Anal Discomfort: When to Seek Medical Advice

Q: Anal Discomfort: When to Seek Medical Advice

Hello： Your condition may be an acute anal fissure caused by constipation, primarily due to hard stools passing through the anus, which can injure the anal sphincter due to straining. <br>Typically, conservative treatment is the main approach, and surgery is usually not required.

Anal issues

I have been experiencing some constipation recently, and for the past few days, I've noticed that the skin at the junction of my buttocks is painful when pressed or touched, almost like it's chafed.
What could this be? Do I need to see a doctor? Thank you.

Teresawu, 20~29 year old female. Ask Date: 2022/07/03

Dr. Lin Zhebin reply Family Medicine

Hello: Your condition may be an acute anal fissure caused by constipation, primarily due to hard stools passing through the anus, which can injure the anal sphincter due to straining.
Typically, conservative treatment is the main approach, and surgery is usually not required.
It is recommended that you increase your intake of fruits and vegetables and ensure adequate hydration to soften the stools and facilitate bowel movements.
If constipation persists, consider using stool softeners and laxatives.
Additionally, warm sitz baths and topical ointments can help relax the anal sphincter and alleviate pain.
If anal pain continues without improvement or if there is bleeding, it is advisable to seek medical attention from a colorectal surgeon.

Reply Date: 2022/07/03

More Info

Experiencing anal discomfort, especially when accompanied by symptoms like pain during touch or pressure, can be concerning and warrants attention. Based on your description, it sounds like you may be dealing with a few potential issues, such as anal fissures, hemorrhoids, or even skin irritation due to constipation.
Anal fissures are small tears in the lining of the anus, often caused by passing hard stools, which can lead to pain and discomfort during bowel movements. They can also cause a burning sensation and may bleed slightly. Hemorrhoids, on the other hand, are swollen veins in the lower rectum and anus that can cause pain, itching, and discomfort. They can be internal or external, and external hemorrhoids can sometimes become thrombosed, leading to significant pain and swelling. Skin irritation can occur if there is excessive moisture or friction in the area, especially if you're experiencing constipation and straining during bowel movements.

Given that you mentioned experiencing constipation, it’s important to address this issue as it can exacerbate the discomfort you're feeling. Increasing your fiber intake through fruits, vegetables, and whole grains, along with staying well-hydrated, can help soften your stools and make bowel movements easier. Over-the-counter stool softeners or laxatives may also be beneficial, but it’s best to consult with a healthcare provider before starting any new medication.

As for whether you should see a doctor, it is advisable to seek medical attention if:
1. The pain persists or worsens.

2. You notice any bleeding that is more than just a small amount or if it continues over several days.

3. You experience any changes in bowel habits, such as prolonged constipation or diarrhea.

4. You have any other concerning symptoms, such as fever or significant weight loss.

A healthcare professional can perform a thorough examination to determine the underlying cause of your discomfort and recommend appropriate treatment. They may suggest topical treatments for pain relief, dietary changes to alleviate constipation, or other interventions depending on the diagnosis.

In summary, while some anal discomfort can be common and related to benign issues like constipation, it’s important to pay attention to your body’s signals. If the pain is significant or accompanied by other concerning symptoms, don’t hesitate to reach out to a healthcare provider for a proper evaluation and treatment plan. Your health and comfort are paramount, and seeking help is a proactive step towards feeling better.

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