instruction: hi doctor if you perforated your rectum from anal sex would you know within five hours I am feeling more gas than usual
output: hello I read your query and understand your concerns in my opinion any tear involving mucosa can be known to the individual within seconds rather than hours I mean to say that if there is perforation of rectum you will know it within seconds and five hours are not required the symptoms often include excruciating pain at the affected part and tearing sensation I hope this helps