Proctitis & Rectal Pain in Dhaka: মলদ্বারে ব্যথা — Causes, Symptoms, Proctalgia Fugax & Treatment

✍️ Written by: Md. Salauddin Biswas

MA in Medical Anthropology, University of Heidelberg, Germany | Former Senior Research Associate, James P Grant School of Public Health, BRAC University | Health Content Writer & SEO Specialist | Published: BMC Human Resources for Health | EEAT-Optimized Medical Content

🩺 Medically reviewed and approved by: Dr. Muhammad Nazrul Islam

FCPS (Surgery) · MS (Colorectal Surgery) · FACS (Fellow, American College of Surgeons) Assistant Professor (Colorectal Surgery), Shaheed Suhrawardy Medical College & Hospital, Dhaka.

📅 Last reviewed: March 2026

Proctitis & Rectal Pain Causes, Types and Treatment

Proctitis (মলদ্বারের প্রদাহ) and rectal pain — Dr. Muhammad Nazrul Islam diagnoses and treats all causes of proctitis and মলদ্বারে ব্যথা at his colorectal surgery clinic in Dhaka.

Proctitis — মলদ্বারের প্রদাহ — is inflammation of the lining of the rectum, and one of the most frequently misunderstood anorectal conditions seen by Dr. Muhammad Nazrul Islam at his colorectal surgery clinic in Dhaka.

Patients with proctitis typically experience rectal pain, a persistent urge to open the bowels, mucus or blood in the stool, and a feeling of incomplete emptying — symptoms so similar to other anorectal conditions that proctitis is regularly misdiagnosed as পাইলস or irritable bowel syndrome for months.

This page covers the full spectrum of rectal pain and প্রদাহ in Bangladesh — from the five types of proctitis and their specific treatments, to proctalgia fugax (a frightening but benign condition of sudden severe rectal spasm that is almost unknown in Bangladesh), to a complete guide to every other cause of মলদ্বারে ব্যথা so patients can understand what is happening and when to seek help.

✅ Quick Summary / সংক্ষেপে

Proctitis = inflammation of the rectal lining — 5 main types: IBD-related, infectious/STI, radiation, ischaemic, chemical
Most common causes in Bangladesh: ulcerative proctitis (IBD) and infectious proctitis (bacterial / amoebic)
Proctalgia fugax — sudden severe rectal spasm pain lasting seconds to minutes — is benign but terrifying; almost unknown in Bangladesh
Rectal pain has many causes — an accurate diagnosis is essential because treatment is completely different for each cause
Rectal pain is NOT always a sign of cancer — but persistent rectal bleeding or pain with weight loss must be investigated
Radiation proctitis affects patients who have had pelvic radiotherapy — increasingly relevant as cancer treatment improves in Bangladesh
Treatment depends entirely on the cause — Dr. Nazrul assesses and treats all causes of proctitis and rectal pain in Dhaka

প্রক্টাইটিস মানে কী? / What is Proctitis? (Proctitis Meaning in Bengali)

প্রক্টাইটিস (Proctitis) মানে হলো মলদ্বারের শেষ অংশ — রেকটাম (rectum) — এর ভেতরের আবরণের প্রদাহ বা জ্বালা। বাংলায় একে মলদ্বারের প্রদাহ বলা হয়। এই প্রদাহের কারণে মলদ্বারে ব্যথা, জ্বালা, রক্তপাত, শ্লেষ্মা নিঃসরণ এবং বারবার মলত্যাগের তাগিদ হতে পারে।

In medical terms, proctitis is inflammation limited to the rectum — the last 15–20cm of the large intestine before the anus. When the inflammation extends further into the colon, it becomes colitis.

The distinction matters for treatment: proctitis limited to the rectum often responds to locally applied treatments (suppositories, enemas) without requiring systemic medication. According to the Mayo Clinic , proctitis has multiple causes each requiring different treatment approaches.

প্রক্টাইটিসের ৫টি প্রধান কারণ / 5 Types of Proctitis — Causes and Treatment

Proctitis is not a single disease — it has multiple causes, each requiring different treatment. Accurate diagnosis is essential before starting treatment:

Type 1: IBD-Related Proctitis (Ulcerative Proctitis) — Most Common in Bangladesh

Ulcerative proctitis is the most common form of inflammatory bowel disease (IBD) — inflammation limited to the rectum without involving the rest of the colon. Symptoms include: frequent urge to defaecate (often passing only small amounts of blood and mucus — ‘bloody diarrhoea’), rectal pain, tenesmus (a constant feeling of needing to empty the bowel), and significant disruption to daily life.

Symptoms: Frequent urge to open bowels, passing blood and mucus, rectal pain, tenesmus, rarely diarrhoea

Diagnosis: Sigmoidoscopy + biopsy — essential to confirm diagnosis and exclude infection

Treatment: Mesalazine (5-ASA) suppositories — first-line for mild-moderate proctitis. Steroid suppositories/enemas for acute flares. Oral mesalazine for maintenance. Biological therapy (infliximab, vedolizumab) for severe refractory disease.

Bangladesh note: Ulcerative proctitis is increasingly diagnosed in Bangladesh, particularly in urban populations. The shift towards processed food and reduced fibre is a likely contributing factor.

Type 2: Infectious Proctitis — Bacterial, Parasitic and Viral

Infectious proctitis is caused by bacteria, parasites or viruses infecting the rectal lining. In Bangladesh, the most important causes are:

Amoebic proctitis — Entamoeba histolytica infection is common in Bangladesh due to contaminated water and food; causes bloody diarrhoea, rectal pain, mucus. Treated with metronidazole + diloxanide furoate.
Bacterial proctitis — Salmonella, Shigella, Campylobacter and Clostridium difficile (post-antibiotic) are important causes; treated with appropriate antibiotics based on stool culture.
CMV proctitis — cytomegalovirus, particularly in immunocompromised patients (HIV, post-transplant); treated with antiviral therapy.

Type 3: STI-Related Proctitis — Gonorrhoea, Chlamydia, Herpes

Sexually transmitted infections (STIs) are an important and frequently undiagnosed cause of proctitis. This is a factual medical reality that must be considered in the differential diagnosis of proctitis. STI-related proctitis requires specific treatment — general proctitis treatment will not work. Treatment guidelines are published by the CDC .

STI / সংক্রমণ	Symptoms & Treatment
Gonorrhoea proctitis (Neisseria gonorrhoeae)	Rectal discharge (পুঁজ), rectal pain, tenesmus, rectal bleeding. Often asymptomatic. Diagnosed by rectal swab. Treated with ceftriaxone injection — single dose.
Chlamydia proctitis / LGV (Chlamydia trachomatis)	Often asymptomatic or mild rectal discomfort. LGV (lymphogranuloma venereum) strain causes severe proctitis with mucus, bleeding and pelvic pain. Treated with doxycycline.
Herpes proctitis (HSV-2)	Severe rectal pain, perianal blisters/ulcers, urinary retention, sacral nerve symptoms. Very painful. Treated with aciclovir.
Syphilis proctitis	Painless rectal ulcer (chancre) in primary syphilis. Treated with benzathine penicillin.

Note on privacy and judgment: Dr. Nazrul Islam’s clinic treats all patients with complete confidentiality and without judgment. If you think an STI may be causing your rectal symptoms — you deserve accurate diagnosis and effective treatment. A rectal swab test provides a definitive answer. Please do not delay because of embarrassment.

Type 4: Radiation Proctitis — After Pelvic Radiotherapy

Radiation proctitis develops in patients who have received radiotherapy to the pelvis — for cervical cancer, prostate cancer, rectal cancer or endometrial cancer. As cancer treatment improves and more patients receive radiotherapy in Bangladesh, radiation proctitis is becoming increasingly common. It occurs in two forms:

Acute radiation proctitis — occurs during or immediately after radiotherapy: diarrhoea, rectal bleeding, tenesmus, rectal pain. Usually resolves after radiotherapy ends with supportive treatment.
Chronic radiation proctitis — develops months to years after radiotherapy. Rectal bleeding (sometimes severe), stricture formation, fistula, rectal pain. Treatment options: sucralfate enemas, formalin application, argon plasma coagulation (APC) via endoscopy, hyperbaric oxygen therapy, and surgery in severe cases.

If you have had pelvic radiotherapy and are experiencing rectal bleeding, pain or diarrhoea — please consult Dr. Nazrul. Radiation proctitis is a recognised side effect of cancer treatment — not a sign of cancer recurrence. See Colon & Rectal Cancer →

Type 5: Other Causes — Ischaemic, Chemical and Diversion Proctitis

Ischaemic proctitis — reduced blood supply to the rectum, usually in elderly patients with vascular disease. Causes bloody diarrhoea and rectal pain. Treated by managing the underlying vascular condition.
Chemical / injury proctitis — from enema solutions, suppositories, NSAIDs or other medications introduced rectally.
Diversion proctitis — inflammation of the rectum in patients with a defunctioning colostomy, where the rectal segment no longer receives faecal stream. Treated with short-chain fatty acid enemas or restoration of bowel continuity.

প্রক্টাইটিসের লক্ষণ / Proctitis Symptoms — What to Expect

Symptoms vary by type and severity but commonly include:

Symptom / লক্ষণ	Details
মলদ্বারে ব্যথা ও অস্বস্তি Rectal pain and discomfort	Dull ache or burning pain in the rectum — often worse during and after bowel movements
মলত্যাগের তাড়না Tenesmus	A persistent, urgent feeling of needing to open the bowels — even after doing so. Often passing only small amounts of blood and mucus. Very distressing.
মলের সাথে রক্ত Rectal bleeding	Fresh red blood or blood mixed with mucus in the stool. See Rectal Bleeding guide →
শ্লেষ্মা নিঃসরণ Mucus discharge	Mucus with or without blood — particularly prominent in IBD-related and STI proctitis
ঘন ঘন মলত্যাগের তাগিদ Frequent urge	Multiple visits to the toilet daily, often passing small amounts only. Significant social disruption.
মলদ্বারে জ্বালাপোড়া Rectal burning	A burning sensation in the rectum — common in radiation and chemical proctitis
পেটে ব্যথা Abdominal pain	Lower abdominal cramping, particularly in IBD-related proctitis
জ্বর / Fever	Fever suggests infectious proctitis — requires urgent investigation and treatment

When to see Dr. Nazrul urgently: Rectal bleeding with fever, severe rectal pain, significant weight loss, or symptoms persisting more than 2 weeks without improvement require urgent assessment. These symptoms could indicate serious proctitis, colorectal cancer or other conditions that need prompt diagnosis.

প্রক্টাইটিসের খাদ্য ব্যবস্থাপনা / Diet for Proctitis — What to Eat and Avoid

Diet does not cause proctitis — but the right dietary approach can significantly reduce symptom flares and support recovery, particularly for IBD-related (ulcerative) proctitis:

✅ Eat More / বেশি খান	❌ Reduce or Avoid / কম খান বা এড়িয়ে চলুন
Soft, easily digestible foods during flares — rice, আলুভর্তা, boiled vegetables	Raw vegetables, seeds, nuts and high-fibre foods during acute flares — these can irritate the inflamed rectum
Small, frequent meals — reduces volume passing through the rectum at any one time	Spicy food (ঝাল খাবার) — significantly worsens rectal inflammation and burning
Adequate fluid intake — prevents constipation and hard stools that worsen rectal pain	Caffeine and alcohol — stimulate bowel activity and worsen urgency and tenesmus
Probiotics (yoghurt, দই) — some evidence for benefit in IBD management	Dairy products during active flares — some IBD patients are lactose intolerant; temporarily reducing dairy may help
Omega-3 rich foods — fish — anti-inflammatory effects	NSAIDs (ibuprofen, naproxen) — worsen IBD inflammation significantly; use paracetamol for pain instead
Soluble fibre (oats, ripe banana, pumpkin) — better tolerated than insoluble fibre	Processed and fast food — associated with IBD flares in multiple studies

প্রক্টালজিয়া ফিউগ্যাক্স কী? / What is Proctalgia Fugax? — Sudden Severe Rectal Pain at Night

⚠️ IMPORTANT: If you are reading this because you just experienced a sudden, severe, cramping pain deep in your rectum — usually at night — that lasted for a few seconds to a few minutes and then disappeared completely — you almost certainly have proctalgia fugax. It is benign (not dangerous), not a sign of cancer, and not a surgical emergency. Read on.

Proctalgia fugax — from the Latin: procto (anus/rectum) + algia (pain) + fugax (fleeting) — is a condition characterised by sudden, severe, cramp-like spasm pain in the rectum or anus, typically lasting from a few seconds to several minutes, after which it completely disappears and the patient feels entirely normal. It is caused by spasm of the muscles of the pelvic floor and anal sphincter — similar in mechanism to a leg cramp, but occurring in the rectal muscles.

Proctalgia fugax is almost completely unknown in Bangladesh. There is no Bangla word for it in common use — and there is currently no Bangladeshi medical website that explains it. Yet it affects approximately 8–18% of people worldwide — millions of people in Bangladesh may be experiencing this condition without any explanation whatsoever. The result: fear, anxiety, unnecessary investigations and years of uncertainty.

প্রক্টালজিয়া ফিউগ্যাক্সের লক্ষণ / Symptoms — How It Presents

Sudden onset — the pain starts instantly, with no warning, often waking the patient from sleep
Severe intensity — described as a severe cramp, spasm or ‘stabbing’ pain deep in the rectum or anus; can be briefly incapacitating
Short duration — typically lasts 30 seconds to 5 minutes, rarely longer than 20 minutes
Complete resolution — the pain disappears completely, as suddenly as it came; the patient feels entirely normal immediately after
Infrequent episodes — most patients have episodes less than once a month; some only a few times per year
Nocturnal predominance — attacks most commonly occur at night, waking the patient from sleep
No structural abnormality — examination and investigations are completely normal; this is a functional condition

প্রক্টালজিয়া ফিউগ্যাক্সের কারণ / Causes and Triggers

The exact cause is not fully understood. It is believed to result from spontaneous spasm of the internal anal sphincter or puborectalis muscle. Identified triggers include:

Stress and anxiety — the most commonly reported trigger
Constipation and hard stools — rectal distension triggers sphincter spasm. See Constipation Treatment →
Sexual activity — orgasm can trigger an episode in some patients
Menstruation — more common in women, particularly around periods
Sitting for long periods
No identifiable trigger — many episodes occur spontaneously

চিকিৎসা ও ব্যবস্থাপনা / Management of Proctalgia Fugax

Because episodes are brief and infrequent, most patients do not require specific medical treatment. Management focuses on reassurance, lifestyle measures and, for very frequent attacks, medical options:

Reassurance — the most important treatment. Understanding that proctalgia fugax is benign and not a sign of cancer dramatically reduces the anxiety that amplifies the pain.
Salbutamol (Ventolin) inhaler — a single puff at the onset of an attack relaxes smooth muscle and can abort the episode. Effective and safe; Dr. Nazrul can prescribe this.
Topical diltiazem or GTN ointment applied to the anus — relaxes the internal anal sphincter; particularly useful for frequent episodes.
Clonidine — oral medication for very frequent, severe, refractory proctalgia fugax.
Warm bath or hot water bottle applied to the perineum during an attack — muscle relaxation provides relief.
Biofeedback therapy — for patients with frequent episodes associated with pelvic floor muscle dysfunction.
Treat constipation — high-fibre diet, adequate fluids and stool softeners reduce a key trigger.

Key message: Proctalgia fugax is frightening but harmless. It does not damage the rectum, does not progress to cancer, and does not require surgery. If you have been experiencing these episodes and have been anxious about them — please know that this is a well-recognised, common, benign condition. A single consultation with Dr. Nazrul will confirm the diagnosis and provide a personalised management plan.

মলদ্বারে ব্যথার অন্যান্য কারণ / Other Causes of Rectal and Anal Pain — A Complete Guide

Rectal and anal pain has many causes. Accurate diagnosis is essential — self-treatment of the wrong condition is one of the most common reasons patients in Bangladesh experience prolonged suffering. Here is a complete diagnostic guide:

Cause / কারণ	Key Features / প্রধান লক্ষণ	See / আরও জানুন
পায়ুপথে ঘা Anal Fissure	Sharp, burning, cutting pain during and after bowel movement — ‘like passing broken glass’. Pain lasts minutes to hours. Bright red blood on paper. Constipation cycle. Most common cause of severe anal pain.	Anal Fissure →
পাইলস Thrombosed Piles	Sudden severe anal pain from a thrombosed external haemorrhoid — a firm, tender, blue-purple swelling at the anal margin. Pain is constant (not just with bowel movements). Requires urgent treatment.	Piles →
পেরিঅ্যানাল ফোড়া Anorectal Abscess	Throbbing, constant, severe pain around the anus — worsening over days. Swelling, redness, fever. Surgical emergency — requires urgent incision and drainage.	Fistula & Abscess →
মলদ্বার বের হয়ে আসা Rectal Prolapse	Discomfort, pressure and a feeling of fullness — usually not severe pain unless strangulated (emergency). Mucus discharge. Visible tissue protrusion.	Rectal Prolapse →
লেভেটর অ্যানি সিন্ড্রোম Levator Ani Syndrome	Chronic dull ache or pressure high in the rectum or coccyx — lasting 20+ minutes. Worse when sitting. Related to pelvic floor muscle tension. A functional anorectal pain disorder.	Pelvic floor physiotherapy, biofeedback, warm baths, muscle relaxants
কক্সিডিনিয়া Coccydynia	Pain at the coccyx (tailbone) — worsened by sitting, relieved by standing. Often follows a fall or prolonged sitting. Can radiate to the rectum. Treated with NSAIDs, cushion, physiotherapy, coccygeal injection.	Referred pain to rectum from coccyx
কোলন ও রেকটাল ক্যান্সার Rectal Cancer	Rectal pain is usually a late symptom of rectal cancer. More important early signs: rectal bleeding, bowel habit change, weight loss. Pain + bleeding + weight loss = urgent assessment required.	Colon & Rectal Cancer →
ভগন্দর Anal Fistula	Chronic throbbing pain and swelling near the anus — with intermittent discharge of pus. A track connecting a previous abscess to the skin surface.	Fistula →
মলদ্বারে চুলকানি Anal Itching	Intense itching around the anus — may be associated with burning discomfort. Causes: worms (কৃমি), fungal infection, poor hygiene, skin conditions, piles.	Anal Itching →

The most important message: Rectal and anal pain has many causes with very different treatments. The biggest mistake is self-treating the wrong condition. A 10-minute examination by Dr. Nazrul Islam provides a definitive diagnosis — and with the diagnosis comes the right treatment plan.

Frequently Asked Questions / সচরাচর জিজ্ঞাসা

Written as spoken questions for Google Assistant, Siri and voice search in both English and Bengali.

What is proctitis? / প্রক্টাইটিস কী?

Quick answer: Proctitis is inflammation of the lining of the rectum (the last part of the large intestine). It causes rectal pain, urgent frequent need to open the bowels, and often blood and mucus in the stool.

প্রক্টাইটিস (Proctitis) মানে মলদ্বারের শেষ অংশ রেকটামের ভেতরের আবরণে প্রদাহ। এটি কোনো একক রোগ নয় — পাঁচ ধরনের কারণে হতে পারে: IBD (আলসারেটিভ প্রক্টাইটিস), সংক্রমণ, রেডিওথেরাপির পার্শ্বপ্রতিক্রিয়া, রক্ত সরবরাহে সমস্যা বা রাসায়নিক কারণ। প্রতিটি ধরনের চিকিৎসা আলাদা — তাই সঠিক রোগ নির্ণয় অপরিহার্য।

What is proctalgia fugax? / রাতে হঠাৎ মলদ্বারে তীব্র ব্যথা কী?

Quick answer: Proctalgia fugax is sudden, severe, cramping pain deep in the rectum — usually lasting seconds to a few minutes — that then disappears completely. It is caused by muscle spasm and is entirely benign. It is NOT cancer.

Proctalgia fugax হলো মলদ্বার বা পায়ুপথের পেশীর আকস্মিক খিঁচুনি (spasm) থেকে তীব্র ব্যথা। বেশিরভাগ ক্ষেত্রে রাতে ঘুমের মধ্যে হয়, কয়েক সেকেন্ড থেকে কয়েক মিনিট স্থায়ী হয়, তারপর সম্পূর্ণ চলে যায়। এটি কোনো গুরুতর বা বিপজ্জনক রোগের লক্ষণ নয় — ক্যান্সারের সাথে এর কোনো সম্পর্ক নেই। কিন্তু এটি অত্যন্ত ভয়ের কারণ হয় কারণ বাংলাদেশে প্রায় কেউ এ সম্পর্কে জানেন না।

Is rectal pain a sign of cancer? / মলদ্বারে ব্যথা কি ক্যান্সারের লক্ষণ?

Quick answer: Rectal pain alone is rarely a sign of cancer. The most common causes are anal fissure, thrombosed piles, and proctalgia fugax — all benign. Cancer warning signs are: rectal bleeding WITH weight loss, change in bowel habit, and fatigue — not isolated pain.

মলদ্বারে ব্যথার সবচেয়ে সাধারণ কারণগুলো সম্পূর্ণ নিরাময়যোগ্য — পায়ুপথে ঘা, থ্রম্বোজড পাইলস, পেরিঅ্যানাল ফোড়া, প্রক্টাইটিস বা প্রক্টালজিয়া ফিউগ্যাক্স। ক্যান্সারের চিন্তা করার মতো লক্ষণ হলো: পায়খানায় রক্তের সাথে ওজন কমে যাওয়া, ক্লান্তি, পায়খানার অভ্যাসে পরিবর্তন। কোলন ক্যান্সার সম্পর্কে জানুন →

What causes sudden severe rectal pain at night?

Quick answer: Sudden severe rectal pain at night that lasts only seconds to minutes and then completely disappears is almost certainly proctalgia fugax — a benign muscle spasm condition. It is not dangerous and not a sign of cancer.

If the pain lasts longer, is associated with swelling near the anus, or comes with fever — the cause is different and requires urgent assessment. A perianal abscess causes constant throbbing pain with fever. A thrombosed haemorrhoid causes constant pain with a tender swelling. A strangulated rectal prolapse is dark red/purple, hard and very painful. Any of these require same-day or emergency medical attention.

How to treat proctitis? / প্রক্টাইটিসের চিকিৎসা কী?

Quick answer: Treatment depends entirely on the cause. Ulcerative proctitis: mesalazine suppositories. Infectious proctitis: antibiotics or antiparasitic medication. Radiation proctitis: sucralfate enemas, endoscopic treatment. STI proctitis: specific antibiotics.

প্রক্টাইটিসের চিকিৎসা সম্পূর্ণ নির্ভর করে কারণের উপর — তাই স্ব-চিকিৎসা বিপজ্জনক হতে পারে। সিগময়েডোস্কোপি এবং স্টুল কালচারের মাধ্যমে সঠিক কারণ নির্ণয় করে ডা. নজরুল ইসলাম সঠিক চিকিৎসা নির্ধারণ করেন। বেশিরভাগ ক্ষেত্রে সাপোজিটরি বা এনিমা দিয়ে চিকিৎসা সম্ভব — সার্জারির প্রয়োজন হয় না।

মলদ্বারে ব্যথা হলে কী করব? / What should I do for rectal pain in Bangladesh?

Quick answer: Do not self-treat with পাইলস cream or home remedies without a diagnosis. Rectal pain has many causes — the treatment is completely different for each one. See Dr. Nazrul Islam in Dhaka for a 10-minute examination that gives a definitive diagnosis.

মলদ্বারে ব্যথা হলে প্রথমেই পাইলসের ক্রিম বা ওষুধ না খেয়ে একজন কোলোরেক্টাল বিশেষজ্ঞের কাছে যান। ডা. মুহাম্মদ নজরুল ইসলামের ক্লিনিকে ১০ মিনিটের পরীক্ষায় নির্ণয় করা সম্ভব কারণটি পায়ুপথে ঘা, পাইলস, প্রক্টাইটিস, ফোড়া নাকি অন্য কিছু। সঠিক রোগ নির্ণয় ছাড়া মাসের পর মাস ভুল চিকিৎসায় অর্থ ও সময় নষ্ট হয়। কল করুন: +88019 7684 2234

What is radiation proctitis? / রেডিয়েশন প্রক্টাইটিস কী?

Quick answer: Radiation proctitis is inflammation of the rectum that develops after pelvic radiotherapy for cancer (cervical, prostate, rectal or uterine cancer). It is a side effect of treatment — not cancer recurrence.

Pelvic radiotherapy kills cancer cells but also damages the normal rectal lining — causing inflammation, rectal bleeding, diarrhoea and rectal pain. Chronic radiation proctitis develops months to years later — causing rectal bleeding (sometimes severe), stricture and rectal pain.

Treatment options include sucralfate enemas, argon plasma coagulation (APC) through a scope, and in severe cases surgery. If you have had pelvic radiotherapy and have new rectal symptoms — please see Dr. Nazrul before assuming it is cancer recurrence.

মলদ্বারে ব্যথা বা প্রদাহ আছে? / Rectal Pain or Inflammation?

Most causes of rectal pain — proctitis, proctalgia fugax, anal fissure, thrombosed piles — are entirely treatable. The most important step is an accurate diagnosis, because treatment is completely different for each cause. Self-diagnosis and self-treatment of rectal pain in Bangladesh frequently leads to months of delay.

Dr. Muhammad Nazrul Islam — colorectal surgeon, Dhaka — provides diagnosis and treatment for all causes of rectal pain and proctitis. A 10-minute examination typically provides a definitive diagnosis.

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About the Author

Md. Salauddin Biswas

MA in Medical Anthropology (Health and Society in South Asia), University of Heidelberg, Germany

8+ years of public health research at BRAC University and the University of Dhaka. Published in BMC Human Resources for Health (2015) and the American Journal of Advances in Anthropology (2013). Specialisation in healthcare systems and patient behaviour in South Asia.

Medically Reviewed by

Dr. Muhammad Nazrul Islam

FCPS (Surgery) · MS (Colorectal Surgery) · FACS

Colorectal & General Surgeon, Dhaka | Asst. Professor, Shaheed Suhrawardy Medical College & Hospital

20+ years experience · 50,000+ procedures · 300,000+ patients

→ Read Dr. Nazrul’s full profile

Proctitis

Proctitis, Proctocolitis, and Enteritis

Medical Disclaimer: This page is for general patient education only and does not replace professional medical advice, diagnosis or treatment. Rectal pain and proctitis have multiple causes requiring different treatments — please consult Dr. Muhammad Nazrul Islam or a qualified medical professional for personal assessment.