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Pressure around the anus area
For the past 3 days, I have had a feeling of incomplete bowel evacuation. Even after passing a soft stool, I feel as if some stool is still left in the rectum, causing mild pressure and discomfort near the anus.
During straining, a small, soft, reddish tissue protrudes slightly from the anus, the stool passes through it, and it retracts on its own once I stop straining.
A general surgeon performed a digital rectal examination and said the symptoms might be stress-related. I was prescribed Elokic 5 and Vizylac Rich.
I would like to know whether this protruding tissue is a normal finding or whether it could indicate internal hemorrhoids, rectal mucosal prolapse, or another rectal condition. Should I consult another surgeon ? there is no bleeding in stool .
The symptoms you are describing—specifically a small, soft, reddish tissue that protrudes during straining and retracts on its own—are not considered a normal finding, but they are very common and highly treatable.
Your suspicion is quite accurate. This presentation is a classic sign of Grade II internal hemorrhoids or a localized rectal mucosal prolapse. Grade II internal hemorrhoids characteristically prolapse (protrude) during a bowel movement or straining but reduce (go back inside) spontaneously afterward.
While stress can certainly exacerbate gastrointestinal motility issues and lead to altered bowel habits or straining, it does not directly cause physical tissue protrusion. The medications you were prescribed (a probiotic and a gut/stress modulator) may help manage bowel consistency and stress, but they do not directly treat the physical structural protrusion.
Next Steps
Seek a Second Opinion: Because you have a clear, reproducible physical finding that was not fully addressed, it is highly reasonable to consult a different general surgeon or, ideally, a colorectal surgeon (proctologist) for a dedicated evaluation, such as an anoscopy or proctoscopy.
Avoid Straining: Try to avoid prolonged sitting on the toilet or forcing bowel movements, as this worsens tissue protrusion and hemorrhoidal swelling.
Optimize Stool Consistency: Ensure your diet is high in fiber and drink plenty of water to keep stools soft and easy to pass, minimizing the need to strain.
Health Tips
While it is reassuring that you currently have no bleeding, you should seek prompt medical attention if you experience any "red flag" symptoms, such as:
The protruding tissue becomes trapped outside the anus and cannot be pushed back in (incarcerated or strangulated hemorrhoid).
Sudden, severe anal pain.
Significant or persistent rectal bleeding (bright red blood in the toilet or on the wipe).
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Since when passing motions, reddish, soft tissue comes out and goes back on its own, it must be grade-2 internal hemorrhoids. You must avoid constipation and straining at stools. Take high fiber diet. This can be treated by scletheropathy or by hemorrhoidectomy. You may please consuly a general or GI surgeon for management.
Next Steps
Avoid constipation. Consult gen surgeon
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Looking at the history u are giving, it's most probably of grade 3 internal hemorrhoids and rectal mucosal prolapse unlikely at your age group
Next Steps
it's best advise to consult Us ( general surgeon) get Proctoscopy done, if that also inconclusive will plan sigmoidoscopy if required
Health Tips
look for any sudden Bleeding or passing of hard stools , that might exacerbate the symptoms
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