Injury to the Rectum and Vagina: Care Instructions

Overview

Injury to the rectum and vagina can cause many problems. These problems may include rectal or vaginal bleeding, infection, constipation, pain, or leaking of stool. The injury can be caused by an accident, childbirth, or physical or sexual abuse.

Medicines can treat pain. They can also prevent infection. Surgery may be needed to treat severe injuries.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and contact your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

• Be safe with medicines. Read and follow all instructions on the label.
  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
  • If the doctor gave you a prescription medicine for pain, take it as prescribed.
  • Store your prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.
• If your doctor suggests, sit in a few inches of water (sitz bath) 3 times a day and after bowel movements. The warm water helps with pain and itching.
• Try cleansing yourself with a gentle squeeze of warm water from a bottle instead of wiping with toilet paper.
• Ask your doctor when it is okay for you to have sex.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

• You passed out (lost consciousness).
• You feel that you are in danger.

Contact your doctor now or seek immediate medical care if:

• You have new or worse rectal or vaginal bleeding.
• You are dizzy or lightheaded, or you feel like you may faint.
• You have a fever.
• You have sudden, severe pain in your belly or pelvis.

Watch closely for changes in your health, and be sure to contact your doctor if:

• You need support for domestic violence or sexual abuse.
• You do not get better as expected.