and Managing Friction Pain in the Anal Area - Surgery

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Friction pain


The hot weather causes sweating while walking, leading to friction pain around the anal area, similar to a feeling of chafing.
What could be the reason for this, and are there any solutions or ways to improve the situation? (I had a hemorrhoid surgery about 9 months ago.)

OO, 20~29 year old female. Ask Date: 2016/04/12

Dr. Ke Fangxu reply Surgery


If the skin is simply scraped due to friction, applying an ointment like petroleum jelly to reduce friction is sufficient.
However, to determine if there are any other issues (such as fistula recurrence or skin inflammation), a medical evaluation by a physician is necessary.

Reply Date: 2016/04/12

More Info


Friction pain in the anal area, especially during hot weather when sweating occurs, can be quite uncomfortable and is often caused by a combination of moisture, friction, and skin irritation. This condition can be exacerbated by activities that involve prolonged sitting or walking, particularly in warm and humid conditions. The sensation you describe, similar to a "broken skin" feeling, may indicate that the skin in that area is becoming irritated or inflamed due to friction and moisture.

Several factors can contribute to this type of discomfort:
1. Moisture and Sweat: Excessive sweating can lead to maceration of the skin, which makes it more susceptible to irritation and friction. The moisture can also create an environment conducive to bacterial or fungal infections, which can further irritate the skin.

2. Friction: Activities such as walking, running, or even sitting for extended periods can cause friction between the skin and clothing, leading to irritation. This is particularly common in individuals who may have excess skin folds or who are overweight.

3. Previous Surgery: Since you mentioned having undergone surgery in the anal area about nine months ago, it is possible that the surgical site is still sensitive or has not fully healed, making it more prone to irritation.

To manage and alleviate this friction pain, consider the following strategies:
1. Hygiene: Maintain good hygiene by keeping the area clean and dry. After sweating, gently clean the area with mild soap and water, and pat it dry. Avoid harsh soaps or products that can further irritate the skin.

2. Moisture Control: Use moisture-wicking underwear and clothing to help keep the area dry. You might also consider using absorbent powders, such as talcum powder or cornstarch, to reduce moisture and friction.

3. Barrier Creams: Applying a barrier cream or ointment, such as zinc oxide or petroleum jelly, can help protect the skin from friction and moisture. These products create a protective layer that can reduce irritation.

4. Avoid Tight Clothing: Wear loose-fitting clothing to minimize friction and allow for better airflow around the anal area. This can help reduce sweating and irritation.

5. Stay Cool: Try to stay in cool environments when possible, and take breaks to allow your skin to breathe, especially during hot weather.

6. Consult a Healthcare Provider: If the pain persists or worsens, or if you notice any signs of infection (such as increased redness, swelling, or discharge), it is important to consult a healthcare provider. They can assess the area for any underlying issues and recommend appropriate treatments.

7. Consider Dietary Changes: Sometimes, dietary factors can contribute to anal discomfort. Ensure you are consuming a balanced diet rich in fiber to prevent constipation, which can exacerbate anal pain.

In summary, friction pain in the anal area can be managed effectively through good hygiene practices, moisture control, and protective measures. If symptoms persist, seeking medical advice is essential to rule out any complications related to your previous surgery or other underlying conditions.

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