24 years
I feel mass after defecation and feel shy to go to the doctor.. what should I do
Aug 25, 2014
It may be an anismus (failure of relaxaion in anus sphincter ),it may be an external hemorroid ,rectal prolapse ,Intussusception,Proctitis,rectal polyp,....
if no other than feeling mass after defecation with no other symptoms,no pain bleeding ,itching ,...
Patients with rectal prolapse report a mass protruding through the anus. Initially, the mass protrudes from the anus only after a bowel movement and usually retracts when the patient stands up. As the disease process progresses, the mass protrudes more often, especially with straining and Valsalva maneuvers such as sneezing or coughing. Finally, the rectum prolapses with daily activities such as walking and may progress to continual prolapse.
As the disease progresses, the rectum no longer spontaneously retracts, and patients may have to manually replace it. This condition may then progress to a point at which the rectum prolapses immediately after being replaced and is continuously prolapsed. Rarely, the rectum becomes incarcerated, and patients cannot replace the rectum.
Treatment of rectal prolapse is essentially surgical; no specific medical treatment is available
-Protruding rectal mucosa
-Thick concentric mucosal ring
-Sulcus noted between anal canal and rectum
-Solitary rectal ulcer (10-25%)
-Decreased anal sphincter tone
Rectal prolapse is a clinical diagnosis that physicians should be able to confirm in the office. The patient is asked to sit on a toilet and strain, after which the rectum should prolapse.
Anismus (or dyssynergic defecation) refers to the failure of the normal relaxation of pelvic floor muscles during attempted defecation.
It can be caused by physical defects or it can occur for other reasons or unknown reasons. Anismus that has a behavioral cause could be viewed as having similarities with parcopresis, or psychogenic fecal retention.
Symptoms include tenesmus (a sensation where a mass is felt to remain in rectum after defecation) and constipation.
Retention of stool may result in fecal loading (retention of a mass of stool of any consistency) or fecal impaction (retention of a mass of hard stool).
This mass may stretch the walls of the rectum and colon, causing mega-rectum and/or mega-colon respectively. Liquid stool may leak around a fecal impaction, possibly causing degrees of liquid fecal incontinence. .
Anismus is usually treated with adjustments to the diet, such as dietary fiber supplementation.
It can also be treated with a type of biofeedback therapy, where a sensor probe is inserted in the patient's anal canal and records the pressures exerted by the pelvic floor muscles.
These pressures are visually fed back to the patient via a monitor who can regain the normal coordinated movement of the muscles after a few sessions.
Symptoms include:
-Straining to pass fecal material
-Tenesmus (a feeling of incomplete evacuation)
-Feeling of anorectal obstruction/blockage
-Digital maneuvers needed to aid defecation
-Difficulty initiating and completing bowel movements
Therefore ,check with a gastrointestinal surgeon ,and get examined and diagnosed for proper treatment ,if not treated ,you may be now in a mild case than after so pay attention .
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