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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Rectocele, Possibly Cystocele, Tissue Between Vagina And Anus Hard, Problem Passing Gas, Bm.

I have rectocele that has gotten pretty bad and now i think possibly cystocele as both walls are not touching. i have alot of pressure and the tissue between vagina and anus seems very hard. i constantly have the urge to have a bm but am in so much pain! My anus hurts so badly when attempting to pass a bm and for the rest of day/evening after i try. Even passing gas has become nearly impossible. Also noticed that there is what looks like a pea sized skin tag or some tissue looking thing on the outside of the anus. Passing blood also. Its a sharp pain along with a burn and only relieves a little when i am to lay on stomach. Standing sitting and laying on back are very uncomfortable. When sitting along with the pain of my bum there is so much pressure that im completely uncomfortable. Help with any of these problems im having would be greatly appreciated as im not ready for repair of my rectocele and possibly cystocele yet as i want another child. Also have hpv, one break out of one spot if that makes any difference.
Thu, 31 Oct 2013
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General Surgeon 's  Response
Hello!

Thank you for the query.

Pain when passing stool and a lump outside the anus are most likely caused by rectal fissure - a kind of wound in the rectum. This wound usually appears due to constipation and pushing hard on the stool. Such lump appears with the fissure and is called sentinel node.
Hard tissue between vagina and anus can be caused by a rectal fistula. Due to connection between the skin and anus, tissues get infected. It causes hardness, pain and swelling.
Fistula can be also a symptom of Ulcerative Colitis.
I suggest you to visit gastroenterologist. Pelvis MRI and rectoscopy should be done at first.

Hope this will help.
Regards.
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Have Rectocele, Possibly Cystocele, Tissue Between Vagina And Anus Hard, Problem Passing Gas, Bm.

Hello! Thank you for the query. Pain when passing stool and a lump outside the anus are most likely caused by rectal fissure - a kind of wound in the rectum. This wound usually appears due to constipation and pushing hard on the stool. Such lump appears with the fissure and is called sentinel node. Hard tissue between vagina and anus can be caused by a rectal fistula. Due to connection between the skin and anus, tissues get infected. It causes hardness, pain and swelling. Fistula can be also a symptom of Ulcerative Colitis. I suggest you to visit gastroenterologist. Pelvis MRI and rectoscopy should be done at first. Hope this will help. Regards.