Rectal pain pressure

Hi all I would really appreciate your thoughts/experience. Since mid December I have been feeling a pressure like feeling in back passage area along with straining when I pass stools. There is intermittent mild pain almost like a pulsating pain. I have had streaks of bright red blood on toilet paper a couple of times but no bleeding from rectum or mixed in with poo. I Constantly feel as though I haven’t full evacuated and like something is stuck there. I have had bouts of diarrhoea in between but they usually only last for a few hours or at most a day. What is concerning me is that my stools are thinner not pencil thin or ribbon like but definitely narrower. I have suffered from bowel issues for Years especially constipation but GP always put it down to IBS and advised to drink more water and increase fiber intake. My GP doesn’t take me at seriously and puts my symptoms down to stress/anxiety So earlier this month I self referred to a colorectal surgeon whom I saw a couple of weeks ago. He said that although my symptoms are “vague” he is concerned about the pressure I’m experiencing. so I will be having MRI and scope but on NHS as I cannot afford private investigations. When I asked him if I should be worried he said at present time it’s impossible for him to say. I am stressing myself out as I work in cancer services and so am convincing myself it’s either anal or rectal cancer! I suffer from anxiety and in particular health anxiety I know google doesn’t help but only thing To explain my symptoms is the big C word...I’m due to start a new job in 2 weeks timing couldn’t be worse. All thoughts and advice welcome.

Parents
  • Thanks for reply fats...I don’t have any external poles not sure whether there are any internal though. Yes the pain is like a dull kind of ache but more of a pulsating/throbbing kind of pain rather than sharp. Pain is intermittent and infrequent and only lasts for a few seconds with intervals. It’s not a constant pain but comes and goes. The pain is not so concerning for me more I’m more worried about the pressure sensation which is there all the time. I am going to be investigated but as I had initially seen the colorectal surgeon privately and now having the tests done on NHS it’s going to be a bit of a delay getting the ball rolling. I do hope it is a polyp!

  • Hi, 

    Did you ever get any answers as your symptoms are almost exactly like mine!

    Stef

  • So, had a scope yesterday and all was fine, no sign of anything cancerous, just some minor inflammation, maybe from the Moviprep to clean the bowels! I know myself when you search these forums it's always comforting to find people with similar symptoms but not everyone updates with their post-colonoscopy results so hopefully it gives some reassurance to others!

  • Hi there,

    can I jump in on this thread please.  Sounds very similar to what I am experiencing right now.  

    How did you get on in May? X

  • How did things go in May.  Your story very similar to mine just now.  

  • Hi. I have similar to above ie pressure and discomfort in rectum area and thin stools. I’m due to have an ultra sound next week. About 6 years ago I had an cancerous polop removed in that area and had 5 years of follow up with the consultant but didn’t experience any pain with that. I too am convinced the pressure could be something serious and also feel the need to pass urine all the time. My doctor didn’t seemed that worried either so I went to a private doctor and was told I had loose skin in the anus area which should be investigated by the consultant I was previously seeing. I now have to wait (non urgent my doctor told me) for a re referral. I’m so worried and in pain every day. I’m going to contact the consultants secretary again to see if they can push an appointment through quicker. I  keep imagining all sorts of horrible things and it’s stessing me out. Anyone out there with any suggestions for me. Thank you 

  • Hey [@stefjarm]‍ 

     

    Thanks for updating. I'm just at the "googling,  what the hell is this happening to me" stage just now, so its great to read your reports.

    Very similar symptoms, and GP appointment is planned later next week, but it's been a few months now since your last post, any news?

    Thanks

     

     

  • Hi

    can i join?

    Today i recieved a phonecall from a private clinic that i ordered a fecal occult test from to say i have 10ug blood in stool.

    The symptoms that led up to this and right now are rectal pressure, loose but not diahrrea nor thin stools, visible internittent bright red blood, internittent left lower pain that basically feels inflammed, rectum pain intermittent also and also feels inflammed, gas also intermittent and sometimes cripplingly painful, intermittent orange mucus in stool, intermittent back and lef pain.  After being wrote off as piles without examination and sent for upper endoscopy!! (Which did show gastritis) i ordered the home fecal test.

    So now im left worried sick with these results and to cintact GP in morn. I have contacted bupa who have referred me to gastro consultant but i cant see him to 9th October 

    Any advice much appreciated 

     

    lisa

  • Hi. Since I last wrote I’ve had 4 different doctors examine me and nothing can be seen, ie no polyps no tummy lumps. I had a routine cancer test, the one you get sent in the post and they found blood in the stool sample. I hadn’t seen this but it showed in the lab. Ive seen a consultant who also examined me and he used a camera prob. But couldn’t see anything either. Now I have to have a CT scan of the abdomen and pelvis and then a colonoscopy. I’m also having an ultra sound. So lots of tests. I’m hoping of course that something will show up on these tests although in a funny way live with the thought it will all go away and the pain will stop. I’m managing with mild pain killers. I can post again after my tests. So what I’m feeling is a discomfort on my bottom so sitting is very uncomfortable, and an ache on the left side bone at the bottom of my pelvis.  I have various poo sizes from hard noguts to really soft and always feel there’s more to come and bowels not emptied fully. It’s horrible explaining all this but if it helps anyone else with worries then it’s not a problem. 

  • Everything you describe is myself.  I paid for a private FIT test which came back at 10ug.  Ive just today managed to get a private consultation for Wednesday. Im beside myself.  I too have the left sided pelvic pain in addition to leg and buttocks and sometimes up to flank  I also feel like my bowel hasnt fully emptied and feel like im always pressing which is worst on layimg and sitting.  Among gas and gas pains my other strange occurences which i now relate is my folic acid was zero

    Please keep me updated and i will you

     

    ETA My stools are 90% loose but formed to some extent and 10% hard but pellet like all into one large stool.

    my inflammation bloods came back normal so i can probably rule out Chrons & Colitis 

     

    Lisa

  • Hi stefjarm!

     

    I have incredibly similar symptoms to you.  Have you had any improvement since your scope and it was just thought to be mild inflammation?    The pressure in the rectum is the strangest thing.   I too went to the doctors, was told it was nothing and just to use sudacrem - the feeling went away for a couple of weeks until I just worried about it a little and it came back.  Could it be psychological?   Any more details of your story would be greatly appreciated.  B

  • Hi, sorry to hear you're going through this. Trying to get to a diagnosis is so frustrating and it's just human nature to worry and find answers either via Google or through these forums. I've been there and it was, and still is, debilitating! So I no longer have the feeling of pressure or pain, I don't know if that's psychological because I know after a colonoscopy and a MRI of my entire small and large bowel there's nothing untoward there that shouldn't be! That said my bowel movements are so unpredictable, literally anything from water, to rabbit pellets, to worms-shaped stools to absolutely perfect stools could come out and sometimes a mixture of them all on the same day!! I still get pain both before and after bowel movements and often have a feeling of incomplete evacuation. Sometimes it's helped by diet, other times not. I've just come to accept it as IBS and manage it and not stress too much. That said, my anxiety only diminished until after I've had all sorts of tests and scans etc to rule out in my mind anything sinister. It's not particularly pleasant but a colonoscopy and even a digital rectal examination are really useful. I wish you luck! 

Reply
  • Hi, sorry to hear you're going through this. Trying to get to a diagnosis is so frustrating and it's just human nature to worry and find answers either via Google or through these forums. I've been there and it was, and still is, debilitating! So I no longer have the feeling of pressure or pain, I don't know if that's psychological because I know after a colonoscopy and a MRI of my entire small and large bowel there's nothing untoward there that shouldn't be! That said my bowel movements are so unpredictable, literally anything from water, to rabbit pellets, to worms-shaped stools to absolutely perfect stools could come out and sometimes a mixture of them all on the same day!! I still get pain both before and after bowel movements and often have a feeling of incomplete evacuation. Sometimes it's helped by diet, other times not. I've just come to accept it as IBS and manage it and not stress too much. That said, my anxiety only diminished until after I've had all sorts of tests and scans etc to rule out in my mind anything sinister. It's not particularly pleasant but a colonoscopy and even a digital rectal examination are really useful. I wish you luck! 

Children
  • This has helped my anxiety loads!

    ive been struggling with pressure in my rectum for the last 11 days. All started after having stomach flu.

    My anxiety is all over the place because I'm so scared to get constipated so I darent eat. Even though I am passing bowel movement. (Not massive amounts but they are soft but I'm eating more fruit and veg/ not eating a lot / drinking more water) 
     

    I have no blood in my stool nor do I have any sharp pains. It's just a dull ache and a feeling that I either need to pass wind or have a bowel movement - and I get fraustrated when I can't. 
    I ended up in DHU 5 days ago because my anxiety sky rocketed. they did a rectal examination and couldn't find anything onwards. Put it down to inflammation (acute procitis)

    I was then advised to use Anusol plus suppositories - but they can take up to 2 weeks to work. My patients is shocking and I want a quick fix. 
    Gonna book to see my GP tomorrow due to my anxiety and panic attacks.

  • I have been suffering with this for 3 months now. Feels as if something is stuck in my anus, a dull pressure.. It can feel towards the perineam also. I can gassy cramp type feeling in my lower abdomen, and also in my lower back. I have the odd week where it isnt as bad and i feel im improving only for it to suddenly return. I Recently went to the doctors, have had urine sample and blood tests which came back fine, she checked my belly etc and said fine so unsure what to do next.

    I am an anxious person anyway which doesnt help atall.

    This discussion is the closest thing i have found of people desrbining similar symptoms!

  • Oh no! 3 months... I've had enough with 3 weeks.

    I ended up seeing on call doctor Friday as i had a burning sensation. They changed my treatment but think it's aggravated it even more. Now it's sore especially after passing bowel movement (no blood). My bowel movement are getting a bit more 'normal'.

    ive seen 3 doctors about it now and they've all put it down to inflammation. I don't get any pains as such apart from the dull ache and now soreness (which I think is down to the suppositories and ointment via a tube I've been prescribed).

    did yours start all of a sudden? Mine seems to have stemmed from a stomach bug that I had nearly 4 weeks ago.

    absolutely horrendous. I just want it to go away now.

    also I don't think my anxiety is helping the situation as I get myself into a emotional mess. 

  • It's all anxiety guys. Muscle tension in the anus and pelvis. Iv had mine on and off for ten years or so. I can go many months without it. Always flares up during an anxious time in my life 

  • I really hope this is the case as I can't live with this pressure forever. 
    I've now got external thrombosed hemhorroids which doesn't help.

    been started on amitripyline for my anxiety and got counselling in the new year.

    got to go for an urgent colonoscopy though within 2 weeks though as my bowel movements haven't been 'normal' for me... but again could be due to my anxiety and being obsessed with bowel movements and panic if I haven't.. I could have gone 2 days without worrying before all this happened. My mums got Crohn's disease so they want to rule it out but I don't appear as a typical Crohn's patient as no blood in stool or severe stomach cramps. But they just want to be sure.

  • Does it go away when u sleep? Do you wake up with it? Does it ever fade away a bit while you have had it? 

  • Well when it first started it used to fade away at night but then I'd wake up thinking I needed a bowel movement or pass wind and couldn't.. then I'd have a panic attack thinking I wouldn't be able to do it again or I'll be constipated.

    yeah it does fade and I think it's gone then I wonder why it's gone then it comes back.

    but at the moment I'm having a lot of pain from the external thrombosed hemhorroids which obviously isn't helping the situation.

  • yeah it does fade and I think it's gone then I wonder why it's gone then it comes back...... Sorry to quote u but cancer doesn't do that. It's there and always there. It wouldn't go away and then come back when u think about it 

  • To be honest - I not really thought that it's cancer. But this forum is the only thing I've come across that relates to what I've got. I assumed it's more inflammation then anything else but I'm just concerned it's never going to go away. I think a lot stems from my mum having crohns and my grandad having had bowel cancer. 
     

  • It won't go away when you keep thinking about it. It sounds like u have tension there. The piles are drawing you're attention to the area too. Everything passes. You may be sore down there and everything spasms up.