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What causes mucus in stool and anal pain after a bowel movement?

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Posted on Fri, 20 May 2016
Question: I was on here about a month ago, and I had what was deemed to be a possible anal fissure by a doctor with possible infection. The symptoms were that when I would pass stool there would be mucus on the stool and also there would be EXTREME pain afterwards up in my anus/rectum. Like a dull ache that hurt badly. Eventually all went away except for the mucous which is lots less than it was. I now see very small traces of the mucous on the stool. I have no pain at all now. I have a hemmorhoid that apparently is internal that pops out when I release stol, and then it moves back in when I finish. No pain now. No blood. One thing that showed up during the time that I had all of this going on was a pressure in my perennial area (space between scrotum and anus) that would just come and go. The pressure is still present. There are times when I can feel the pressure and it feels as if it moves through the penile area as well (sometimes). Today...specifically, the pressure is only in the perennial area, and it is lasting longer than it usually does. It is not like a pain, but instead it is a pressure. Like a dull pressure. I have never seen blood. Never had trouble urinating. Never have frequency urinating. No split streams. Could this prostrate related or what? It also seems that sometimes I feel this pressure as well when I can tell that stool is sitting in my anus.
doctor
Answered by Dr. Grzegorz Stanko (1 hour later)
Brief Answer:
Chronic prostate inflammation seems very possible.

Detailed Answer:
Hello!

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.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Grzegorz Stanko (19 minutes later)
Ok. I will get an appointment. What is the general treatment if chronic prostate inflammation is the problem?

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?
doctor
Answered by Dr. Grzegorz Stanko (10 hours later)
Brief Answer:
Ciprofloxacine can be used in treatment.

Detailed Answer:
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Grzegorz Stanko (2 hours later)
Last question. If this were to be chronic prostate inflammation... Would the pressure just stay and not just be sporadic. For example, I haven't had any pressure in the perinneal area for several hours now. Usually is just comes and goes for different parts of day. But yes, I'm going to get an appointment. I'm going to start getting prostate exams yearly and to begin my cycle of getting colonoscopys early. My digestive system has gotten increasingly sensitive since my mid twenties. It started with milk. Now it is sensitive to things like bread. Thanks for your help.
doctor
Answered by Dr. Grzegorz Stanko (55 minutes later)
Brief Answer:
Chronic prostate inflammation pain is not constant.

Detailed Answer:
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.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (27 hours later)
Can a hemmorhoid that sometimes pops out cause mucous to be on the stool even if there is no anal fissure? I no longer have pain in my rectal area at all...but I do occasionally feel as if something is crawling. I guess it is gas. The one thing that gives me the anxiety is the continued mucous on the stool. The mucous varies in amount but has been present for a month. I can tell the hemmorhoid that is popping out is getting smaller.
doctor
Answered by Dr. Grzegorz Stanko (3 hours later)
Brief Answer:
Mucus is a normal thing.

Detailed Answer:
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Grzegorz Stanko

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Practicing since :2008

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What causes mucus in stool and anal pain after a bowel movement?

Brief Answer: Chronic prostate inflammation seems very possible. Detailed Answer: Hello! 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. Regards.