Discussions By Condition: Female sexual conditions

Help with anal/rectal pain

Posted In: Female sexual conditions 6 Replies
  • Posted By: Anonymous
  • January 14, 2007
  • 09:29 PM

Hello,

For the past 5 or so years I have experienced a strong cramp/contraction like pain in the rectal area. I have gone to a few different gynos to no avail. The symptoms are worse right before or after a bowel movement. Recently, I had a really scary episode and I went to the ER. The wait for a doctor was so long, that eventually, I defecated and the symptoms lessened. I thought I only had the cramps around my cycle, but I have since determined this to not be true, and they occur whenever. As of late, the cramps have been coming at night and I will feel the contractions several times through out the day. I have a very regular menstrual cycle, I rarely get menstrual cramps bad enough for medicine, and my flow is medium for no more than 3 days. I eat a relatively healthy and plant based diet and I have 2 - 3 regular bowel movements per day. One doctor suggested that since I have a retroverted uterus, when my anal cavity is full of matter, it taps against my uterus causing the contraction/cramp. However, my most recent visit to a new gynecologist told me my uterus is not tilted. I am going to make an appt with a gastroenterologist soon, but I wanted to post here first to see if anyone else has ever experienced the same issues and can offer some suggestions.

Thank you.

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6 Replies:

  • Hello,For the past 5 or so years I have experienced a strong cramp/contraction like pain in the rectal area. I have gone to a few different gynos to no avail. The symptoms are worse right before or after a bowel movement. Recently, I had a really scary episode and I went to the ER. The wait for a doctor was so long, that eventually, I defecated and the symptoms lessened. I thought I only had the cramps around my cycle, but I have since determined this to not be true, and they occur whenever. As of late, the cramps have been coming at night and I will feel the contractions several times through out the day. I have a very regular menstrual cycle, I rarely get menstrual cramps bad enough for medicine, and my flow is medium for no more than 3 days. I eat a relatively healthy and plant based diet and I have 2 - 3 regular bowel movements per day. One doctor suggested that since I have a retroverted uterus, when my anal cavity is full of matter, it taps against my uterus causing the contraction/cramp. However, my most recent visit to a new gynecologist told me my uterus is not tilted. I am going to make an appt with a gastroenterologist soon, but I wanted to post here first to see if anyone else has ever experienced the same issues and can offer some suggestions.Thank you.I have the EXACT same problem and I found this site as a result of trying to find a diagnosis...I have an appointment with a gastroenterologist next week. I'll be glad to let you know what i find out! I'm just happy to know someone experiences the same thing! the pain is awful but at least I feel better to know its not in my head as previous doctors have suggested!
    Anonymous 42789 Replies
    • February 27, 2009
    • 06:12 PM
    • 0
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  • I have this pain in the middle of the night and right after an orgasm.I massaged the area with lotion (Yuck) and it takes 80% of the pain away.It still lasts 15 minutes, but only irritating, Not painful.Lately, I'll wake up and roll a sock into a tight cylinder and place between my cheeks, ( I know. Yuck.) against the cramp, sit on the side of the bed and kind of rock back and forth to aplly pressure to the right spot. This works great.
    Brainfire 3 Replies
    • February 28, 2009
    • 08:33 AM
    • 0
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  • I have the EXACT same problem and I found this site as a result of trying to find a diagnosis...I have an appointment with a gastroenterologist next week. I'll be glad to let you know what i find out! I'm just happy to know someone experiences the same thing! the pain is awful but at least I feel better to know its not in my head as previous doctors have suggested!I am L Griffin, the person who originally posted this question. I couldn't remember the username and password I used to set this up. Strangely enough, I was looking for help with this problem and I found my orginial question. Uzcomnsenz, did you ever hear from the gastro? Any suggestions?Thanks,L Griffin
    Anonymous 42789 Replies Flag this Response
  • I was searching for anyone else that may have had this condition, as I've never read of anyone before now that did. My anal contractions didn't occur at any specific times, but since I couldn't find any answer at the time, and was having continuing frequent occurences, upon self examination, I found polyps. I made an appointment with a gastroenterologist who confirmed that. He removed them and checked for cancer. Thankfully, no cancer, but advised to do colonoscopy now every 5 years. Was okay for awhile, but then contractions started to return. I began supplementing with liquid supplements, and no longer have the pain come back, which in addition to that pain, also included pain from many years of interstitial cystitis and urinary tract infections.
    Anonymous 42789 Replies Flag this Response
  • I was searching for anyone else that may have had this condition, as I've never read of anyone before now that did. My anal contractions didn't occur at any specific times, but since I couldn't find any answer at the time, and was having continuing frequent occurences, upon self examination, I found polyps. I made an appointment with a gastroenterologist who confirmed that. He removed them and checked for cancer. Thankfully, no cancer, but advised to do colonoscopy now every 5 years. Was okay for awhile, but then contractions started to return. I began supplementing with liquid supplements, and no longer have the pain come back, which in addition to that pain, also included pain from many years of interstitial cystitis and urinary tract infections.I have had a similar pain deep in my lower abdomen. It is a very sharp pain that onsets suddenly and basically freezes me in my steps. Sometimes it lasts for a few seconds and sometimes for many minutes. Sometimes it is a few hours before a bowel movement and sometimes just 20 mins maybe. I have been told that I have a retroverted uterus- but it isn't always retroverted. I went to a Chiropractic physician and they have manipulated my uterus (straighten it). If I get this done about every 1-2 months I do not get any of the same pains! My chiropractor thinks that when my uterus is tilted back it presses on my sigmoid colon- this causes irritation and the sharp pains especially when fecal matter is moving through the colon in periodic contractions of the large intestine and colon. I have also had pretty bad pain in my low back and over the SI (sacroiliac) joint. I have had massages, chiropractic adjustments and more, but nothing helps long term. Since I started getting my uterus straightened the back and SI joint pain has gone away!
    Anonymous 42789 Replies
    • August 26, 2010
    • 11:54 PM
    • 0
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  • My husband gets bouts of this cramping pain just like you and he found out it is a condition called Proctalgia Fugax - nothing to do with female anatomy, periods etc. Look it up. Hope this helps or that you've already solved your prob.Proctalgia fugaxProctalgia fugax is a severe, cramp-like pain, deep in the anal canal. It usually lasts for a few seconds or minutes, but can sometimes last for up to half an hour. Between attacks there is no pain at all. Most sufferers have only 5 or 6 attacks a year. You may feel a need to defecate urgently, but nothing happens. It may even make you feel dizzy, or give you a headache. It occurs in both men and women. The pain often wakes sufferers at night, and men may have an erection at the same time. Some men experience it after sex. It is a mysterious condition; no one knows what causes it, but it is probably a spasm of the rectal or pelvic floor muscles and does not mean that you have anything seriously wrong. There are various methods of relieving the pain.Try putting pressure on the perineum (the area between the back passage and the vagina or base of the penis) by sitting on the edge of your bath or on a tennis ball.Sit in hot water or, alternatively, apply some ice.Two paracetamol tablets and a hot drink may give some relief.The problem with medications for proctalgia fugax is that the episode is likely to be over before the drugs become active, but medication might be worth trying if your attacks last a long time. The usual treatment is the asthma drug salbutamol, inhaled from a puffer at the start of the attack (Gastroenterology 2006;130:1510–8). This is only available on prescription, for which you would need to see your doctor. Written by: Dr Margaret StearnEdited by: Dr Margaret StearnLast updated: Monday, December 20th 2010
    Anonymous 42789 Replies Flag this Response
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