Rectal pain and diet post right hemicolectomy

Posted by lillyann @lillyann, Jun 3 8:30am

I had a right hemicolectomy in mid March not due to cancer but rather a negative outcome of a colonoscopy. I was in perfect health pre this and needless to say it has been traumatic. (I hope it is ok to be in this group.) Because I have no assigned doctor for followup (emergency surgery) I am struggling to get info. The GI specialist that did the procedure called once, changed my diet and set my digestion in a tail spin. He told me to follow the FodMap diet which was so restrictive, I ended up starting to lose weight and have not recovered from this. (I was not being treated for irritable bowel before). I have consulted a dietician, and although not her specialty, we have a rapport. Questions
PREOP I had pelvic pressure and painful internal and external hemorrhoids after a lifting incident. POSTOP I have rectal burning ongoing. It makes life so unpleasant. I was told I had a fissure a few weeks ago but I am not convinced. I was ordered a cream to relax the rectum for the fissure but d/c it as it burns so badly. 1. How can I get through the rectal burning pain: It's been three months of distress? Any ideas? I sitz bath, use breathing exercises etc.
2. Also I have had to take a laxative twice (restoralax) twice in the last two weeks for constipation and sticky stool that seems to sit in rectum. My dietician has has me taking cold milled ground flax daily. I am now at one tablespoon. Is the flax a problem? (I drink an abundance of water daily)

Hi @lillyann, welcome. I've also added your post to the Digestive Health group as well as the Colorectal Cancer group. I'd like to bring in a few other members who have experience with a hemicolectomy, like @maggie12 @maroney @travelgirl @mouse1 @titigiti @tiss @annmac74 and @virgo1952 who can share their experiences with diet and possibly burning rectal pain.

Lilly, do you know what caused the anal fissure? Might it have been straining during bowel movements? I have found CALM magnesium citrate to be helpful with loosening stools.

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Hi@lillyann. I’m sorry to hear about your struggles. I had a colon resection after being diagnosed with colon cancer. Following the surgery, I had c-diff and had a lot of rectal burning from frequent bowel movements. I used an over the counter hydrocortisone cream that helped. It’s been a little over a year and I still take a laxative, stool softener and fiber (Metamucil powder) as a way of staying regular. (nothing before my surgery and infection). The alternative (bowel impaction) was not acceptable. Over time, you will be able to create what works for you to help your body function. Drinking a-lot of fluids is smart. Moving will also help with any constipation. Good luck to you. Glad you found this site 😊 virgo1952

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Thank you for your help

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@colleenyoung

Hi @lillyann, welcome. I've also added your post to the Digestive Health group as well as the Colorectal Cancer group. I'd like to bring in a few other members who have experience with a hemicolectomy, like @maggie12 @maroney @travelgirl @mouse1 @titigiti @tiss @annmac74 and @virgo1952 who can share their experiences with diet and possibly burning rectal pain.

Lilly, do you know what caused the anal fissure? Might it have been straining during bowel movements? I have found CALM magnesium citrate to be helpful with loosening stools.

Jump to this post

I had had some hemorrhoids pre colonoscopy and pelvic floor discomfort from a lifting incident. The surgical intervention after the colonoscopy mishap was slow and by the time the internist found me I was in critical condition. There was no time for a CT scan and the doctor manually had to check my bowel for more tears. I awakened on a ventilator. I struggled with the pain for three months and no one looked to see the rectum until I insisted. An external look showed a pelvic floor Year infection. The burning continued. Finally I saw a surgeon and after a quick rectal she diagnosed a fissure. I thought the diagnosis did not fit the symptoms but soldiered on. I had strained on and off. She ordered dilitiazem cream to relax the sphincter which worsened the burning. I had to stop it. I did have postop hip pain on the right side and when it worsened a trip to the ER was my last resort. I was diagnosed in the ER with bursitis. I just saw a pelvic floor physio and she feels I have pudendol nerve issues and not bursitis. With the spasms and burning, I think she is more accurate. She is starting exercises. I can’t sit at night due to the burning. Any advice or help would be appreciated. I am emotionally struggling as this was just a follow up colonoscopy and I was formerly in perfect health. I am depressed and anxious.

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I was suffering from a lot of pain after passing the stool. 
I endured this horrible pain for over an year.
But 5 months ago, I visited a doctor and he diagnosed (visual inspection) the problem to be of Chronic Fissure.
He gave me a laxative, some antibiotics and anobliss cream and told me to take these for a month.
So here I'm, after 5 months and the pain is still there after passing the stool. and it lasts for many hours the whole day.
After applying the anobliss cream, the pain goes away for a couple of days, but starts again after 3-4 days.
So I guess the fissure is recurring again and again.

I'm 30 years old obese male, always under stress due to various reasons. And this fissure pain is making it worse.
I drink a lot of water (3.5 liter a day)
I take duphalac syrup as well as husk every alternate day, but I still pass hard stools sometimes.
I'm not highly constipated, because I always have atleast one bowel movement every day.
Never in my life of 30 years a day has passed without me having a bowel movement.
So what could be the reason of hard stool?

Most importantly, what am I supposed to do now?
Undergo a lateral sphincterotomy or are there any other magical, non surgical options?

Please help me guys/docs.

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@benett2021

I was suffering from a lot of pain after passing the stool. 
I endured this horrible pain for over an year.
But 5 months ago, I visited a doctor and he diagnosed (visual inspection) the problem to be of Chronic Fissure.
He gave me a laxative, some antibiotics and anobliss cream and told me to take these for a month.
So here I'm, after 5 months and the pain is still there after passing the stool. and it lasts for many hours the whole day.
After applying the anobliss cream, the pain goes away for a couple of days, but starts again after 3-4 days.
So I guess the fissure is recurring again and again.

I'm 30 years old obese male, always under stress due to various reasons. And this fissure pain is making it worse.
I drink a lot of water (3.5 liter a day)
I take duphalac syrup as well as husk every alternate day, but I still pass hard stools sometimes.
I'm not highly constipated, because I always have atleast one bowel movement every day.
Never in my life of 30 years a day has passed without me having a bowel movement.
So what could be the reason of hard stool?

Most importantly, what am I supposed to do now?
Undergo a lateral sphincterotomy or are there any other magical, non surgical options?

Please help me guys/docs.

Jump to this post

Hi @benett2021 and welcome to Mayo Clinic Connect. I wanted to share with you this conversation that was discussing anal pain and possible fissures so that you could connect with other people so I moved your comment to this post as you will see. @lillyann has had similar pains and been through a several month medical history of GI issues like you have.

I see that you are having increased hard stool despite medication. What does your current diet look like? are you consuming a lot of iron?

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