Pain Around the Anus: Causes and Treatment Options

Burning pain around the anal area and genital issues?

Hello, I would like to ask about recent pain in the skin near the vulva and anus.
It feels like pain from peeling and abrasions.
I have been applying Mentholatum and Vaseline, but the condition fluctuates and does not improve completely.
Am I sick? Which specialist should I see, or what ointment should I use? Thank you.

Xiao Mi, 50~59 year old female. Ask Date: 2024/04/09

Dr. Chen Bingze reply Surgery

Hello, it is advisable to have a colorectal surgeon examine the skin in that area for any issues.

Reply Date: 2024/04/09

More Info

Pain around the anus and the surrounding areas can be caused by a variety of factors, and understanding the underlying causes is essential for effective treatment. Based on your description of experiencing pain, peeling skin, and discomfort in the area near the anus, there are several potential causes to consider.

Possible Causes
1. Skin Irritation or Dermatitis: This is one of the most common causes of pain and discomfort in the anal region. It can result from excessive moisture, friction, or contact with irritants such as soaps, detergents, or even certain fabrics. Conditions like eczema or contact dermatitis can also lead to peeling and discomfort.

2. Hemorrhoids: Swollen blood vessels in the rectal area can cause pain, itching, and discomfort. Hemorrhoids can be external or internal, and they may lead to symptoms such as bleeding during bowel movements.

3. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can be very painful and may cause bleeding. Fissures can lead to a cycle of pain and constipation, making the condition worse.

4. Infections: Fungal infections, sexually transmitted infections (STIs), or bacterial infections can cause pain and irritation in the anal area. Conditions like candidiasis or herpes can lead to discomfort and require specific treatments.

5. Skin Conditions: Conditions such as psoriasis or fungal infections can also affect the skin around the anus, leading to peeling and discomfort.

6. Pinworms: Particularly in children, pinworms can cause itching and discomfort around the anus, especially at night.

Treatment Options
1. Topical Treatments: Over-the-counter creams such as hydrocortisone cream can help reduce inflammation and itching. If you suspect a fungal infection, antifungal creams may be beneficial. However, it’s essential to avoid using products that may further irritate the skin.

2. Hygiene Practices: Maintaining good hygiene is crucial. Gently clean the area with mild soap and water, and avoid harsh soaps or scrubbing. Pat the area dry instead of rubbing.

3. Dietary Changes: If constipation is a contributing factor, increasing fiber intake and staying hydrated can help soften stools and reduce straining during bowel movements.

4. Warm Baths: Soaking in a warm bath can provide relief from pain and discomfort. This can help soothe the area and promote healing.

5. Avoid Irritants: Identify and avoid any potential irritants, such as certain soaps, laundry detergents, or fabrics that may be causing the irritation.

When to See a Doctor
If the pain persists despite home treatments, or if you notice additional symptoms such as bleeding, severe pain, or signs of infection (such as pus or increased redness), it is essential to consult a healthcare professional. You may want to see a dermatologist for skin-related issues or a gastroenterologist for gastrointestinal concerns.

Conclusion
In summary, pain around the anus can arise from various causes, including skin irritation, hemorrhoids, anal fissures, infections, and more. While home treatments may provide temporary relief, it is crucial to monitor your symptoms and seek medical advice if they persist or worsen. A healthcare provider can offer a proper diagnosis and recommend appropriate treatments tailored to your specific condition.

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