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What Causes Bulge Around Rectal Area That Appears Post Exercise?

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Posted on Mon, 16 Mar 2015
Question: I am 58 years old and exercise 6 days per week. I just increased my treadmill to 4.0 from 3.2 in order to help control my A1C. I just noticed the other day while in the shower what feels like a bulge or muscle just outside the rectum that can be felt noticeable right after exercise but diminishes during the day. I have no problems or symptoms and actually I have noticed that once a bowel movement is complete and the "paperwork" done I now do not have to return for additional cleaning. Is this an issue?
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Answered by Dr. Klarida Papaqako (6 hours later)
Brief Answer:
The exam called colonoscopy is recommended

Detailed Answer:
Hello,
Its very good that you are exercising regularly. Its is healthy not only for weight control, but also for keeping fit the cardio-vascular (heart and vessels) system.

From what you are describing, the location of the bulge and the way how it appears, suggests most commonly 2 options: Hemorrhoids or a rectal polyp.
-- Hemorrhoids (swollen, insufficient peri-rectal veins) usually are painful when they grow bigger, and sometimes patients notice blood stains in the underwear. They come from constipation, and a diet rich in fibers is the best way to keep them from aggravating.
-- Rectal polyps abnormal growths rising from the lining of the large intestine (colon or rectum) and protruding into the intestinal canal. They should not be painful, unless if their skin gets damaged or ulcerated.

If the bulging you have is a rectal polyp, it may be an issue sometimes. My main recommendation is to do an exam called Colonoscopy (if you havent done that), which visualizes all the bowel from the rectum and inside. It is recommended routinely to every man over 50 years old, every 5 years, to rule out colon cancer and catch it at a early phase when its the case. The doctor who will do the exam will also be able to tell for sure which of the most common diagnoses mentioned above is the bulge you have, or if its something else. I repeat, it is something recommended to every man to do after 50 years old.

Other things I may recommend for your age, for a healthy living is Lipids tests, fasting sugar level in the blood, Prostate exam, Blood pressure measurement once a year.

Hope I have been helpful.
Let me know if you have any other question. I will be happy to answer.

Take care.
Dr. Klarida.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

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What Causes Bulge Around Rectal Area That Appears Post Exercise?

Brief Answer: The exam called colonoscopy is recommended Detailed Answer: Hello, Its very good that you are exercising regularly. Its is healthy not only for weight control, but also for keeping fit the cardio-vascular (heart and vessels) system. From what you are describing, the location of the bulge and the way how it appears, suggests most commonly 2 options: Hemorrhoids or a rectal polyp. -- Hemorrhoids (swollen, insufficient peri-rectal veins) usually are painful when they grow bigger, and sometimes patients notice blood stains in the underwear. They come from constipation, and a diet rich in fibers is the best way to keep them from aggravating. -- Rectal polyps abnormal growths rising from the lining of the large intestine (colon or rectum) and protruding into the intestinal canal. They should not be painful, unless if their skin gets damaged or ulcerated. If the bulging you have is a rectal polyp, it may be an issue sometimes. My main recommendation is to do an exam called Colonoscopy (if you havent done that), which visualizes all the bowel from the rectum and inside. It is recommended routinely to every man over 50 years old, every 5 years, to rule out colon cancer and catch it at a early phase when its the case. The doctor who will do the exam will also be able to tell for sure which of the most common diagnoses mentioned above is the bulge you have, or if its something else. I repeat, it is something recommended to every man to do after 50 years old. Other things I may recommend for your age, for a healthy living is Lipids tests, fasting sugar level in the blood, Prostate exam, Blood pressure measurement once a year. Hope I have been helpful. Let me know if you have any other question. I will be happy to answer. Take care. Dr. Klarida.