Rectal Pain: Causes and Concerns for Young Adults - Surgery

More Info

---

Understanding rectal pain can be a complex issue, especially for young adults who may feel anxious about their symptoms. Based on your description, it seems you are experiencing discomfort primarily when sitting, during certain movements, and while cycling, but not during standing. You also mentioned that you do not feel pain upon touching the external area of the anus, which is a crucial detail. Additionally, you noted that you have alternating constipation and diarrhea, with some changes in the shape of your stool, and a sensation of blockage when passing gas.

First and foremost, it’s important to recognize that rectal pain can stem from various causes, and while some may be benign, others may require medical attention. Here are some potential causes of your symptoms:
1. Hemorrhoids: These are swollen veins in the rectal area that can cause discomfort, especially during bowel movements or prolonged sitting. They can be internal or external, and while they often do not cause pain when touched, they can lead to discomfort during certain activities.

2. Anal Fissures: Small tears in the lining of the anus can cause sharp pain during bowel movements. They are often associated with constipation and can lead to a cycle of pain and avoidance of bowel movements, exacerbating the issue.

3. Coccygodynia: Pain in the tailbone area (coccyx) can occur due to prolonged sitting, trauma, or even from cycling. This pain can sometimes radiate to the rectal area, leading to discomfort.

4. Irritable Bowel Syndrome (IBS): This functional gastrointestinal disorder can cause alternating constipation and diarrhea, along with abdominal discomfort. Stress and anxiety can exacerbate IBS symptoms, which may explain the psychological aspect you mentioned.

5. Psychosomatic Factors: Anxiety and stress can manifest physically, leading to sensations of pain or discomfort in various parts of the body, including the rectal area.
6. Rare Conditions: While the likelihood is low, conditions such as colorectal cancer can present with changes in bowel habits and rectal pain, even in younger individuals. However, this is much less common in someone your age.

Given your age (22 years), the risk of colorectal cancer is significantly lower than in older adults, but it is not entirely impossible. The symptoms you describe, particularly the alternating bowel habits and changes in stool shape, warrant further investigation to rule out any serious conditions.


Recommendations:
1. Consult a Healthcare Provider: It is crucial to seek a thorough evaluation from a healthcare professional, preferably a gastroenterologist. They may recommend a physical examination, and possibly a colonoscopy, to assess the health of your gastrointestinal tract.

2. Dietary Adjustments: Incorporating more fiber into your diet can help regulate bowel movements and alleviate constipation. Staying hydrated is also essential.

3. Stress Management: Since you mentioned that anxiety might be a factor, consider engaging in stress-reducing activities such as yoga, meditation, or counseling.

4. Avoid Prolonged Sitting: If your pain worsens with prolonged sitting, try to take breaks, stretch, and change positions frequently.

5. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their intensity, and any associated activities. This information can be valuable for your healthcare provider.

In conclusion, while your symptoms may be concerning, they are not uncommon, and many potential causes are treatable. Early intervention is key to addressing any underlying issues and alleviating your discomfort. Don’t hesitate to reach out to a healthcare professional for a comprehensive evaluation and personalized advice.