Rectal Discomfort: Is It Just Anxiety or Something More?

Q: Rectal Discomfort: Is It Just Anxiety or Something More?

Hello： Colorectal cancer does not have specific symptoms, but various symptoms can worsen. <br>Your condition seems more like an anal fissure or hemorrhoids, or it could be caused by consuming irritating foods. <br>It is recommended to increase your intake of fruits, vegetables,

Is there something unusual about the anus? Could it be a feeling of tenesmus?

Hello, doctor.
I apologize for bothering you.
Since the start of the school year, I have been experiencing gastrointestinal issues.
Initially, I had diarrhea every few days, and both traditional and Western medicine practitioners suggested it was due to academic stress.
After taking traditional Chinese medicine for treatment, the problem resolved.
I am still taking it.
However, after one instance of stopping the medication, I noticed increased flatulence and my stools became sticky.
After experiencing excessive gas, I researched online and came across some information about colorectal cancer.
The next day, I felt the urge to have a bowel movement throughout the school day.
When I got home, I tried to have a bowel movement and had to strain a lot; the stool that came out was round, resembling rabbit pellets.
Since that day, I have felt a persistent sensation as if there is something in my anal area, which is quite uncomfortable.
Initially, I felt a fullness below the anus, accompanied by a slight urge to defecate, and the first bowel movement of the day was somewhat painful.
However, after a few days, I noticed that this sensation was more pronounced when sitting.
It seems to ease when I focus on work, but once I feel it, it persists whether I am sitting or standing.
The only time I don't feel it is when lying down, and it only feels comfortable for a few seconds after a bowel movement.
I have been having bowel movements twice daily, and both the color and size are normal, with no blood present.
However, they have been slightly drier recently.
There is also a very mild pain during and after bowel movements.
This issue has persisted for five or six days now, and I am feeling a bit anxious.
Given my discomfort, I researched online again, and I am wondering if this could be an indication of colorectal cancer or if it might be something else entirely.

Lan Yu, 10~19 year old female. Ask Date: 2021/11/21

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Colorectal cancer does not have specific symptoms, but various symptoms can worsen.
Your condition seems more like an anal fissure or hemorrhoids, or it could be caused by consuming irritating foods.
It is recommended to increase your intake of fruits, vegetables, and fluids.
If problems persist, please consult a gastroenterologist or a colorectal specialist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/11/21

More Info

It sounds like you are experiencing a combination of gastrointestinal discomfort and anxiety, which can often be interrelated. Your symptoms, including changes in bowel habits, feelings of rectal discomfort, and anxiety about potential serious conditions like colorectal cancer, are understandably concerning. Let's break down your situation and explore the possible connections between your physical symptoms and anxiety.

Firstly, it's important to recognize that gastrointestinal issues can frequently arise from stress and anxiety. The gut-brain connection is well-documented in medical literature, indicating that emotional stress can lead to physical symptoms in the digestive system. In your case, the onset of diarrhea at the beginning of the school year coincided with increased academic pressure, suggesting that your gastrointestinal symptoms may have been a psychosomatic response to stress.
You mentioned that after taking traditional Chinese medicine, your diarrhea improved, which indicates that your body may have responded positively to the treatment. However, when you stopped the medication, you experienced increased flatulence and changes in your stool consistency. This could be a sign that your digestive system is still sensitive and may require ongoing management, especially during stressful periods.

The sensation of having something in the rectal area, along with mild pain during bowel movements, can be distressing. While these symptoms can be associated with various benign conditions, such as hemorrhoids or anal fissures, they can also be exacerbated by anxiety. The mind can amplify physical sensations, making discomfort feel more pronounced. It's also worth noting that anxiety can lead to muscle tension, which may contribute to the sensation of discomfort in the rectal area.

Regarding your concerns about colorectal cancer, it’s crucial to approach this with a balanced perspective. While it’s natural to worry about serious health issues, especially when experiencing unusual symptoms, the likelihood of colorectal cancer in someone your age with no significant risk factors is generally low. The symptoms you describe—such as normal stool color and size, the absence of blood, and the fact that your bowel movements are still occurring regularly—are reassuring signs. However, if you continue to experience discomfort or if your symptoms change, it would be wise to consult a healthcare professional for a thorough evaluation.

To address your anxiety, consider implementing stress-reduction techniques. Practices such as mindfulness meditation, yoga, or regular physical exercise can help alleviate anxiety and improve your overall well-being. Additionally, maintaining a healthy diet rich in fiber can support digestive health and may help regulate your bowel movements.

If your symptoms persist or worsen, or if your anxiety continues to interfere with your daily life, seeking professional help from a gastroenterologist or a mental health professional may be beneficial. They can provide tailored advice and treatment options to help you manage both your gastrointestinal symptoms and anxiety effectively.

In summary, while your symptoms may be concerning, they are likely influenced by a combination of stress and anxiety. By addressing both your physical and emotional health, you can work towards finding relief and improving your overall quality of life. Remember, it’s always best to consult with a healthcare provider for personalized advice and treatment options.

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