Anal Pain: Symptoms, Causes, and When to See a Doctor

Q: Anal Pain: Symptoms, Causes, and When to See a Doctor

Hello： In response to your question, anal pain accompanied by a burning sensation is generally a symptom of hemorrhoids or anal fissures, but it usually comes with bleeding. <br>If there is persistent diarrhea, it could be exacerbated irritable bowel syndrome or caused by lactose

Anal pain?

A week ago, I suddenly experienced pain in my anus, which feels somewhat hot and painful.
I've had a constant urge to have a bowel movement, and for the past few days, my stools have been loose, resembling diarrhea.
There hasn't been any bleeding from the anus.
I have a history of irritable bowel syndrome, which fluctuates, but I've never experienced this before.
Is this a sign of hemorrhoids? If I need to see a doctor, should I go to an internist or a surgeon? Thank you for your help.

Miss Lin, 20~29 year old female. Ask Date: 2004/07/20

Dr. Ke Fangxu reply Surgery

Hello: In response to your question, anal pain accompanied by a burning sensation is generally a symptom of hemorrhoids or anal fissures, but it usually comes with bleeding.
If there is persistent diarrhea, it could be exacerbated irritable bowel syndrome or caused by lactose intolerance leading to watery stools.
It's important to consider any dietary changes.
If everything seems normal compared to your usual diet, it would be advisable to consult a colorectal surgeon to examine the anal area and determine the underlying cause.

Reply Date: 2004/07/20

More Info

Anal pain can be a distressing symptom and may arise from various causes, including hemorrhoids, anal fissures, infections, or conditions related to irritable bowel syndrome (IBS). Given your description of sudden anal pain accompanied by a sensation of heat, frequent urges to defecate, and loose stools, it is essential to consider several factors to determine the underlying cause.

Symptoms and Possible Causes
1. Hemorrhoids: Hemorrhoids are swollen veins in the lower rectum and anus that can cause pain, discomfort, and a feeling of fullness. They can be internal or external. Symptoms often include itching, swelling, and pain, especially during bowel movements. The absence of blood in your stool is a positive sign, but hemorrhoids can still be present without bleeding.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. They can lead to sharp pain during and after bowel movements, and may also cause a burning sensation. However, fissures typically present with some bleeding.

3. Infections: Anal abscesses or infections can cause localized pain and a feeling of warmth. If there is swelling or pus, it may indicate an infection that requires medical attention.

4. Irritable Bowel Syndrome (IBS): Since you mentioned having IBS, it is possible that your symptoms are related to this condition. IBS can cause changes in bowel habits, including diarrhea, which may lead to irritation and discomfort in the anal area.

5. Other Conditions: Other potential causes could include skin conditions, inflammatory bowel disease (IBD), or even referred pain from other gastrointestinal issues.

When to See a Doctor
You should consider seeing a doctor if:
- The pain persists or worsens.

- You experience significant changes in bowel habits (e.g., prolonged diarrhea or constipation).

- You notice any bleeding, discharge, or unusual changes in the anal area.

- You develop fever or other systemic symptoms.

Which Specialist to See
For your symptoms, it is advisable to consult a gastroenterologist or a colorectal surgeon. A gastroenterologist specializes in digestive system disorders, including IBS, while a colorectal surgeon can address issues related to the anus and rectum, such as hemorrhoids and fissures.

Diagnostic Approach
During your visit, the doctor may perform a physical examination and possibly a digital rectal exam to assess for hemorrhoids or fissures. They may also inquire about your bowel habits, diet, and any other symptoms you may have. Depending on the findings, further tests such as a colonoscopy may be recommended to rule out other conditions.

Conclusion
In summary, while your symptoms could suggest hemorrhoids or be related to your IBS, it is essential to seek medical advice for a proper diagnosis and treatment plan. Early intervention can help alleviate discomfort and prevent complications. Remember to maintain a healthy diet rich in fiber, stay hydrated, and avoid straining during bowel movements to help manage your symptoms.

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