23 years old, male. For over a week now I have had these symptoms. My rectum always feels full, like I have to go but I actually don't. I think this led to some unecessary straining on the toilet which may or may not have made things worse. The fullness developed into a slight ache in the rectum which seemed to be more on the left side. Two times a saw a red streak on the stool but really not very much(I am not constipated when I actually have to go, I can). Stool was flattened and then later very narrow. I also felt a little soreness on the left side of the groin which I attributed to playing basketball and maybe straining it a little because that's what it felt like, just sore muscles.
Since it seemed to be getting worse I went the doctor who seemed very unconcerned. Did a digital rectal exam and said "I don't feel anything." He said he was looking for an internal hemorrhoid. They tested for UTI, it was negative. They thought it was a hemorrhoid that may be just starting. Gave me magnesium citrate drink to clean everything out. I drank it that night and, of course, was going all night.
The next day the pain was completely gone. I thought I was cured. I thought I was having trouble moving bowels, so I was stupidly straining again for a day or two there, but it's just that the full rectum feeling is still there. Stool is still flattened, but not as narrow as it had gotten before. Pain on the side of the groin was mostly gone a couple days after the doctor visit. But I think I can feel it a little sometimes. It really might be just a sore muscle, but being in the same area I just can't help but wonder.
Everyone tells me I just overreacting to it. It is just constipation (it's not, stool is soft), or anxiety (maybe, I am making myself a little nuts). I was feeling good after the doctor visit, but now it just seems to be starting over. hemorrhoid? something else?
Well, straining to have a BM is never a good idea. After you took the laxitive that cleaned you out real good it would not be too unusual for you to not have BM the next day. This would be especially true if you water and fiber were a little low.
My guess is that you will be fine if you can get your mind off of it for a week. I know that is hard to do! The stress of worry really affects the digestive system, at least it does mine!
sounds like there might be a fissure way up in there. I have had problems with fissures for about 6 months, and I have the same symptoms.
I had surgery to take care of them, and doc says they're gone. But I can definately relate to the full colon feeling, which is really annoying. I think the trauma down there can send the colon into spasm, leading to a fullness feeling.
If it keeps bugging you, go to a colo-rectal surgeon, who will do a special exam to check for fissures. It's going to be a little painful, but he will see them if they are there.
A red streak on the stool is usually a fissure, and sometimes a hemmroid.
Ok, here is my update and new worries:
The rectum pain has gone away and haven't noticed anymore streaks of blood on the stool. Stools are back to normal (normal for me anyway, but my stool, though basically the right size, has looked a little flat just on one side for a long time now, at least a few years. Is this bad? It never seemed to cause any problems?)Anxiety subsided and I felt happier for about a month. Groin discomfort that felt like a very mild strain remained though as well as some odd twinges on each side of lower abdomen.
So after a month that discomfort is still there and I have started to worry again and today I went to a doctor and told him all about this. He checked for hernia (which is what I was thinking since it started about same time as the full rectum feeling and I was probably straining on the toilet) but didn't notice any bulges or anything. Also I told him that the groin pain doesn't seem to respond to movement and he had me crouch a couple times and it doesn't aggravate the pain. Tested my urine again and said nothing strange showed up. When I asked what else he thought it could be he said "you understand, I am not a surgeon." And I do understand but it was still very disappointing because this worrying is causing me big anxiety problems (big trouble sleeping, stomach/chest tightness, "air hunger"). I do undertstand that those symptoms are from the anxiety and not directly related to any GI or groin problems. I just don't know what to do. Is a month not that long a time to feel this discomfort and I am just rushing to doctors too fast? Should I go to a specialist and if so what kind? GI, genital?
The pain itself is actually fairly mild, but the problem is that I don't understand it or where it comes from and that drives me crazy. The anxiety is killing me, I can't stop thinking about how the pains might be serious problem. It's terrible and it definitely affects the quality of my life in a way I've never felt before (never had severe anxiety before this whole disaster).
the red streak you were seeing was most likely a fissure, which can cause aching for sure, all around the pelvic region.
A persistant one can also cause rectal spasms, even ones you don't notice, and this can go on for months.
I'm going through the same thing, and I have good days and bad. I'm not a doctor, but I think it is from spasms in the colon. My fissure was so bad, I needed surgery, so things got really aggravated down there.
As long as you are regular, I wouldn't worry. More exercising might help.
So a fissure in the rectum could cause ache and discomfort in the groin and lower abdomen area? Even though the pain in the rectum has passed? (it was mostly gone once I realized that the full feeling didn't mean "time to go to the bathroom") Is there anything I should do or just wait it out? Sometimes it seems like the discomfort/mild pain in the groin is over or at least nearly over and then some days i will feel it a little more and cover a little more area (as opposed to just the sides of the groin).
I really wish the doctor today would have given me something for anxiety. I tried to tell him that the anxiety was really causing me a lot of problems, but he didn't seem concerned. No one seems to understand these anxiety attacks unless they have had them before! Love the advice I get from family: "calm down; don't think about it."
Funny you should mention anxiety Thats what i think cause most my problem or at least i hope that all it is. I just recently join a group for people who suffer Health Anxiety, theres alot of us out there.
The pain and aching sensation in the rectal and genital area sounds like it could be coming from a hemorrhoid (which also gives you that "full rectal feeling) or a fissure. I suffer from hemorrhoids and constipation and I am all too familiar with the feelings of aching and fullness is the anal and genital region. The aching can even radiate into your entire pelvic region. My advice would be to go and see a colo-rectal specialist. He would be the one to tell you what you have and to give you advice, options and medications to help with your problem. That may also help with your anxiety issues as well. Just knowing what you have can make you feel sooo much better about your situation.
Ok, on to the next topic - ANXIETY!! I just HATE that word because, like you and most of us who suffer from a medical condition, suffer from anxiety as a result. I used to get terrible anxiety attacks when I would have a hemorrhoid flare-up or a gastrointestinal issue. I mean, my health issues consumed my every thought (still do at times). It can really take over your life if you let it. You are confused about your body and why it is not acting the way it used to be or should be. Please tell your friends and family that anxiety attacks are serious and can feel like they are taking over your life. Your body goes into a "fight or flight" mode and your system begins pumping out adrenaline, which causes all of the anxiety symptoms (shortness of breath, tightness in the chest, sleeplessness, knot in the pit of your stomach racing heart-beat feeling out of control, depression etc...). By saying "stop thinking about it and calm down" is MUCH easier said than done. Unfortunately, I was one of those who has to have Klonopin (an anti-anxiety drug) on-hand for times like this. I am definitely not pushing medications but it was something that I personally needed. Anxiety attacks are no fun and are really scarey. As well as taking anti-anxiety medications as needed, I am also working with a counselor and reading a lot of books on anxiety and how to cope with it and my medical issues. This might also be an option for you.
I know that you are really worried right now but what you have (if it is hemorrhoids or a fissure) is not life threatening - it is just a nousance. I really think that if you see a colo-rectal specialist and explain to him all of your physical and mental feeling, he will help you to feel better. Like I said, just knowing what's ailing you can help relieve a lot of anxiety.
You are definitely not alone in this. Many of us on this board have at one time or another, needed serious support for our anxiety issues due to our medical conditions. Really, you are not alone and anxiety over health issues is so unbelievably common.
Hope I helped a little. Please keep writting in if you need continued support or whenever you need support for that matter. Also, please keep us informed of your situation.
Thanks. Reading everyone's posts makes the anxiety a little better. Feels less like an anxiety attack and more like annoying regular anxiety.
The one other thing I noticed that I forgot to mention was that right after all this started, I feel a kind of parasthesia in my feet every time I wake up. I won't feel it when I am just laying down but when I stand up or put pressure on them, I can feel tingling. Then it goes away when I walk for a minute. So it's kind of like they are asleep, but will function fine. There's just a little tingling. Could this be just from anxiety or somehow related to my other symptoms? Just a coincidence that it happened at the same time as everything else? Due to inactivity (My lifestyle is fairly sedentary, but I'm not overweight or too incredibly out of shape)?
Doctor dismissed this when I told him. I mean, I've felt parasthesia several times before, sometimes late at night if I'm sitting around and talking a whole lot I feel the tingling in my face and hands, but it always goes away soon after and doesn't happen regularly. The feet tingling happens every single morning now. Whether I sleep on my side or back it doesn't seem to matter and I'm sleeping on the same bed I always have.
Looks like chiggins1066 got it right on the money. Saw a gastroenterologist and he saw a fissure way in there that he said has mostly healed up by now. He said aching in the rectum and groin as well as the flattened stools are likely due to muscle spasms brought on by the fissure and mucus that is causing irritation. Weird. Never expected something like that would radiate into other parts of the pelvic region.
Pain is basically gone now. Just some slight discomfort in the groin now that I don't even notice most of the time. Doc said to use zinc oxide ointment back there to keep the area from getting irritated and itchy and causing rectal spasms.
I am so glad that you have finally found out the reason for all of your discomfort. I bet you are so relieved. I too now think I have a fissure and will be going to my colo rectal surgean soon to find out for sure.
Just on the surface because the area is real irritated. He said the he could see that the area was very irritated and was probably due to mucus getting on the area which is somehow caused by the fissure. I never noticed any mucus, but maybe it is not something you are likely to notice. There is no question that the area is irritated and itchy, though, and he seemed to think it would cause anal spasms which could be the source of any remaining aches I have. So if you have itchy, irritated skin down there, (called pruritis ani, I think), then I guess it can help to spread zinc oxide ointment on it every day. If your problem is with the fissure being irritated again and again, then obviously it won't help.
For the actual fissure, he just told me the same things I'm sure you have heard many times. Keep the stool soft, eat fiber, basically do all the stuff that is necessary to keep stool from getting too hard and making you constipated and aggravating the fissure.
I'm starting to wonder if this will ever get better. Been nearly a month since the visit to the gastroenterologist and everything is more or less the same. The pain has never gotten nearly as bad as it was in the first month of this problem (March). A lot of the time I can barely feel it and when I can, it's not even enough to be a nuisance. There's been no bleeding (there was only a very little when this was at its worst).
I notice stool looks like it has a dent in it, sort of a groove. After doing some searching I read that this can be caused by a sentinal pile, some scar tissue related to the fissure. I want to know if this is a problem or just normal for a fissure.
I've only recently started taking a fiber supplement (generic metamucil, I should have been taking it right after doctor visit...) and it seems to improve stool shape other than that dent which hopefully means that muscles aren't spasming anymore and the aching will clear up. I'm not rushing back to the gastroenterologist for two reasons: the pain is nonexistent or very mild all the time and I'm not sure if my insurance is working correctly since I just got a bill for some reason from my GP. I'm trying to get that settled, but I'm not making any appointments until that's cleared up. I'm hoping that now that I'm taking the fiber it will make healing more likely.
I had a diviticulitis operation last Winter and had a temporary colostamy. Then in Feb I got reconnected and got back to normal. Anyway I have been noticing my stools are flat too.
Sounds lke we have the same worries. Except you didn't just have surgery. Is flat stool a thing to worry about? Its the correct color and its also sometimes small. Almost as little as Cat stool. About a month ago I had some trouble going to the bathroom and thought I was constipated and strained VERY HARD the next day I started having a feeling that something was expanding in my colon or rectum....it HURT for about a minute and then I started seeing a trace blood on occasion under and on my stools. Even when I would wash back there sometimes a little bit of blood was on my wash rag. The docor said it was probably a hemmroid....but Im worrying too. It still itches like crazy and now has a little rash before the canal of my rectum (the weather is warmer so this could be heatbumps I hope its nothing serious?)!!