finger enema side effect
Hello
1. Initial Incident (January):
In January, due to severe discomfort after a bowel movement, I performed manual digital enemas twice while wearing two layers of plastic gloves. During the first attempt, only gas was expelled. During the second attempt, I observed pale blood and a white liquid.
2. Medical History:
I have a history of Irritable Bowel Syndrome (IBS), anal fissures, and reflux esophagitis. I have also undergone surgeries for varicose vein removal and a hemorrhoidectomy. Even before the digital enema in January, I experienced symptoms such as bloody stools, mucus in the stool, abdominal pain, and diarrhea (often immediately after meals).
3. Pain Characteristics:
I am experiencing a specific sensation of the lower abdomen, sides, pelvic area, and intestines being scratched by fingernails. I also feel a sharp, cutting pain as if by a knife. Additionally, I suffer from intermittent pain in the genitals, decreased libido, and an inability to ejaculate.
4. Examination Results:
Local & Specialized Hospitals: Gastroscopy showed reflux esophagitis; colonoscopy showed visible blood vessels in the intestinal wall but no other major abnormalities. Doctors suggested the pain was from local scratching of the anus and not directly caused by the digital enema.
University Hospital: CT Angio, 3D Aorta (abdominal), and CT Small Bowel (with contrast) showed no abnormalities in the blood vessels, aorta, or small intestine.
Emergency Room: A recent abdominal CT revealed that the abdomen was full of stool, possibly due to poor intake.
Latest Results: Mild inflammation was found in the stomach and colon. Biopsy results regarding Ulcerative Colitis or Crohn’s Disease are pending and scheduled for June 12th.
5. Current Concerns and Questions:
Correlation: I am wondering if a single manual enema in January could cause Inflammatory Bowel Disease (IBD), genital pain, decreased libido, or the specific "scratching" pain in the intestinal wall.
Referred Pain: Can these issues cause pain in the back just above the buttocks?
Pelvic Floor Dysfunction: Despite normal results from a prostate exam and uroflowmetry, I have a palpable mass in the lower right abdomen, navel pain, pain in the male genitals, and constant anal tension. I am scheduled for a consultation on June 12th to discuss Pelvic Floor Dysfunction or Chronic Pelvic Pain Syndrome.
Medication Sensitivity: I am experiencing severe side effects from the current prescriptions (Code A09.9), including worsened abdominal pain, "scratching" sensations, headaches (from suppositories), and intense mood swings/crying spells. I plan to consult the nursing station regarding adjusting or stopping these medications before my appointment.
Below is a timeline documenting the symptoms I am suffering from
Full Medical History & Clinical Summary
1. Patient Basic Information & Medical Background
Underlying Condition / Exams: Normal colonoscopy in Nov 2025 (GERD/esophagitis only)
Occupational Factors: Feb 2025 - Oct 2025: Heavy lifting/loading jobs (Risk of abdominal wall weakness/hernia)
Dietary Habits / Notables: No past restrictions. Jan 2026: Self-digital evacuation due to tenesmus; identified slight blood and white mucus.
Local Clinic Diagnosis: Bleeding/mucus attributed to anal scratching. H. pylori negative. No signs of hernia or perforation.
2. Timeline of Events
2026.01: Initial symptoms (tenesmus, mucus) - Early signs of latent inflammation.
2026.04: Visited SNU Hospital (Hematochezia, severe pain). Underwent Gastroscopy, Colonoscopy, CT Angio. Biopsy results pending (Expected June 12).
Current: Reported symptoms include RLQ mass sensation, umbilical/genital pain, anal tension, and sexual dysfunction. Taking Asacol, Dicetel, Pentasa, etc. Stool form has normalized.
3. Detailed Clinical Findings
Abdominal Appearance: Asymmetrical bulging in Right Lower Quadrant (RLQ). Sensation of intestines "sliding down."
Pain Profile: Irritative/scratching pain, sharp tearing pain despite medication, burning sensation, and stabbing pain in the kidney area. Lymph nodes palpable in the groin.
Systemic Symptoms: Joint pain (wrists), abnormal skin dryness.
4. Diagnosis & Differential
[A09] Infectious Enteritis: Current working diagnosis; responding to meds.
Physical Hernia: High suspicion due to lifting history and RLQ protrusion.
Inflammatory Bowel Disease (IBD): Crohn’s or UC; awaiting biopsy results.
5. Medical Management Plan
[Immediate] Surgical Consultation: Ultrasound of RLQ to rule out hernia/appendicitis.
[Follow-up] SNU Hospital (June 12): Must report "tearing pain" and "joint pain."
[Warning] Emergency Signs: Visit ER immediately if abdomen becomes rigid, vomiting occurs, or unable to pass gas.
This record is an integrated clinical report based on patient statements and medical observations.
And below is the medicine I was prescribed.
Colorectal Cancer Center - Gastroenterology | 2026-05
Asacol DR Tab. 400mg (Mesalazine)
Dicetel Tab. 50mg (Pinaverium)
Medilac-DS Enteric-Coated Cap. 250mg (Medilac-DS cap)
Cytoxin Tab. 250mg (Ciprofloxacin)
Pentasa Suppository (Mesalazine)
Urology | 2026-05
Acec Tab. 100mg (Aceclofenac)
Nexium Tab. 20mg (Esomeprazole)