What Causes Pressure Sensation In The Rectal Area?

Posted on Thu, 13 Jul 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 13 Jul 2017 Answered on

Mon, 14 Aug 2017 Last reviewed on

Question : I have had a colostomy a year ago and histerectomy 20 years ago and my bladder is attached to my vagina because of a scarred urethera. Now,WHY DO I HAVE CONSTANT PRESSURE ON MY RECTUM STUMP THAT IS CAUSING MENTAL PROBLEM OVER TIME -NEVER MEDS HAVE NOT HELPED NOR HAVE PAIN MEDS.IS THERE NOT A SURGICAL PROCEDURE THAT CAN RECTIFY THIS MENACE.

Answered by Dr. Deepak Sundriyal (-5 hours later)

Brief Answer:
Hello. It is due to the distorted anatomy

Detailed Answer:
Hello dear. I have gone through the details. Iam very sorry to say, but this is all due to distorted anatomy as support of rectum has been lost by hysterectomy. No surgical procedure can help but, physiotherapy and pelvic exercises can help you.
You need a clinical examination by physiotherapist to determine the exercises for you. Medicines too wont help.
Thanks and regards
Feel free to ask further

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepak Sundriyal (33 minutes later)

I am already doing pelvic exercises every 2 to 3 hours for 5 min. What would a physiotherapist be able to do.

Any ideas

what about freezing the nerves in the rectum stump ?

Answered by Dr. Deepak Sundriyal (7 hours later)

Brief Answer:
Hello. Frrezing will help only in case of pain

Detailed Answer:
Hello dear. Freezing the nerves only will help in case of pain. So it is not a good option. Continue with the exercises because physiotherapy provides results after a prolonged period.
Thanks and regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Deepak Sundriyal (5 days later)

Thank You, physiotherapist says I am doing the right exercises. It is the pain that is nerve racking. A bout of severe pain every 2 or 3 days when my bowels fill up. no not constipation, just plain soft mush. When I empty the bowel with medication or suppositories, the stool is watery and that is when I have no pain, but pressure. I cannot live long with constant washed out intestines. Why is there not a suppository that I can insert into my anas that might kill the pain in the stump.

in addition - pain gets so bad I have to take oxicondin or morphine and has caused 4 trips to emergency in the past 10 months.

Answered by Dr. Deepak Sundriyal (7 hours later)

Brief Answer:
Hello dear. Gut sedative drugs can be used

Detailed Answer:
Hello dear. So in your case, it can be a hit and trial method of just using various gut sedative drugs like, chlordiazepoxide, clidinium and dicyclomine or some antispasmodic drug like dritaverine. You. Can discuss this with your physician.
Contnue physiotherapy.
Thanks and regards

Above answer was peer-reviewed by : Dr. Remy Koshy