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Embarrassing question - severe rectal pain

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Anyone have severe rectal pain? I have been to Urgent care 2 times and the ER once cause Urgent care had no female on call. No hemorrhoids on the outside so what is wrong? They always give me numbing cream, tell me to add more fiber take Colace, pain meds and anusol. THEY do not help the pain go away.
My PC has put in a referral for a GI, but I think I need a Colorectal doctor.
Wht won't they fix this?

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