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I suddenly had severe rectal pain after straining during a bowel movement five days ago. The pain has been severe and constant since then, and my perineum is also very painful. There is no bleeding, and it almost feels like something is twisted or a muscle is pulled. The pain is not getting worse or better after five days. Would a hemorrhoid cause this much pain? There is no indication of external hemorrhoids and no bleeding. The pain is not a sharp knife-like pain that I have had before with hemorrhoids but more like a very painful pulled muscle in the rectum, and the perineum is very tender to the touch. I have been sitting on a heating pad which makes it feel better temporarily, but whenever I move the pain is very intense. I also came down with the flu 2 days ago and have had lots of diarrhea and just today the stools turned black. I have taken Pepto Bismal and not eaten anything but chocolate pudding. Before when the problem occurred I was constipated. This problem occurred during the straining episode. If it is an internal hemorrhoid, what do I do to treat that?

January 19th, 2023

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