Discomfort and Odor Near the Anus: Is It Hemorrhoids? - Surgery

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There is a feeling of discomfort in the anus, accompanied by a foul odor resembling that of feces?


I have a question.
Whenever I sit down, I feel a dull, aching sensation around my anus, accompanied by a feeling of moisture and discomfort, as well as a foul odor similar to that of feces.
This happens almost every time I sit.
I visited a doctor who diagnosed me with hemorrhoids, but can hemorrhoids cause these symptoms?

Yang Hong, 10~19 year old female. Ask Date: 2023/10/20

Dr. Ke Fangxu reply Surgery


At this age, there are usually no significant issues, and sphincter function is generally normal.
If there are any discomforting symptoms, topical ointments can be applied, and frequent warm sitz baths may also help alleviate the symptoms.

Reply Date: 2023/10/20

More Info


When experiencing discomfort and odor near the anus, it is understandable to be concerned about the possibility of hemorrhoids or other underlying conditions. Hemorrhoids, which are swollen veins in the lower rectum and anus, can indeed cause a variety of symptoms, including discomfort, itching, and sometimes a sensation of moisture or discharge. However, the specific symptoms you describe—such as a persistent feeling of pressure, a sensation of wetness, and an unpleasant odor—may suggest additional factors at play.

Firstly, it is important to note that hemorrhoids can cause a feeling of fullness or pressure in the anal area, especially when sitting for prolonged periods. This discomfort can be exacerbated by factors such as constipation, straining during bowel movements, or prolonged sitting, which can lead to increased pressure on the rectal veins. The sensation of moisture could be due to mucus discharge, which can occur with hemorrhoids, particularly if there is irritation or inflammation in the area.

The odor you describe, often likened to fecal matter, can be concerning. While hemorrhoids themselves do not typically produce a foul smell, the presence of moisture and potential irritation can lead to bacterial growth, which may contribute to an unpleasant odor. Additionally, if there is any leakage of stool due to anal fissures or other issues, this could also result in a similar smell.

It is also worth considering other potential causes for your symptoms. Conditions such as anal fissures, infections, or skin irritations can lead to discomfort and odor. For example, an anal fissure, which is a small tear in the lining of the anus, can cause significant pain and discomfort, especially during bowel movements. Infections, such as those caused by bacteria or yeast, can also lead to irritation and odor.

If your doctor has diagnosed you with hemorrhoids, it is essential to follow their recommendations for treatment. Common treatments for hemorrhoids include lifestyle modifications, such as increasing fiber intake to prevent constipation, staying hydrated, and avoiding prolonged sitting. Over-the-counter topical treatments may also provide relief from symptoms.

However, if your symptoms persist or worsen, it is crucial to seek further medical evaluation. A healthcare professional may perform a physical examination and possibly recommend additional tests to rule out other conditions. It is important to communicate openly with your doctor about all your symptoms, including the odor and any other discomfort you are experiencing.

In summary, while hemorrhoids can cause discomfort and may contribute to the symptoms you describe, it is essential to consider other potential causes as well. Maintaining good hygiene, following your doctor's advice, and seeking further evaluation if necessary can help address your concerns and improve your quality of life. Remember, it is always better to err on the side of caution when it comes to your health, so do not hesitate to reach out to your healthcare provider for further guidance.

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