Rectal Issues: When to Seek Surgical Advice

The buttocks feel unusual?

Recently, I've been experiencing some emotional issues, and although I feel hungry, I don't want to eat.
I've had diarrhea for about 1-2 days, and when I go to the bathroom, I can't seem to pass anything.
When I touch the area, I feel a ring of tissue inside the anus.
When I use a handheld showerhead, the anus opens slightly, and it feels like it's protruding a little, but not completely.
It feels somewhat like it's inverted, and there's a slippery sensation with a ring of tissue.
Sometimes, when I feel the urge to have a bowel movement, the stool varies in thickness, but when I touch it, it feels soft and breaks apart easily.
The color is yellow, with no blood present.
When I wipe, the toilet paper feels wet or slippery.
There is no bleeding or pain when I go to the bathroom.
I would like to know what this might be and which specialist I should see if necessary.

Wu, 20~29 year old female. Ask Date: 2024/07/01

Dr. Zhang Shuhao reply Surgery

A ring of tissue protruding from the anus is most commonly associated with hemorrhoidal prolapse.
When internal hemorrhoids become enlarged, they may protrude from the anal opening due to gravity or muscle strain.
It is recommended to increase fiber and fluid intake to improve digestion and bowel movements.
Consulting a gastroenterologist or a colorectal specialist for a thorough examination is advisable to determine the specific cause of the symptoms and to develop an appropriate treatment plan.

Reply Date: 2024/07/01

More Info

When it comes to rectal issues, it’s important to understand the symptoms and when to seek medical advice. Based on your description, you are experiencing several gastrointestinal symptoms, including changes in bowel habits, a sensation of something protruding from the rectum, and unusual stool consistency. Here’s a breakdown of your symptoms and some guidance on what they might indicate.

1. Changes in Bowel Habits: You mentioned having diarrhea for a couple of days followed by difficulty in passing stool. This could indicate a transient gastrointestinal upset, possibly related to stress or dietary changes. Stress can significantly affect digestion and may lead to symptoms like loss of appetite and altered bowel movements.

2. Protrusion Sensation: The feeling of a "ring of flesh" around the anus and the sensation of something protruding could be indicative of a few conditions. One possibility is a hemorrhoid, which is a swollen vein in the rectal area that can cause discomfort and a feeling of fullness. Another possibility is a rectal prolapse, where part of the rectum protrudes through the anus. However, since you mentioned that it does not fully protrude and does not cause pain, it may be less likely to be a prolapse.

3. Stool Consistency: The description of your stool being soft and breaking apart easily could suggest that you are experiencing diarrhea or loose stools. This can be caused by a variety of factors, including dietary choices, infections, or stress. The yellow color of your stool is often associated with bile and can be normal, but if it persists, it may warrant further investigation.

4. Moisture and Texture: The sensation of wetness when wiping could be due to mucus, which can be a normal finding but can also indicate inflammation in the rectal area. If there is an increase in mucus production, it could suggest an underlying condition that may need to be evaluated.

When to Seek Medical Advice
Given your symptoms, it is advisable to consult a healthcare provider, particularly a gastroenterologist or a colorectal surgeon. Here are some specific indicators that suggest you should seek medical attention:
- Persistent Symptoms: If your symptoms persist for more than a few days or worsen, it’s important to get evaluated.

- Changes in Stool Color or Consistency: If you notice any significant changes in your stool, such as blood, or if the diarrhea continues, you should seek medical advice.

- Protrusion or Discomfort: If the sensation of protrusion worsens or if you start experiencing pain, it’s crucial to have it examined.

- Accompanying Symptoms: If you develop additional symptoms such as fever, significant weight loss, or severe abdominal pain, you should seek immediate medical attention.

Conclusion
In summary, while some gastrointestinal issues can resolve on their own, persistent or concerning symptoms warrant a visit to a healthcare professional. A thorough examination, possibly including a physical exam and imaging studies, can help determine the underlying cause of your symptoms and guide appropriate treatment. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out for help.

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