Rectal Foreign Body Sensation: Causes and Treatment Options

Anorectal foreign body sensation

Hello Dr.
Ke: About a week ago, after experiencing diarrhea for two consecutive days, I began to feel a noticeable sensation of a foreign body in my anus (which I have never felt before).
At the same time, I experienced a burning sensation after bowel movements (without consuming spicy foods).
Upon examination, I felt a slight bulge when touching the area.
There is no pain, nor is there any bleeding or blood in the stool.
I then started taking sitz baths twice a day, and the symptoms have slightly improved, but there is still some sensation of a foreign body, which is more pronounced when sitting or contracting the anal sphincter, and I feel a slight pulling sensation while walking.
The symptoms are more noticeable in the evening than in the morning right after waking up.
Currently, my bowel movements are normal, once in the morning, with no constipation or diarrhea.
I would like to ask if this is hemorrhoids (attached is a photo)? If so, what type of hemorrhoids does it resemble, and what treatment should I pursue? Since I am currently abroad, it is inconvenient to see a doctor, and I can only manage treatment at home for the time being.
https://photos.app.goo.gl/kwGWmLFzgeRrW682A Thank you in advance for any valuable advice!

abc, 40~49 year old female. Ask Date: 2022/04/21

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal swelling.
The photo appears to show only mild external hemorrhoids.
If there is no severe pain or bleeding, specific treatment is not necessary.
It is advisable to avoid constipation during this period and shorten the time spent on the toilet.
Spicy and irritating foods should be temporarily avoided, and increasing dietary fiber can be beneficial.
Warm sitz baths should help alleviate symptoms, and over-the-counter hemorrhoid suppositories can be used.
Laxatives should not be taken indiscriminately.
If needed, a consultation with a physician can be arranged for further evaluation and a colonoscopy.

Reply Date: 2022/04/21

More Info

Understanding rectal foreign body sensation can be quite complex, especially when considering the various potential causes and treatment options. Based on your description, it seems you are experiencing an unusual sensation in the rectal area following a bout of diarrhea. This sensation, often described as a feeling of having a foreign body present, can be attributed to several factors.

Possible Causes
1. Hemorrhoids: One of the most common causes of a sensation of fullness or pressure in the rectal area is hemorrhoids. These are swollen veins in the lower rectum or anus that can cause discomfort, especially after episodes of diarrhea or straining during bowel movements. The burning sensation you mentioned after bowel movements could also be indicative of hemorrhoids, particularly if there is any irritation or inflammation present.

2. Anal Fissures: Another possibility is an anal fissure, which is a small tear in the lining of the anus. This can occur due to passing hard stools or straining during bowel movements, and it can lead to pain and a burning sensation, especially after a bowel movement.

3. Rectal Prolapse: In some cases, a feeling of a foreign body can be associated with rectal prolapse, where part of the rectum protrudes through the anus. This condition is more common in older adults and can be associated with straining during bowel movements.

4. Inflammation or Infection: Inflammation of the rectal area, possibly due to an infection or irritation from diarrhea, can also lead to a sensation of fullness or pressure.
5. Other Conditions: Less commonly, conditions such as rectal tumors or other growths can cause similar sensations. However, these are typically accompanied by other symptoms, such as bleeding or significant pain.

Treatment Options
Given that you are currently abroad and unable to see a doctor, here are some self-care measures you can consider:
1. Warm Sitz Baths: You mentioned that you have started taking sitz baths, which can help soothe the area and reduce discomfort. Continue this practice, as it can promote healing and alleviate symptoms.

2. Over-the-Counter Medications: If you suspect hemorrhoids, over-the-counter creams or ointments specifically designed for hemorrhoid relief can provide temporary relief from discomfort and burning sensations.

3. Dietary Adjustments: Ensure you are consuming a high-fiber diet to prevent constipation and reduce straining during bowel movements. Staying hydrated is also crucial.

4. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate any existing issues.

5. Monitor Symptoms: Keep an eye on your symptoms. If they worsen or if you notice any bleeding, significant pain, or changes in bowel habits, it would be advisable to seek medical attention as soon as possible.

When to Seek Medical Attention
If your symptoms persist despite self-care measures, or if you experience any new symptoms such as bleeding, severe pain, or changes in bowel habits, it is essential to seek medical attention. While it may be inconvenient to see a doctor while abroad, many countries have healthcare facilities that can provide the necessary care.

In conclusion, while your symptoms may suggest hemorrhoids or another benign condition, it is essential to monitor your situation closely. Self-care measures can be effective, but do not hesitate to seek professional help if your condition does not improve or worsens.

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