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Published on: 4/7/2025

What Might Cause a Slight Pressure Sensation in the Rectal Area?

A slight pressure feeling around the rectum might be due to how the muscles and nerves in the area work, sometimes linked with constipation or changes in rectal sensitivity.

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Explanation

Some people feel a gentle pressure in their rectal area because of the way the muscles and nerves there are working. The muscles around the anus normally have a small amount of pressure even when you're not having a bowel movement. In people who have chronic constipation, these muscles might be tighter or have more pressure than usual. This extra pressure can be felt as a slight discomfort or a sense of fullness. Additionally, the nerves in the rectum help you feel when it is time to go to the bathroom. In some cases, these nerves may not sense things as well as they should—a condition sometimes called rectal hyposensitivity. This means that even though there might be extra pressure or fullness, the signals may not be as clear, leading to a confusing sensation. Conditions like hypermobile Ehlers-Danlos syndrome have also been linked with changes in how the rectum senses pressure, often with constipation. It is important to remember that everyone's body is a little different. If this feeling continues or bothers you a lot, a healthcare provider can help check things out and suggest ways to feel better.

(References)

  • Staller K, Barshop K, Kuo B, Ananthakrishnan AN. Resting anal pressure, not outlet obstruction or transit, predicts healthcare utilization in chronic constipation: a retrospective cohort analysis. Neurogastroenterol Motil. 2015 Oct;27(10):1378-88. doi: 10.1111/nmo.12628. Epub 2015 Jul 14. PMID: 26172284; PMCID: PMC4584201.

  • Knowles CH. Human studies of anorectal sensory function. Ir J Med Sci. 2018 Nov;187(4):1143-1147. doi: 10.1007/s11845-018-1847-5. Epub 2018 Jun 20. PMID: 29926337; PMCID: PMC6209020.

  • Choudhary A, Vollebregt PF, Aziz Q, Scott SM, Fikree A. Rectal hyposensitivity: a common pathophysiological finding in patients with constipation and associated hypermobile Ehlers-Danlos syndrome. Aliment Pharmacol Ther. 2022 Sep;56(5):802-813. doi: 10.1111/apt.17104. Epub 2022 Jun 27. PMID: 35758859; PMCID: PMC9541572.

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