I am male, 38, good general health, excercise 90 minutes a week on a cross trainer and walk 20 minutes a day back and forth to work. Moderate drinker (red wine primarily, maybe 15-20 units a week), non smoker. I eat fairly healthy - fresh food, salmon, veg, 1 red meat serving a week.
About a month and a half ago I noticed a tingling/burning sensation in my rectum (to the best of my ability to place it). Tried some Preparation H as a self med solution to no avail so went to the doctor who gave me a cream with applicator. That lasted 1 week. Can't say as it solved the problem.
I was also noticing a slight tendency to feel as though not fully evacuated even after a bowel movement. A couple times I noticed, when in bed, an involuntary feeling of passing a very small stool - although there was none to pass.
Another couple weeks passed of just general almost like pimple like pain in the rectum in one spot and then things flared up again. So I went back in, this time I got more of the same cream (for just outside the anus) as well as a 20 pack of suppositories.
I am now through about 15 of the suppositories and I don't think this is doing anything.
The pain for the past two nights has concentrated in the evening moreso as pressure up by my tailbone on my lefthand side. It almost feels like a lump of stool that theoretically you would want to evacuate but not quite - a bit hard to describe.
It definitely though makes for a pressure on the lower left hand side of the tailbone. Having a suppository in as well surely isn't helping with isolating sensations either but I definitely don't shove it in as far as my tailbone.
Laying on my back or with a pillow to elevate my feet isn't really the answer. Fortunately I normally sleep on my side or stomach but I always start on my back which is why I notice. During the day I notice it but much less so - probably as I can shift my weight. I have tried massaging the area to no avail.
I have noticed as well my bowel movements are less timely - I used to be a 9am coffee, a 10am bowel movement during the week. Now it can be anywhere from 11am to after lunch to one day not until pre bedtime. The stool I find is a touch narrower as well. This is only as of the past couple months.
There is no blood in the stool or any on the toilet paper.
There is no history of colon or rectal cancer in my family although my father did have elastic band ligation to remove some (or one, not sure) hemeroids back in 1999 with no symptoms since. I had a single hemeroid once back in highschool which was outside the anus about the size of a pea which went away.
I have hit my tailbone a couple times in the past 4 years that resulted in a lot of pain (fell off a bike and landed on it and a rock, sat into a bus seat and landed directly on the seatbelt holder which was not a moving variety). I mention this only to bring up a possible correlation to discs moving in lower spine although this seams a reach as the second incident was over 2 years ago).
This leaves, from these boards and research...
Pelvic Floor Dysfunction. Sounds a bit of a stretch to me but maybe - that sounds like more of a muscle issue, this tailbone pressure doesn't feel like a muscle going haywire.
Prostatodynia - yes, I have stress and am a type A personality but not really that much more stress than say a year ago. I also don't feel pain in my scrotum at all so this one seems out.
Prostatitis - Well I don't have a urinary tract infection as urination is no problem (I did have one about 4 months ago which was successfully treated with antibiotics).
Irritable Bowel Symptom - well I have always wondered about this one as I normally have had a fairly gassy system (first thing in the morning particularly). That said, I don't have stomach pain or bowel pain so this seems a stretch to me.
Rectal absyss - hmmm, well if it is this, it must be getting big as the pressure area feels about a grape in size at the moment.
Cyrptititis - well, a lodged stool seems a very unusual and unlikely candidate but I will mention it. Would explain the feeling of stool, pressure, lack of bleeding I suspose. I have upped my fibre intake in the past few days regardless as well as fluid intake (no, not red wine unfortunately he he).
Proctititis - well, unlikely as there is no bloody diahrea so pretty sure I am in the clear on this one.
I will obviously be heading in once I get a chance for a colonoscopy (the doctor mentioned a scope if the suppositories were not successful so I assume this is what he meant).
That said, any other guesses?
edit...to top it off, I just got a cold from the people at the office, making for a swollen lymph gland on my left side of my neck as well making swallowing painful and some aches and chills, just what I need to top things off!