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Pressure in rectum after bowel movement...... no other symptoms...Unsure where to post??

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Irritable Bowel Syndrome
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Posted 5/29/2008 5:06 PM (GMT 0)

Ive seen a posts here with people reporting the same symptoms i am having. But not sure any real answers were ever given or found. Here is my story:

for the past 4 months I have a feeling of "pressure" or "swelling" in my rectum that usually begins after a bowel movement which is around mid-day. If I dont have a bowel movement until later in the day, the feeling of "pressure" or "swelling" will come on anyway, just a little later in the day.

I have been to a few doctors with no real answers, until the last one. My last visit was to a gastro doc, who I felt didnt really listen intently to my symptoms and after a few words and an inspection, diagnoised me with having an Anal Fissure... I walked away, somewhat happy that maybe I finally had an answer to what was causing my problem. However, after getting home and researching exactly what I was told I had, I quickly realized that I had none of the symptoms typically associated with an Anal Fissure (pain & bleeding).

While I believe there may have been a fissure (that the doc re-opened.. thanks alot), I am not convinced it is what is causing the symptoms.

btw - I have had, a digital exam, an ultrasound and bloodwork (PSA).. none of which revealed anything unusual.

So here are the symptoms:

I wake up with NO symptoms.. nothing.. feel completely normal (except I wonder if I have been having a nightmare)..... after standing for an hour or two.. I begin to feel a little pressure... usually meaning its time for a bowel movement... after a bowel movement.. there is a feeling of "swelling" or "pressure" in the anus.. rectum.. as the day goes on, the symptoms sometimes get worse.. sometimes, not.

Go to bed, wake up and repeat.

Any help ???

Anyone had fissures and had the same symptoms ??? Meaning is the Gastro doc.. correct in his diagnosis ???

Any ideas ????

thanks

Posted 5/29/2008 9:28 PM (GMT 0)
I had one and it did cause some pressure, it was really weird. It was a pressure and then an achey feeling. It went on for about 2 years before I finally went to an obgyn(female doctor) who told me what it was then a month later went it for surg. I havent had the problem since! By the way I did not have any bleeding with mine either. Mine was caused by child birth, I ripped really bad and the doctor didnt stitch me back up correctly. Good luck!

Posted 5/30/2008 4:27 AM (GMT 0)
Hi bob-O, welcome to HW!
Did the doctor give you any medication/ointment for the fissure, or any type of instruction on how to curb the sensation? I would definitely try any suggestions the GI doc gave you. If you end up with no relief, see if you can make a repeat visit.
Good luck... I hope you start feeling better real soon!
Posted 5/30/2008 2:36 PM (GMT 0)
Has anyone done a sig scope on you to look for hemmroids? Those can cause similar feelings if they are swollen. But don't take hemmroid medicine until you have confirmed; I don't think you can take them if you have an open anal fissure.
Posted 5/30/2008 3:56 PM (GMT 0)
Thanks to all who replied. Sounds like my best bet is to go w/what doc says... even though my symptoms dont really match up with the common ones..

doc recommended Desitin and a script for a topical numbing oitnment (same as dentists use before using the needle)...

strangest part of all of it.. to me.. is how I wake up and feel fine.

again thanks for the help and kind words.
Posted 5/30/2008 5:59 PM (GMT 0)
Your connection to no pressure in the morning is easy. Think about it: you spend all night laying down, so there is no gavitational pull on your anus. The longer you are up and about, the more gravity is acting on you, and then actually straining to push a bowel movement through is the ultimate in pressure.

If you have the ability to lay down for an hour or so when the pressure is really bad, that might help relieve some of it. Also, spend as little time as possible sitting on the toilet; sitting on a toilet seat puts maximum pressure on the anus.
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