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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain During Defecation And Urination?

Hi Dr, I currently have pain when i m pooping, peeing and i have pain when passing gas. This started about 1.5 days ago. I have sever pain when i do any of these three things. I m expecting a hernia or something to do with my prostate but when i m only 22 could this be a possibility?
Mon, 18 Dec 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Pain while passing motion, urination and even gases can be due to one of the following reasons:
Since you are only 22 years old the most probable cause can be prostatitis.
Abscess in rectum or anal canal can manifest in the same way.
I would advise you the following in such a case:
Consult a General Surgeon for per-rectal digital palpation.
Tests blood urine and stool.
Ultrasound of whole abdomen along with for prostate.
Medical management to start with. Antibiotics and anti-inflammatory medications.
If abscess develops, it may need drainage.
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What Causes Pain During Defecation And Urination?

Hi. Thanks for your query. Noted the history and understood the concerns. Pain while passing motion, urination and even gases can be due to one of the following reasons: Since you are only 22 years old the most probable cause can be prostatitis. Abscess in rectum or anal canal can manifest in the same way. I would advise you the following in such a case: Consult a General Surgeon for per-rectal digital palpation. Tests blood urine and stool. Ultrasound of whole abdomen along with for prostate. Medical management to start with. Antibiotics and anti-inflammatory medications. If abscess develops, it may need drainage.