What causes mucus in stool and anal pain after a bowel movement?
Chronic prostate inflammation seems very possible.
Thank you for the query.
Yes, this is very characteristic for a chronic prostate inflammation. Front wall of the rectum is attached to the back of the prostate. Perineum is where prostate is located. So the prostate can give pain which can be present in the rectum, perineum. Sometimes the pain can radiate to the testis.
With chronic prostate inflammation there is usually no problem with urinating.
Chronic prostate inflammation can give symptoms from time to time. There are periods (weeks, months) when there is no pain at all. And there are times when it suddenly comes back.
From the other hand, it is hard to distinguish if the pain comes just from the prostate, or from hemorrhoids or fissure. Mucus presence simply indicates that at least hemorrhoid is there. Fissure can be also present. It could become chronic right now, so the pain is not that intense.
But the most probable reason of the perineal pain is chronic prostate inflammation.
And the best way to diagnose it, is rectal examination performed by a surgeon or urologist. Urine analysis should be done as well.
Hope this helps. Feel free to ask further questions.
Also...I just also noticed something. I went used the restroom and I pressed down and passed some stool that was loose because I had taken some murilax. When all of the stool has come out, I feel no pressure in that perinneal area. It is kind of strange. Kind of like my body is feeling pressure in the perinneal area as a result of stool being in the anus. Makes me wonder if the hemmorhoid is somehow involved.
When I signed up to ask the questions above...I paid 35.00 for a urologist. Why did the question go to a general surgeon and not a urologist?
Ciprofloxacine can be used in treatment.
Chronic prostate inflammation can be treated with antibiotics (Ciprofloxacine 2x500mg for 4 weeks). In most cases this treatment is effective. However there is a group of patients which wont react to any treatment.
Like I have mentioned before, hemorrhoid can be the case as well. Or it can compress the part of the rectum where prostate is located (during the stool passage). Rectal examination will explain everything.
I have no idea why this question was addressed to general surgeon. Most likely because you have mentioned about the fissure and hemorrhoid.
Chronic prostate inflammation pain is not constant.
Thats the nature of the chronic prostatitis. It comes and goes. It can give just a sudden strong pain in the perineum and than disappear for hours, days or weeks.
The pain is not constants mostly.
It is also possible that the symptoms become more intense when you do not ejaculate for some time (like a week). Ejaculation is a kind of drainage of the prostate.
You are too young for serious prostate or large intestine diseases. So colonoscopy is not advisable at this point. Same as PSA check or prostate biopsy. Its too early for this tests.
You can think about colonoscopy when you will be 45 or 50.
Mucus is a normal thing.
Mucus is constantly produced by large intestine cells and secreted to the stool. Its main task is to ease the stool movement. However in most of large intestine issues including hemorrhoids, the mucus is present in the larger amount. That is a normal thing.
Rectal itching, mucus visible on the underwear are classic hemorrhoid symptoms.
Please try to add probiotic to your diet and you should see much improvement.
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