Hoping someone has some ideas. I'm 34 and from time to time I get a burning sensation in the entrance to my rectum followed by an almost painful need to deficate. However I know that I do not have go, but the ugre is so bad I often find myself trying, which leads to more burning. I notice this occurs when I try to have more than 1 or 2 BMs per day (my usual is 1). Often this leads to some bleeding.

I have been using Witchhazel pads and prep-h which helps some but the urge to deficate does not seem to go away.

Any ideas? I had my last physical in Sept of this year including a rectal exam.

One more thing I've often wondered about...sometime out of nowhere I'll get a horrible shotting pain that feels like a knife being jammed in my rectum for a couple of seconds. It has got to be the worst pain I've felt but after it his it goes away without any other problems.

Thanks to all!