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What Causes Sharp Pain On Right Side Of The Rectum?

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Posted on Wed, 9 Apr 2014
Question: i have had a shap shooting pain on the right side of my rectum. Pain would shoot up rectum and last only a few seconds. Today I am having more dull type twinges in the same area. Had colonospy last year and five small polpys removed. Not constipated and no bleeding.
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Answered by Dr. Lohit K (1 hour later)
Brief Answer: anal fissure, polyp, mucosal injury Detailed Answer: Hi, thanks for using HCM. I went through the query and understood your concern. The sharp shooting pain and dull aching may be due to anal fissure or any pathology in rectum like polyp, mucosal injury, variations in the blood supply. Since you had previously been treated for polyp the chance of new polyp or recurrence is also possible. For now you can take NSAID like Ibuprofen for pain with pleny of water and slool softner. Avoid straining during defecation. Get done colonoscopy once to check for any pathology. Hope this information helps you. Feel free to ask if any further queries and I will be glad to answer them. Wish you good health and faster recovery. Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Lohit K (58 minutes later)
I had a colonocopy done in May of 2013. Five very small polyps removed. My gastro physian was told about the pain and he said I did not need antoher colonoscopy this soon. I did have an anual fisure or small abrasion or tear on the outside that healed. However, I still have to be careful cleaning to avoid iritating the area. Not sore and bowel movements are soft and do not bother me. The pain was there before when I had the fisure and just started again and not signs of fisure or any hemmorrids or soreness. Should I insist that he run another colonoscopy since it has only been a few months since I had one? Could this just be a muscle spasm of the rectal muscle? Around Christmas I did have a hemmorrid then the very small fisure on the outside. I had irregularity issues from antiboditics taking for pnenumonia. Once I got straightened out, the sharp pains went away. My GP said the pain I was having in my right side and lower abe. was some type of muscle strain. Once that went away, so did the sharp pain in rectum unitl this week when it showed up again.
doctor
Answered by Dr. Lohit K (23 hours later)
Brief Answer: course of drugs and if not relieved investigations Detailed Answer: Hi thanks for writing back. The pain you explained suggest as some internal problem. This may be due to intestinal problem or due to any inflammation in the previous injured site. You can try a course of NSAID (diclofenac/aceclofenac) with muscle relaxant (chlorzoxazone/ tizanidine) and antispasmodic drug(dicyclmine). If pain subsides completely then no need for further investigation. If not need to get evaluated for it. Hope this information helps you. Wish you good health. Regards
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Lohit K

General & Family Physician

Practicing since :2007

Answered : 1648 Questions

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What Causes Sharp Pain On Right Side Of The Rectum?

Brief Answer: anal fissure, polyp, mucosal injury Detailed Answer: Hi, thanks for using HCM. I went through the query and understood your concern. The sharp shooting pain and dull aching may be due to anal fissure or any pathology in rectum like polyp, mucosal injury, variations in the blood supply. Since you had previously been treated for polyp the chance of new polyp or recurrence is also possible. For now you can take NSAID like Ibuprofen for pain with pleny of water and slool softner. Avoid straining during defecation. Get done colonoscopy once to check for any pathology. Hope this information helps you. Feel free to ask if any further queries and I will be glad to answer them. Wish you good health and faster recovery. Regards