Neuromuscular :: Pudendal Neuralgia Caused By Rectal Prolapse?


Jul 9, 2014

For probably three or four years, I've had an internal rectal prolapse, or at least it's seemed so. It didn't hurt or anything. Sometimes I had some constipation, but nothing major. But once in a while, I could feel the mass of tissue dropping down(never coming out), and retracting some time later.

Cut to late December of 2012. This part is extremely embarrassing for me, but it's a crucial detail, so I can't leave it out. I was masturbating that night, and just as I finished, I had the sudden sensation that someone had grabbed the muscle between my scrotum and anus, and my rectum, and twisted them with a pair of vise grips.

After a while, the muscle in my scrotum still would not let go, and the pain level was beyond 10, somewhere in the Oh My God area of the chart. I couldn't urinate. My rectum felt like one giant nerve, and it felt as though it was jittering up and down with every step I took. I've had a razor blade jammed up into my hand, and broken bones, and this pain was much worse than any of them.

It took me over two minutes just to get down the hall from my bathroom to my bedroom. My abdomen, especially my lower abdomen, felt as though my insides had broken loose from their moorings and were grating against one another. Everything else was basically numb. And by everything else, I mean my entire body, except for the areas of searing pain in my nethers, was...muted I guess the best term is.

I'll also get this burning all over my body, especially my arms. My entire sense of touch gets thrown completely out of whack. I can scarcely feel my own hand running over my head. But a cold air conditioner blowing on me feels like I'm being dipped in acid. If I got into a shower, it would feel as though freezing water was going down my legs before the water even got there.

During my flare-ups, my gut basically shuts down. My rectum will literally slam shut, and even gas rarely gets out. During the first one, I didn't have a proper bowel movement for about three weeks. Then over the course of a few months, it slowly got back to normal. Though, anything more than the most basic physical activity ran the risk of shutting me down for a few days.

Every doctor I went to dismissed my rectal issue out of hand, and insisted the problem must be in my back. Even the doctor that gave me the pudendal nerve blocks thinks it's in my back.

An MRI did show some slight bulge on the L4 and L5, but it makes no sense whatsoever. It doesn't explain Masturbation -> Instant Torturous Agony out of nowhere.

Since maybe early this year, I've had some improvement. I could at least go to the grocery store or pick my aunt up from work without killing myself in the process. I still had to file for disability, mind you, because I couldn't even physically do a job as a file clerk for more than a week in April.

Recently, I had a very difficult bowel movement, and had no choice but to push a little harder than usual. BOOM. The old symptoms came back, not as bad as the first time, but if I weren't a Christian, I'd have ended my life by now. I can't even get out of bed for more than a few minutes before I just want to collapse with the burning and pain, and the general wrongness. Every muscle in my pelvic region wants to lock up, but I'm forcing them not to, because that'll make it worse.

I haven't eaten more than a chicken leg and a peanut butter sandwich for three days because my gut isn't working. I have almost no hunger sensation at all, and when I do eat, it feels very strange and nauseating.

Is this pudendal neuralgia? I definitely have an internal prolapse right now. I reached back and pushed it back up(ewww!), and it did alleviate my symptoms slightly. Any sort of activity on my part, especially driving or sitting, and it drops right back down, and the full-body burning and hypersensitivity hits me again.

At the moment, I'm dead broke and have zero access to medical care. Great country, the United States, isn't it? I'm working on getting disability and county-assisted medical care, but it's slow going. I just need some kind of an answer, that's all.

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When I was around 22 (2004) I used to suffer from itchiness and the occasion leakage from my back passage, I put up with this for 4 years until I started noticing blood the toilet paper, this prompted a visit to the doctors who at the time was a stand in Doctor and he diagnosed me with a anal polyp.

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A few questions answers to questions you may ask.

My bowl movements had been normal up to the latest episode last Tuesday, then my anxiety set in...

The blood is bright red, I have had 1 occasion when the blood is on my stool.

My stools are normal looking with no visible blood inside.

I have no pain when passing a stool, only a slight stinging occasionally just inside my rectum. 

I went to the Doctors last Wednesday and he felt no lumps on examination. He did acknowledge my prolapse and gave me a slip to get some anusol cream..

My Questions.

Does anyone else have the same condition?

Can alcohol make you bleed more? as last night I bled more than ever and felt a little drunk.

Does a Mucosal Prolapse share the same symptoms as piles? 

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