Anal Pain: Causes and When to See a Doctor

Anal pain

Hello doctor, I have been experiencing pain in my anus recently, even when I am not having a bowel movement, but there is no blood in my stool.
This condition has lasted less than a week.
What could this be, and which department should I visit at the hospital?

Zhu Zhu, 20~29 year old female. Ask Date: 2016/04/08

Dr. Ke Fangxu reply Surgery

Based on your description, it seems to be an anal fissure.
The typical symptoms include pain during bowel movements accompanied by slight bleeding.
The primary cause of anal fissures is usually hard stools; however, diarrhea, frequent bowel movements, or prolonged straining can also lead to fissures.
It is advisable to improve bowel habits and to take warm sitz baths to alleviate symptoms.
Topical ointments and suppositories can also be used for treatment.
If symptoms persist for more than a week without improvement, it is important to consult a physician to identify the underlying issue.

Reply Date: 2016/04/08

More Info

Anal pain can be a distressing symptom and can arise from various causes. It's essential to understand the potential reasons behind this discomfort and when it is necessary to seek medical attention.

Common Causes of Anal Pain
1. Hemorrhoids: One of the most common causes of anal pain, hemorrhoids are swollen veins in the lower rectum and anus. They can be internal or external and may cause discomfort, itching, and bleeding during bowel movements.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain during and after bowel movements and may also cause bleeding.

3. Abscesses: An anal abscess is a painful condition that occurs when a cavity filled with pus forms near the anus. This can result from an infection and may require drainage.

4. Infections: Various infections, including sexually transmitted infections (STIs), can cause anal pain. Conditions like herpes or human papillomavirus (HPV) can lead to discomfort in the anal region.

5. Skin Conditions: Conditions such as psoriasis or dermatitis can affect the anal area, leading to irritation and pain.

6. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause anal pain due to inflammation in the gastrointestinal tract.

7. Proctalgia Fugax: This is a condition characterized by sudden, severe pain in the rectum that lasts for a few seconds to a few minutes. The exact cause is often unknown.

8. Muscle Spasms: Spasms of the pelvic floor muscles can lead to anal pain, often described as a cramping sensation.

When to See a Doctor
Given that your anal pain has persisted for less than a week and is not accompanied by blood in the stool, it may not be an immediate cause for alarm. However, you should consider seeking medical attention if:
- The pain persists beyond a week.

- You experience significant discomfort that interferes with daily activities.

- You notice any changes in bowel habits, such as diarrhea or constipation.

- You develop additional symptoms, such as fever, swelling, or drainage from the anal area.

- You have a history of gastrointestinal diseases or anal conditions.

Which Specialist to See
For anal pain, the most appropriate specialist to consult is a gastroenterologist or a colorectal surgeon. These professionals are trained to diagnose and treat conditions related to the gastrointestinal tract and the anal region. They can perform a thorough examination, which may include a physical exam and possibly imaging studies or endoscopy, to determine the underlying cause of your pain.

Conclusion
While anal pain can stem from various benign conditions, it is crucial to monitor your symptoms and seek medical advice if they persist or worsen. Early diagnosis and treatment can help alleviate discomfort and prevent potential complications. Remember, it’s always better to err on the side of caution when it comes to health concerns.

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