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Published on: 4/7/2025

How Can a Feeling of Blockage in the Rectal Area Be Evaluated and Treated?

A feeling of blockage in the rectal area can be checked with tests that look at how your rectum works and can be treated through methods such as lifestyle changes, medications, or sometimes procedures to help with passing stool.

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Explanation

When a person feels a blockage in the rectal area, healthcare providers first want to understand the symptom by asking questions about pain, bowel habits, and any related problems. Doctors may do physical exams, including a rectal exam, to feel for any problems. Tests such as anorectal manometry (a test that checks how the muscles in the rectum work) and other imaging tests might be used to see what is happening inside. These tests help to find if the symptoms are caused by issues with the muscles or nerves in the area. When it comes to treatment, there are a few choices. Many times, adjusting the diet to include more fiber, drinking plenty of water, and taking steps to exercise regularly are recommended. If those changes do not help, doctors might prescribe medications such as stool softeners or recommend pelvic floor physical therapy. In more difficult cases, specific procedures or minor surgeries may be considered to relieve symptoms. Each person's evaluation and treatment plan is made based on their own situation, so it is best checked with a healthcare provider.

(References)

  • Fabrizio AC, Alimi Y, Kumar AS. Methods of Evaluation of Anorectal Causes of Obstructed Defecation. Clin Colon Rectal Surg. 2017 Feb;30(1):46-56. doi: 10.1055/s-0036-1593427. PMID: 28144212; PMCID: PMC5179274.

  • Carrington EV, Scott SM, Bharucha A, Mion F, Remes-Troche JM, Malcolm A, Heinrich H, Fox M, Rao SS; International Anorectal Physiology Working Group and the International Working Group for Disorders of Gastrointestinal Motility and Function. Expert consensus document: Advances in the evaluation of anorectal function. Nat Rev Gastroenterol Hepatol. 2018 May;15(5):309-323. doi: 10.1038/nrgastro.2018.27. Epub 2018 Apr 11. PMID: 29636555; PMCID: PMC6028941.

  • Jani B, Marsicano E. Constipation: Evaluation and Management. Mo Med. 2018 May-Jun;115(3):236-240. PMID: 30228729; PMCID: PMC6140151.

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