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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experiencing Rectal Discomfort With Minor Incontinence. What Is Causing Pain, Increases After Urination And Bowel Movement?

my wife is experiencing low to high rectal discomfort daily with minor incontinence 9 months after two level fusion with reconstruction of L4-L5 & L5-S1 was performed. Recent MRI shows fusion healing and stenosis much improved but rectal discomfort/pain ?interfering with quality of life. Also recent colonoscopy was completed due to family history of colon cancer with everything clear. What could be causing the rectal pain which increases after urination or bowel movement?
Mon, 16 Jun 2014
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General & Family Physician,  's  Response
Hi
Thank you for asking HCM
I have gone through your query.Your problem is most likely cauda equina syndrome.The recovery time after surgery depend upon the extend and type of nerve damage you have.Nerve regeneration is a slow process.For some they will get recovery in 1 year,others in 2nd and even third year.Beyond that is unusual.You can do rehabilitation till then.A high fiber diet and drinking an adequate amount of fluids is enough to keep the bowels going, possibly combined with taking extra fibres (for example powder which is dissolvable in water). If this leads to relief at least twice a week, stronger methods are not necessary.Pain could be due to oversensitization of nerves.With more severe problems, treatment consists of stimulating the motion at fixed times by giving a stimulus in the rectum.Hope this may help you.
Let me know if you have any further query.
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Experiencing Rectal Discomfort With Minor Incontinence. What Is Causing Pain, Increases After Urination And Bowel Movement?

Hi Thank you for asking HCM I have gone through your query.Your problem is most likely cauda equina syndrome.The recovery time after surgery depend upon the extend and type of nerve damage you have.Nerve regeneration is a slow process.For some they will get recovery in 1 year,others in 2nd and even third year.Beyond that is unusual.You can do rehabilitation till then.A high fiber diet and drinking an adequate amount of fluids is enough to keep the bowels going, possibly combined with taking extra fibres (for example powder which is dissolvable in water). If this leads to relief at least twice a week, stronger methods are not necessary.Pain could be due to oversensitization of nerves.With more severe problems, treatment consists of stimulating the motion at fixed times by giving a stimulus in the rectum.Hope this may help you. Let me know if you have any further query.