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Having occasional perineal pain extending from urethra to rectum .

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Posted on Fri, 22 Mar 2019
Question: Having occasional perineal pain extending from urethra to rectum. Relieved by physician ordered antibiotics. Happens after defecation occasionally. Prescribed antibiotics relieve discomfort for 1-2 months, but ultimately pain, burning return especially after hard stools.
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Answered by Dr. Ramesh Kumar (13 minutes later)
Brief Answer:
Can be proctitis or urethritis.

Detailed Answer:
Hello and thanks for using "Ask a Doctor" service for your query,

Possibly it could be proctitis. Proctitis is inflammation of the lining of the rectum.Rectum is inflamed due to bacterial invasion. On taking antibiotics these bacterias are killed so you feel relieved. Whenever Stool passes through the rectum on its way out of the body it compresses the inflamed area causing pain.
Suggestion-
Go for stool and urine microscopy test
Proctoscopic examination of rectal canal to be done by MD.
Whether to go for colonoscopy or not would be decided by results of test.
Urine test would reflect if its urethritis or not.
Hope i was helpful,
Thanks!
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2463 Questions

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Having occasional perineal pain extending from urethra to rectum .

Brief Answer: Can be proctitis or urethritis. Detailed Answer: Hello and thanks for using "Ask a Doctor" service for your query, Possibly it could be proctitis. Proctitis is inflammation of the lining of the rectum.Rectum is inflamed due to bacterial invasion. On taking antibiotics these bacterias are killed so you feel relieved. Whenever Stool passes through the rectum on its way out of the body it compresses the inflamed area causing pain. Suggestion- Go for stool and urine microscopy test Proctoscopic examination of rectal canal to be done by MD. Whether to go for colonoscopy or not would be decided by results of test. Urine test would reflect if its urethritis or not. Hope i was helpful, Thanks!