Problem with rectal pain
I am suffering with rectal pain
Rectal pain (proctalgia, coccygodynia, anal pain, anodynia, perineal neuralgia) are painful syndromes affecting the rectum that can vary in intensity. Pain can be anything from mildly irritating to very strong, causing an overall change in the patient’s general well-being, psychological state, and lifestyle. In some cases the pain can even spread to the perineum, genitals or abdomen.
What is the cause
Sometimes the cause is excessive contraction of the pelvic floor muscles, sometimes a previous injury to the coccyx, or it may be the result of neuropathy as in cases of diabetes, or it can occur after radiation or surgery. The cause is often unknown.
How the problem is diagnosed
Pain is, of course, a typical symptom and is sometimes permanent, sometimes paroxysmal, meaning it comes in spasms or short-term episodes. Sometimes there is tingling or other similar milder sensations.
How the problem is treated
The basic first step involves an examination of the rectum which is carried out with the patient in a kneeling or gynecological position. A part of this involves the doctor inserting a finger into the rectum of the patient to allow them to assess the problem using the sense of touch.
The second standard examination is an anoscopy. In this case, a special device called an anoscope is inserted into the rectum to allow the doctor to perform a visual examination. It is always necessary to exclude other possible diseases or conditions of the rectum.
Individual treatment depends on the diagnosed cause of pain.