Anal Pain: Causes, Symptoms, and Treatment Options

Pain around the anal area?

Hello, doctor.
Recently, I visited a clinic due to a feeling of heaviness in my anus.
The doctor diagnosed me with symptoms of internal and external hemorrhoids and advised me to pay more attention to improving my lifestyle.
However, I have recently experienced pain in the skin folds around the anal area, which hurts upon contact and feels somewhat like a burning sensation.
Currently, there is no bleeding during bowel movements, and I haven't noticed any pus.
I would like to ask the doctor: 1.
What could this pain sensation indicate? Is it possibly related to hemorrhoids? 2.
Recently, I have felt some discharge around the anal area, and when I pressed it with tissue, it appeared slightly yellow and transparent.
What could this symptom indicate? 3.
I am primarily focusing on managing my hemorrhoids and have been taking warm sitz baths for about 10 minutes, 2 to 3 times a day.
Is this too much? 4.
Will over-the-counter oral medication like Diasmin help improve these symptoms? I appreciate your guidance, doctor.

Mr. Hong, 30~39 year old female. Ask Date: 2023/06/19

Dr. Ke Fangxu reply Surgery

1.
What issues require a physician's personal examination for diagnosis? Relying solely on written descriptions cannot lead to a definitive diagnosis.
Online consultations cannot replace actual medical evaluations.
It may be related to hemorrhoids, but other conditions cannot be ruled out.
Please seek a physician's examination and treatment as soon as possible to avoid delaying your condition.

2.
It could be mucus secreted from the rectum.

3.
No.

4.
Diasmin is a rare medication used for the treatment of arthritis, while Diosmin is the active ingredient in oral medications for hemorrhoids, derived from various plant extracts.
The manufacturer claims it has anti-inflammatory effects, but I find it difficult to comment on its actual efficacy on this platform.

Reply Date: 2023/06/19

More Info

Understanding anal pain can be complex, as it can stem from various causes, including hemorrhoids, skin irritation, infections, or other underlying conditions. Based on your description, let’s address your concerns systematically.

1. Pain Sensation and Its Relation to Hemorrhoids: The pain you are experiencing, particularly the "burning" sensation when touching the skin around the anal area, could indeed be related to hemorrhoids. Hemorrhoids can cause discomfort and pain, especially if they are external. The skin around the anus can become sensitive due to inflammation or irritation from the hemorrhoids themselves. Additionally, if there are any fissures (small tears) in the anal skin, they can also cause sharp pain, particularly during bowel movements or when touched.

2. Discharge and Its Possible Causes: The presence of a yellowish, transparent discharge could indicate several things. It might be a sign of mucus production, which can occur with hemorrhoids or anal fissures. In some cases, it could also suggest an infection or inflammation in the anal area. If the discharge is accompanied by other symptoms such as itching, swelling, or a foul odor, it would be prudent to consult a healthcare provider for further evaluation.

3. Sitz Baths and Their Frequency: You mentioned that you are taking sitz baths 2-3 times a day for about 10 minutes each. This practice is generally beneficial for hemorrhoid management as it can help soothe the area, reduce inflammation, and promote healing. However, while sitz baths are helpful, excessive bathing can sometimes lead to skin irritation. It’s essential to ensure that the area is dried gently after bathing and to monitor for any signs of increased irritation or discomfort.

4. Use of Diasmin for Symptom Relief: Diasmin is a flavonoid that is often used to treat symptoms associated with hemorrhoids, such as pain and swelling. It works by improving venous tone and reducing inflammation. While it may help alleviate some of your symptoms, it is not a cure for hemorrhoids. It’s essential to combine medication with lifestyle changes, such as increasing fiber intake, staying hydrated, and avoiding prolonged sitting or straining during bowel movements.

In summary, your symptoms could be closely related to hemorrhoids, but the presence of discharge and specific pain sensations warrants further investigation. If your symptoms persist or worsen, or if you notice any new symptoms such as bleeding or significant changes in bowel habits, it is crucial to seek medical attention. A healthcare provider may recommend a physical examination or additional tests to rule out other conditions, such as anal fissures or infections.
Maintaining a healthy lifestyle, including a balanced diet rich in fiber, regular exercise, and proper hydration, can significantly aid in managing and preventing hemorrhoid symptoms. If you have any further questions or concerns, please do not hesitate to reach out to your healthcare provider for personalized advice and treatment options.

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