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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 36160
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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A colorectal surgeon said I didn't have piles when he examined

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A colorectal surgeon said I didn't have piles when he examined me, but I still have pain and soreness after every bowel movement. Would could be the cause of this? Acidic food, allergic to toilet paper, too much wiping, too much pooping?? Any ideas would be gratefully received.

Hi--what did the examination involve?

Customer: replied 3 years ago.
It was a digital rectal exam
OK--and he didn't have any explanation for the pain?
Customer: replied 3 years ago.
No, just said it wasn't piles. He put me on a laxative but the more I go to the toilet the more it hurts. So I am trying to figure out what I might be doing that is causing it.
OK. Where exactly is the pain located?
Customer: replied 3 years ago.
The pain is sore and sometimes stinging at the anus and a little inside. I also get some stabbing/shooting pains sometimes a little higher up. It can also feel a bit 'heavy'. The pain can last a few hours but then can come back straight after the next bowel movement.
OK--how long has this been a problem and how are your bowel movements in general?
Customer: replied 3 years ago.
This problem has been going on a year or so. I have IBS so my bowel movements are unpredictable. As I write this, I felt a stabbing pain a couple of inches into my rectum. Like a piece of glass is moving down towards my anus.
OK We can continue after this if you'd like but just a digital exam doesn't rule out piles. That said there could be a problem in your rectum like a fissure or an ulcer or even a problem with ulcerative coloitis so my feeling is you need a colonoscopy to look at your entire colon and rectum
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