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Suggest Treatment For Pain In Rectal Area

Posted on Thu, 30 Jul 2015

Question: Hello i have a pain in the rectal area ive had it for about a week it feels like pressure and hurts when i use the bathroom or pass gas in my rectal opening i have been to two doctors one did a exam and said everthing was normal and thier was no blood he gave me a ointment and some stool softener but i still feel sharp pain coming and going and i dont feel constipated at all i remember i had diarrhea for about a week two weeks ago and i dont know if i rubbed it too hard when i was cleaning after a bowel movement or what it is im not sure i have been taking the ointment which is lidocaine hydrocloride jelly 2% and pain pills but it still feels painful if i have to use the bathroom even standing up it feels like pressure down thier when the pain hits i have even been taking sitz baths three times daily and the pain still comes and goes please help me

Answered by Dr. Mukund Savaskar (47 minutes later)

Brief Answer:
Fissure in ano?Proctitis post-diarrhoea

Detailed Answer:
HI,Dear,Good Evening.
Thanks for the query to MY HCM virtual clinic.
I Studied you details and understood your concerns.
Regarding the Recurring rectal /anal pain and pressure feel while passing stool, is your main concern.
I understood the follies in the treatment you have taken from 2 doctors there.
In my opinion 1 wk diarrhea which you had 2 wks ago has caused rectal/anal pain you have now.
Follow following treatment plan-
Continue lidocaine jelly
and Advil 600 mgm
Sitz bath x 2-3 times per day.
Please restrict your diet to Bland,non-spicy diet.
Skimmed Butter milk x 2 times per day,
Skimmed milk with Banana Shake x 2 times per day
I would advise to update your old and current Stool examination report and
Urine examination report,
and CBC-complete blood count.
Any left sided abdominal pain still exists?
Was mucus and blood was present in stools at that time?
Whats the consistency of stool now-? is it semisolid or solid?
Welcome for any further query and information besides above updates to HCM.
Wishing you fast Recovery.
Good day.
With Regards,
Dr.Savasakr M.N.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mukund Savaskar (6 minutes later)

No blood or hard stool or mucas just normal flow also it feels sore and it hurts when the mucle contract around my anus

Answered by Dr. Mukund Savaskar (1 hour later)

Brief Answer:
Acute Proctitis due to post-diarrhea inflammation/ infection.

Detailed Answer:
Hi,Good evening and Thanks for the updates.
I reviewed your query with the updates and would suggest you following -
Continue the dietary advise as given last.
1 Banana 2 times /day for 1 wk
Proctosedyl Suppositories/ or ointment -at night and after each motion.x 5 days time.Take this script from your doctor and apply under his guidance and care.
Take stool softener's if need be ONLY.
Report after 3 days for followup suggestions.

Hope this would resolve the proctitis in next 3-5 days time and would recover you fast.
Welcome for any further query to Me at my virtual HCM Clinic.

Regards
Dr.Savaskar M.N. XXXXXXX

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Prasad