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Rectal Pain and Pressure

Febuary 21st I noticed I was getting sore in my rectum when I would sit some times. I had  some bright blood earlier that month on my tp, but I have had a small hemroid for many years, so I did not think anything of it.But as the month went on I kept getting sore more and more.I went to my GI, who by the way has been seing me over the last 5 years for Acid Indegestion and IBS Symptoms. I had a Colonoscopy 2 1/2 years ago for pain in abs, came back normal, with a palyop that was sent to pathology, and was also normal. My GI Said at this visit that my pain was hemroids, and gave me some Cortizone cream...2 weeks later, i went back because I was not getting better. He said not to worry that my colonoscpy was negative 2 years ago, and he gave me supposatories this time And we schedualed a Flex Sigmoid for in his office. I seem to be getting worse , and when I called his office he was out of town, so I went to a surgeon. He did a Anoscope, and said he saw a few small Hemroids but did not think they could cause my pain, and to come back in 3 weeks if does not get better. I went back to my GI and had the Flex Sig done, and he said everything looked good , and he saw a few small Hemroids. I told him my pain was intolerable, and that we need to find out why I cant sit, for it is painful, and continues throught the day...I asked if maybe I have Levator syndrome, and he kind of shook his head, and said that was the same as IBS. Well I also asked if maybe I had endometrioses on my rectum, he said not possible... I have seen my OBGYN in between these visits and he is going to do a Laparoscopy 4-18-06 to see if I have any endo on my rectum, he says that if I am having spasms, that something has to be causing them and it could be endo. He does not see that it can be anything else...
I am at my wits end please help me......These are my symptoms
Am feel ok.....kind of
After I have a couple of bowel movements I am sore in my rectum and feel some burning sometimes, not like hemroid burn. then as the day goes by, i feel like I have to have a bowel movement and push but nothing happens and its painfull. I feel pressure in my rectum , when I sit its real painful, so I cant sit. I have a ache in my rectum all day, and some times I feel like there is something in my rectum. The pain never goes away, just varies through out the day, when I got to bed at night it seems to not be as bad, then it starts all over again in am. I take a stool softner and eat alot of fiber and water, so I m not constipated

Please help.....
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Avatar universal
Hi Hudson,
I am sure happy for you that your doc found out what your problem was, I on the other hand have an app. with my OBGYN surgeon who did my Lap on Tuesday for next week on Monday....He says I have endo on my rectum and under my uterus and that it could be the problem of pain and spasms he thinks I am having. I am just so tired of having pain in my rectum, its put a stop on my life, I cant go anywhere because I cant sit , and I am not working right now either.... I am trying to keep a possitive mind and not let myself get depressed..I am tired of my doc thinking I am crazy....My gastrointerologist says all my test are neg, just some small hemroids and maybe some spasms, I went to a ssuregeon who did an anoscope, and he said he only saw small hemroids, nothing that could cause my bad pain in rectum...Finally my OBGYN said lets do the Laparoscopy and see if I have any endo, and that is what he found...I am taking Vicodin for pain, but I dont know why anyone just wont try and treat me for Levator Syrome, you know with some Muscle relaxers just to see if it works....I think when I go to my doc on minday, I am going to ask if we start narrowing this down by treatment, and then think of surgery for endo...You said you doc did a test for blood in your stool? did she do that in her office?  please let me know...Thanks for all your help, and I am still here just recovering from suregery....I will be watching for your response..

Thanks PIB
Helpful - 0
Avatar universal
HI PIB, I don't really feel like I have an answer to my pain even though the doc reconfirmed the hemorrhoids. I still think mine feels like spasms in addition to the hemorrhoids. But, since it responded to the muscle relaxant when I took it the other nite, she was willing to give me a RX for more. I really think my ovarian cyst aggravated the muscle and now it is still tense or something?

Personally I think both yours and mine sound like levator syndrome. I think your idea of asking to try a muscle relaxant before having more surgery makes sense. It sure is much less invasive and the particular one the doc gave me (Flexeril) is supposedly not habit forming. It does make me tired, so I took only 1/2 tablet at nite. But, believe it or not, it relieved me of my pain for almost the entire day.

I can relate to the not being able to sit for long because that is when this pain really gets going isn't it? I am much better standing or walking.

At any rate, I'll be thinking of you. Please let me know how things are going for you and if I find this RX cream to work, I'll post again. I'd tell you the name of it, but I haven't picked it up from the pharmacy yet. They are out of it and have to order it. I may not have it until Monday. Do you believe it? lol.

Hudson
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Avatar universal
p.s. about the occult blood in the stool. Yes, she did this test in the office. It's just a stool sample mixed with a solution to see if it changes color. No color change= no blood.
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Avatar universal
Thanks for responding,
I dont think my doc has the correct diagnosis for me also, I think it a combination of things that end up causing these spasms and pain. I am anxious to try the Flexiril, I have heard that it works for the muscles that are tight. I read it on a Levator Syndrome web site for Treatment....I will let you know what happens after my doc app. on Monday....Take care..Oh and if you get that cream, let me know what it is...

Have a great week end.....

PIB
Helpful - 1
Avatar universal
Hi PIB, i just went back to the pharmacy to inquire about the cream. They are going to try and reach my doc and get a substitute for it tomorrow. It seems they prescribed something not common? Anyway, I can't believe you read about Flexeril on a website for levator syndrome. I tried it completely by accident as it was initally prescribed for back spasms.

Keep in touch and let me know how it goes on Monday. Maybe we can get to the bottom of this and help each other. Glad I found you. If you ever want to e-mail me, my address is ***@**** :-)

Hudson
Helpful - 1
Avatar universal
Hi PIB, you out there? How did the doctor go today?

Hudson
Helpful - 0

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