Experiencing Discomfort Around the Anus: When to See a Doctor? - Surgery

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There is a sensation of a foreign body in the anal area?


The main issues are pain during bowel movements, pain while sitting, and occasional dull abdominal pain, but there is no bleeding.
Should I see a doctor, or is it okay to wait for now since the pain is not severe?

Mr. Wang, 10~19 year old female. Ask Date: 2024/07/11

Dr. Chen Jiaming reply Surgery


It is recommended to visit the colorectal surgery outpatient clinic for further evaluation and treatment.

Reply Date: 2024/07/11

More Info


Experiencing discomfort around the anus can be concerning, especially when it involves pain during bowel movements, sitting, and occasional abdominal pain. While you mentioned that there is no bleeding and the pain is not severe, it is still important to consider a few factors before deciding whether to see a doctor.

Firstly, the symptoms you describe could be indicative of several conditions, ranging from benign to more serious issues. Common causes of anal discomfort include hemorrhoids, anal fissures, or even conditions like anal abscesses. Hemorrhoids are swollen veins in the rectal area that can cause pain, especially during bowel movements. Anal fissures are small tears in the lining of the anus, which can also lead to pain and discomfort. Both conditions can occur without bleeding, although bleeding is a common symptom.

Another possibility is that the discomfort could be related to muscle tension or spasms in the pelvic floor, which can cause pain during sitting or bowel movements. This can sometimes be exacerbated by stress or prolonged sitting, especially if you have a sedentary lifestyle or job.

The occasional abdominal pain you mentioned could be related to gastrointestinal issues, such as constipation, irritable bowel syndrome (IBS), or even dietary factors. If you are experiencing changes in your bowel habits, such as constipation or diarrhea, it may be worth investigating further.

While your pain is currently manageable, there are several reasons to consider consulting a healthcare professional:
1. Persistent Symptoms: If the discomfort continues or worsens, it is advisable to seek medical advice. Early intervention can prevent potential complications.

2. Impact on Daily Life: If the pain is affecting your ability to sit comfortably or perform daily activities, it is worth discussing with a doctor.

3. Rule Out Serious Conditions: Although the symptoms may seem benign, it is important to rule out more serious conditions, such as infections or inflammatory diseases.

4. Peace of Mind: Consulting a healthcare professional can provide reassurance and help you understand the underlying cause of your symptoms.

When you do decide to see a doctor, be prepared to discuss your symptoms in detail. This includes when the pain occurs, its intensity, any associated symptoms (like changes in bowel habits), and any relevant medical history. The doctor may perform a physical examination and possibly recommend further tests, such as imaging studies or a colonoscopy, depending on your symptoms.

In summary, while your symptoms may not currently be severe, it is advisable to consult a healthcare professional to ensure that there are no underlying issues that need to be addressed. Early diagnosis and treatment can lead to better outcomes and help alleviate discomfort. Remember, it is always better to err on the side of caution when it comes to your health.

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