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#1 anonymousgyrl

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Posted 23 September 2015 - 02:04 PM

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I know the rectum stores feces, but what is inside of the perineum? I feel a lump there, it cannot be seen with a mirror, it is inside. When I have a bowel movement, I feel that I am incomplete. I am unsure if its the lump that is in the perineum that is stopping me; I don't know if it is stool. I had a digital rectal exam in August, because I told the doctor I felt a blockage in my anus, but the doctor said everything was fine. However, this was before I noticed the lump in my perineum. I did not have the perineum issue, only the blockage I felt in my anus. Could she have missed something?


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#2 LindsaySaturn2

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Posted 23 September 2015 - 08:20 PM

Hi, there!

 

You're definitely not alone in this. Recently, I've been experiencing some discomfort near my rectum and perineum. I wouldn't say I've been in pain, but it feels like something is there. I've tried to look in the mirror, and I don't see anything either, but I can feel a "lump" from time to time. At first I thought it was stool, but sometimes it appears after I have a bowel movement. Do you have additional symptoms with this problem? I've been such a baby when it comes to bringing this particular problem up with my doctor, but I need to get over the embarrassment. 



#3 anonymousgyrl

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Posted 23 September 2015 - 09:14 PM

Hi, there!

 

You're definitely not alone in this. Recently, I've been experiencing some discomfort near my rectum and perineum. I wouldn't say I've been in pain, but it feels like something is there. I've tried to look in the mirror, and I don't see anything either, but I can feel a "lump" from time to time. At first I thought it was stool, but sometimes it appears after I have a bowel movement. Do you have additional symptoms with this problem? I've been such a baby when it comes to bringing this particular problem up with my doctor, but I need to get over the embarrassment. 

Hello, don't be embarrassed.

 

For me, the "lump" I feel is there whether if I have a bowel movement or not. I think my other symptoms are just that it makes me feel like I haven't completed a bowel movement. Most times  when I have a bowel movement, the lower part of  my anus feels tight (i am unsure if the tight feeling is the lump), therefore making me push harder for my stools to come out. (I still have to push whether the stool is mushy or not.) I also feel a little sting/burn there; but not all the time. Basically the lump mostly just feels like its putting pressure; the feeling that something is up there. When I sit I can feel it, when I stand, I can feel it less, but I know it is still there.

 

Does your "lump" make you feel like you need to use the bathroom? Does it only appear after a bowel movement?



#4 LindsaySaturn2

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Posted 25 September 2015 - 11:42 AM

Hmm... That definitely is strange. So, your doctor couldn't find anything at all? I wonder if going to a specialist might help this situation, if you haven't done so already. I'm sure what you're experiencing is extremely uncomfortable. The pressure/lump I feel is most present after I have a bowel movement, so I'm wondering if it has something to do with the muscles in that area? My perineum feels tight or stiff right after, and then it usually gets a bit better. It's super confusing, though, and I now have some anxiety every time I have to go to the bathroom. I swear there's always some new symptom that pops up. Have you been diagnosed with IBS? 



#5 anonymousgyrl

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Posted 25 September 2015 - 03:18 PM

Hmm... That definitely is strange. So, your doctor couldn't find anything at all? I wonder if going to a specialist might help this situation, if you haven't done so already. I'm sure what you're experiencing is extremely uncomfortable. The pressure/lump I feel is most present after I have a bowel movement, so I'm wondering if it has something to do with the muscles in that area? My perineum feels tight or stiff right after, and then it usually gets a bit better. It's super confusing, though, and I now have some anxiety every time I have to go to the bathroom. I swear there's always some new symptom that pops up. Have you been diagnosed with IBS? 

My doctor did a digital rectal exam because I told her I felt a blockage during my bowel movements. I didn't notice an issue with a perineum lump during that time, although now I think the blockage could of been my perineum lump. I remember her not feeling on my perineum. Now I wonder during a digital rectal exam, if the perineum can be felt, while the the fingers are up there. I didn't have the issue of a little sting/burn then; but I don't really get that. My doctor said everything was fine, she couldn't find anything at all. I haven't seen a specialist. My doctor said my bowel symptoms I am experiencing could be IBS. I have a follow up appointment with my doctor on October 30th. I also feel anxiety when I use the bathroom. When did you recently feel your discomfort near your rectum and perineum? Are you easily able to have a bowel movement?



#6 rewinj

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Posted 25 September 2015 - 05:06 PM

Sounds like some type of minor pelvic organ prolapse. The "lump" you feel could be a rectocele/enterocele/sigmoidocele, or an intussusception or internal prolapse. If that's the case, some part of your intestine has gotten weak/stretched, and is moving into a place where it shouldn't... often between the rectum and vagina/bladder, potentially obstructed defecation. These exact conditions are very difficult to diagnose or differentiate, which may be why many get thrown in the "IBS" storm.

 

I'd recommend that you do your best you avoid straining when going to the bathroom so the problem doesn't worsen, and consider doing pelvic floor exercises. Gynaecologists (or OB/GYNs) and colorectal surgeons are the ones who understand these conditions. For some reason gastroenterologists remain in the dark and continue to diagnose these obstructive pelvic floor or colorectal issues as IBS.  A defecogram is the most useful diagnostic tool for obstructed defecation or incomplete evacuation, but gastros seem either unaware of the test or unwilling to refer patients for it. Possibly because if these issues are diagnosed, there isn't any real way to "fix" it outside of invasive surgery. Pelvic floor exercises and retraining can make a huge difference though. Be sure to keep yourself regular and your stool soft. Don't strain; if it's not passing easily, wait/reposition/exercise...


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#7 dlind70

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Posted 26 September 2015 - 09:31 AM

yes don't stress with BMs.  It may be a liver issue.  Maybe look into coffee enemas or take some castor oil and spring water to flush the system.  Eat soaked almonds in the morning first thing with pomegranate juice.  There is some energy in that combo to have a good BM.



#8 dlqc

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Posted 08 October 2015 - 08:25 AM

do a defecography







Also tagged with one or more of these keywords: rectum, anus, perineum, stool, constipation, diarrhea, abdominal discomfort, poop, digital rectal exam, bowel movements


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