Cyclical anal pain

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New Member

Date Joined Jan 2009
Total Posts : 1
   Posted 1/11/2009 9:04 PM (GMT -7)   
Hello all.  I am new to this forum and have never joined a group such as this before, however I have recently started to experience pain that, to this point, is unexplainable.  To begin, I'm male, 35, and I've been to a GI and had a colonoscopy done.  My doctor stated that I had a Grade 2 internal hemorrhoid, however my symptoms don't line up with the information I've read concerning internal hemorrhoids.  Specifically, I'm experiencing sharp cyclical pain daily that begins with the onset of a bowel movement and progresses to a pain peak about 4 hours later.  During this time I feel light headed and nautious (when the pain is at its peak intensity).  The only way I can describe it is that it feels like a pinecone is crowning in my rectum.  I am also unable to pass gas and/or have a bowel movement once this cycle starts (usually my bowel movement is cut short because of the pain involved, and I do not strain in an attempt to finish the movement).  It is as if my rectum has been traumatized and shuts down as if in defense of the pain.  One thing I have read that sounds similar to what I am going through is proctalgia fugax, however my symptoms do not occur at night and the episodes are not brief.  Instead, they are ALWAYS brought on by my daily bowel movement and as I mentioned earlier the pain intensifies X2 then regresses X1, then progresses X2 again, over and over, until it peaks and then slowly subsides in the same way until my anus finally relaxes again.  I cannot find a comfortable position (other than sitting in a warm bath) and advil/tylenol don't touch the pain.  Does anyone have any suggestions or has anyone had an experience with something like this.  I'm a father and the primary earner, however this has impacted my ability to work in the office and I'm no closer to finding a solution than I was 1 month ago when my colonoscopy was performed.  Any help is greatly appreciated!!

Veteran Member

Date Joined Jul 2007
Total Posts : 1956
   Posted 1/12/2009 6:06 PM (GMT -7)   
Hello there. Welcome to the forum. I am hoping someone will respond to your questions with more expertise than I can offer. But I will say I have had this painful feeling, due to having had rectal cancer, almost all of my sigmoid removed, etc. I'm not exactly constipated but the opening feels restricted. And the walls of my colon feel swollen on the inside. Yes I can feel all these changes. What I personally find the most helpful is following a specific diet, which would probably be different from what you would need. This is purely a guess but it sounds to me like you need a high fiber diet, lots of water, possibly a fiber supplement or a stool softener. What you don't want to do is encourage more straining. You want the stool easily passed but not diarrhea either. It's a fine line but it can be done. Many of us here keep a food diary. That way you can track foods that help you the most and make sure you eat them everyday. Glad you are seeing a doctor for this. Has he prescribed high fiber? The pine cone feeling you described I have had! Hot tea seems to bring on more bm's for me so when I get into this painful stage (it doesn't happen often though, thank goodness), I find that it helps speed up the bm's. When I'm in this phase I want the stool out and over with. The tea actually speeds the entire process up. You could also try that. I've had the chills too, the hot tea helps take these away as well.

I hope you can somehow find relief.
Marsky/Mary's story.....
- Diagnosed with rectal cancer, April 1999 - Stage I, no treatment necessary
(5 hour colon resection: 90% sigmoid removed, 15 inches of colon removed, gall bladder removed, given temporary colostomy)
- Colostomy reversal, June 1999
- Left with IBS/D symptoms, multiple bm's every day
- On a low residue diet at least 75% of the time
- Takes Colace 50 mg each evening

All in all I do okay, I just use the bathroom A LOT! But I survived and beat cancer!

Regular Member

Date Joined Jun 2008
Total Posts : 49
   Posted 2/28/2009 11:14 AM (GMT -7)   
I feel your pain, I knowexactly what you are going through... I now have an ostomy and still have the same issues so it has nothing to do with the bm's. Maybe we should I.m eachother on yahoo or hotmail?
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