Lower abdominal pain like menstrual cramps, feels like pulling the anus, what's going on

Patient's question:

Lower abdominal pain, like cramping, feels like it's pulling the rectum. The pain is so severe that I can't move. I had a color Doppler ultrasound a few days ago, but it didn't reveal any problems. This requires further clear and detailed examination. I've given birth to two babies via natural delivery and have had hemorrhoids, but this pain has never been this intense before. It's unbearable. I don't know what to do...

Doctor's answer:

Hemorrhoids are common anorectal diseases, most of which are related to poor lifestyle and dietary habits, as well as constipation. Generally, hemorrhoids do not cause lower abdominal pain. Your condition is likely to be caused by anal fissure or rectitis. For your current condition, you should promptly go to a regular hospital for an anoscopy to identify the cause and receive treatment under the guidance of a doctor. You should maintain a light diet and drink more water.

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