfort and promote relaxation of the anal muscles.

4. Topical Treatments: Over-the-counter creams or ointments designed for hemorrhoids can provide relief from discomfort and itching.

5. Monitor Symptoms: Keep an eye on the bump you discovered. If it changes in size, becomes painful, or if you notice any bleeding, it is essential to seek medical attention.

6. Consult a Healthcare Provider: If the sensation persists or worsens, or if you have any concerns about the bump, it is advisable to consult a healthcare provider. They can perform a physical examination and may recommend further tests, such as a colonoscopy, to rule out any serious conditions.

Conclusion
While it is possible that your symptoms are related to hemorrhoids or another benign condition, it is essential to monitor your symptoms closely. If you experience any changes or if the discomfort continues, do not hesitate to seek medical advice. Early intervention can help prevent complications and ensure that any underlying issues are addressed appropriately. Remember, maintaining a healthy lifestyle and being mindful of your bowel habits can significantly contribute to your overall gastrointestinal health.

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