Rectum

Hi do you have problems with your rectum when going through the menopause. I have like a gnawing sore bearing down in my bum and it is driving me mad it can come and go it is a really horrible feeling. I have been to docs have have been examaned nothing there my bowels are all ok no blood etc. Having read some people going through the meno pause on google some of them say they experience pain in the rectum. I do try not to google things

Comments

  • KazKaz Posts: 404 mod

    Hello @Kazza123

    Welcome to the forum - it's nice to have you with us.

    Thanks for your question.

    I have to admit, I'm a little bit stumped by this one. I certainly had some issues with upset tummies and even constipation early on in my menopause journey, but I can't say I've experienced pain as you're describing it. Did I read that right ? Is it pain or a sore? Whichever it is, I'm glad you've been to have it checked out as that would have been one of my first suggestions! 😊

    I'm tagging some of our brilliant experts to see if they can come up with an answer or a suggestion for you.

    @Nicki_Williams @Maryon_Stewart @Becks_Armstrong - do any of you lovely ladies have any advice for @Kazza123 ?

  • LanieTMLanieTM Posts: 7

    Hi I'm new here and saw this question. I'm 52 and just started menopause. I've had rectal pain since I was 13. I am 99% sure its a thing called proctalgia fugax which is a muscle spasming which can last anything from seconds to minutes. Its agony for the short time it presents. I have to breathe through it and sometimes going to the toilet relieves it. It produces that gnawing bearing feeling you mentioned. I believe it's related to my hormones and/or stress so that may go some way to explain why you are getting it now. I get it every couple of months or so. Google it. No doctor ever diagnosed me, no one knew what it was but recently my son has mentioned something similar as has a female friend. I've had it so long it can't be anything to worry about. Does yours last for long? I don't take anything for it because it doesn't last long enough for an analgesic to take effect x

  • KazKaz Posts: 404 mod

    Hello @LanieTM

    A massive welcome to you - and thank you for sharing!

    It sounds really painful - and you've had it all this time?!

    I hope this helps @Kazza123 - even if it's just to have a conversation with her GP and ask about proctalgia fugax, to see if that's a possibility for her!

    This is really helpful - thank you ! 😊

  • Kazza123Kazza123 Posts: 10

    Hi Lanie

    Thank you for your comments. I have googled that but i have similar symptons. What i think i have which i found on google was levator ani syndrome which seems to be exactly whats going on with me its says a bearing down gnawing sensation which can last hours and days which is whats happening to me which having read up about it its all to do with hormones and vaginal atrophy which is all joy!!!!!! Its hard to accept all these things that go on when you go through the menopause i think im dying lol

    Thanks again

    Karen

  • LanieTMLanieTM Posts: 7

    Oh no poor you. I guess there are many possibilities for every symptom. All u can suggest is deep breathing and meditation in order to focus on something else. You mention atrophy, I'm just today thinking that's what I have the beginnings of and I'm frightened. I have a green discharge and a small itch, no infection and no chance of an STD. Except my GP thinks I could have a dormant STI, what, for 21 years, I think not! It was the inferred suggestion that my hubby must've been unfaithful that annoyed me. Referred me to the sexual health clinic! Another lady on here has raised the point that healthcare providers are ignorant of VA so I'm wondering what the outcome will be when I go back to the doctors on Monday. Take care x

  • KazKaz Posts: 404 mod

    @LanieTM - if you can download the book I mentioned ⬆️⬆️⬆️, I think it would give you some helpful information so that you can ask all the right questions on Monday. Some doctors really don't have very much experience either with menopause, or specifically with VA, so the more information you have the better. This book is brilliant - funny, informative, helpful, and all in language that's easy to understand. Might help!

    Good luck on Monday 😊

  • Kazza123Kazza123 Posts: 10

    Oh i had all that when i went to hospital with abdominal pains and a bit of a bleed i use overstin cream for vaginal dryness i thought it might have been side affects of that. When i see gyno lady up hospital i had green discharge aswell and they tested me for all sexual diseases i thought wtf is that all about they all came bavk negative which obv they should off and i was told it had to be checked but doc told me was maybe just menopause or the cream i was using but dont know why i had it.hope you get on ok xx

  • KazKaz Posts: 404 mod

    I get so cross when I see women not getting the help they need! You shouldn't be made to feel the way you both have, and I have in the past too!

    You should be able to access appropriate treatment for the symptoms you're complaining about, and the symptoms you're both describing are no fun for anyone!

    Have you ever heard of menopause clinics?

    A menopause clinic specialises in all things Menopause and HRT related, and you should get a more sympathetic and knowledgeable response there. You need to be referred by your GP (fingers crossed that there is a clinic in your area) but you will probably have to ask for that referral! And you shouldn't be afraid to ask! You deserve to be able to access the help you need. I'll pop a link at the bottom of this reply for you to search for one in your area. There are NHS ones, but there are also private clinics if the budget stretches that far. I would try searching just for NHS first. I certainly didn't have the budget for private! If there is one and travel/distance is an issue - you can ask about a phone or "attend anywhere" consultation which is a bit like a skype call!

    If you don't think this is what you need right now, at least you'll know about it for future reference.



  • Kazza123Kazza123 Posts: 10

    Hi kaz

    Great thank you.

    Yes i feel like im just fobbed off by the doctors i have all these symptoms which are horrible and feel like they over take my life at the moment. I will buy that book thank you x

  • LanieTMLanieTM Posts: 7

    Me too. Unfortunately I live in the north west (the forgotten part of England). I'm going to make sure I see someone else in the practice. Thanks both x

  • Becks_ArmstrongBecks_Armstrong Posts: 28 Menopause Mindfulness Expert

    Hi @Kazza123, I'm just catching up on this - I'm really sorry to hear that you have been having this feeling, it sounds really painful.

    It's great to hear that you've gone to your doctor and there's no blood, it's the right first step. I would take it back to basics to try and figure out what is going on. The gut changes as you go through menopause and it makes sense that it could make changes in the colon as well. The first thing I would be looking at is what are you eating and how regular are you bowels? The baring down pain sounds like there may be a little constipation or slower/sluggish movements and it's effectively either getting stuck or not wanting to let go.

    You need to think about your triggers. One reason for this is if you have any inflammation (so that could be caused by sugar/alcohol/wheat etc) that could be causing things to slow down. Another is a change in your hormone levels when your progesterone levels rise (though this would almost be cyclical coming as you are soon to get your period - if you had one) if you have recently had a marina coil fitted with slow release progesterone or have just started HRT with progesterone that may be another thing that could potentially cause it. You wouldn't have to stop your therapy, you would just have to adjust your food to work with it.

    I think the next step would be to start tracking your bowel movements (mainly when, how often and what they are like, you can find out more here https://www.continence.org.au/pages/bristol-stool-chart.html) and also what you are eating. It would be good to know if it comes and goes, if it comes on in the middle of the night or if it's through the day. Also checking if you have any undigested food in the stools or if your stools are starting to float. Also if it changes when you do exercise. We can tell a lot about our body by our bowel movements so for me this is where I would start.

    Good luck - I hope you can figure out what's causing it soon and work out how you might stop it!


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  • Becks_ArmstrongBecks_Armstrong Posts: 28 Menopause Mindfulness Expert

    @LanieTM I'm just catching up with what's going on for you as well. Green is definitely not a normal discharge and would indicate some kind of infection - the GP is right it would be standard for you and your husband to get an STI check. This shouldn't indicate either of you having cheated, it is just to rule out if you have an STI (if you have then deal with it) it's just one of the first things to rule out. You also need to be checked out for bacterial vaginosis - this I think would be more likely as it is a common issue that comes up when the vagina becomes dryer through menopause.

    Happily they are getting better treatments for BV now, but if you have it there's a high chance of reoccurrence so be careful with making sure you talk to your doctor about potentially using local estrogen and/or using lube like https://menopause.livebetterwith.com/products/sylk-vaginal-lubricant-moisturiser-40g or https://menopause.livebetterwith.com/products/yes-water-vaginal-moisturising-gel to keep increased flora at bay (as well as drinking lots and lots of water)

    I'm delighted to hear that you use deep breathing to get through your rectal pain, and you're right that it can be hormonal and/or stress related. Again I would be looking at your diet/exercise if it's cyclical to make sure when you're coming into the time it would normally happen that you increase both fibre and water and also continue with your meditation to keep your stress levels as low as you can.

    Good luck with your doctor tomorrow 🤞🏿


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  • Kazza123Kazza123 Posts: 10

    Hi Becks

    Thanks for your comments. I have been using ovestin cream been using that for last 2 months i have no periods. My bowels havent changed thay are still the same. It feels like a sore achy gnawing feeling which can be there for days then will just go then return again its a weird thing . I seem to have a digestive problem to but having read up on things menopause can cause problems with digestive and some women with colon changes. I will keep a check to see when it comes back to see what ive done or eaten. I hate how all this affects your body. I do feel its all connected to menopause. Also maybe a muscle thing .

    Thank you for your advice

    Karen

  • Kazza123Kazza123 Posts: 10

    Hi becks

    I am using ovestin hrt cream. Which one of those moisterisers would be better for me the Silk or Yes VM.

    Is it safe to use either one of them too.

    Thanks karen

  • LanieTMLanieTM Posts: 7

    Hi @Becks_Armstrong thank you for your advice re discharge. I had a swab last week for infection which came back clear so think its unlikely that its BV. Also no odour from it. I has a broad blood test also which came back normal too so no other factors to consider. I've had 2 partners in 27 years, my husband for the last 21 so it can't be an STI. I'm struggling to know what to do next. Different GP and discuss from the beginning again or ring sexual health clinic for an appointment which will no doubt be weeks away, theres no walk in ones here. I just want to get to the bottom of it (excuse the pun) x

  • Becks_ArmstrongBecks_Armstrong Posts: 28 Menopause Mindfulness Expert

    @Kazza123 - it might be worth having a check to see if any of your foods are triggering it - if you have a big weekend of wheat for instance you may have a couple of days of pain after. In the mean time just make sure that you up your fibre, if you're not taking a probiotic then maybe look to add that to your diet and look to see if you can help it by sweating during exercise (not just by having a hot flush 😉).

    Menopause does indeed make really crazy changes to your body that aren't always welcome, it's just about understanding what's happened and adjusting where you can.

    I take it the ovestin hasn't changed the feeling in your rectum? (either for better or worse) Can you remember what was going on for you when the pain started? Having it for days while having regular/easy bowel movements is interesting though. It does make me wonder if you might need some magnesium which can soften the bowels but it can also help with muscle spasms.

    As for which of the 2 lubes to go for you just need to actually try them both. I like Sylk but it really comes down to a personal preference as they are both very different in texture and feeling. x


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  • Becks_ArmstrongBecks_Armstrong Posts: 28 Menopause Mindfulness Expert

    @LanieTM it does sound like you're doing all the right things, so I can see why you would be stumped. Green discharge would normally be related to an infection so having a smell would generally be normal alongside - so I'm not sure why you would be getting a green discharge with no smell.

    In honesty I would probably need to take a full history to be able to help you figure it out - I would need to know how long it's been going on, how much, how often, if there is any pain/burning/itching etc but this isn't the right forum for that.. Do you have a local acupuncturist? They would ask you a few questions about what's going on and will look at your lifestyle, food and take your pulses to see if they are able to figure it out with you.

    You still need to keep going with GP if it persists as they are best placed to be able to keep an eye on it with you. Even if that means starting with a new one.

    I really hear you about the STI check and if there's no odour then I do really doubt that it would be that, but for a doctor to figure out what's going on there are just standard things they have to rule out, so just book yourself in to the clinic and wait the time to go see someone about it.

    You have got me stumped, so I would appreciate getting an update if you do figure out what it is. I'm sorry I can't be more helpful to you but keep going as you need to figure it out. x


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  • Kazza123Kazza123 Posts: 10

    Thank you so much for your advice becks i do actually feel like im going crazy with all whats going on with all these changes to my body and actually struggling a bit with it trying to adjust im just trying to stay calm and breath lol. Shall i get the tablet form of magnesium to see if that helps?

    Thank you karen

  • Becks_ArmstrongBecks_Armstrong Posts: 28 Menopause Mindfulness Expert

    @Kazza123 I don't blame you at all, it is really frustrating to say the very least. I would start gently with something like magnesium citrate https://menopause.livebetterwith.com/products/magasorb-60-tablets but do look at your diet to see if there is anything that may be causing inflammation as it really can literally be a pain in your butt. 😁and make sure you're having plenty of water. Do let me know if it works for you.

    As for the breathing, if you'd like a little help try Clarity https://clarity.app it's short audio sessions of mindfulness that can help you with your breathing. Putting aside 5-10 mins daily to stop, breathe and become aware of what's going on right now is a great way to lower your stress levels (and help you sleep). I created it for busy women that need a little support - I hope it helps you. x


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  • LanieTMLanieTM Posts: 7

    Thank you @Becks_Armstrong for the great advice and sorry @Kazza123 for hijacking your query and going off your topic. Hope you are able to find relief x

  • Kazza123Kazza123 Posts: 10

    Lanie

    Dont be silly you didnt all the advice is great anf some similar to what ive got.

    Take care karenx

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