Anal Pain: Causes and When to See a Doctor - Gastroenterology and Hepatology

Anal pain

Hello doctor, for the past couple of days, I've been experiencing some pain near the perineal area around my anus.
Today, after I started eating, I developed diarrhea.
Recently, I've been staying up late studying for midterms, and I'm not sure if that has anything to do with it.
When I touch the area, it feels a bit numb, but I can't feel any lumps or protrusions.
Could you please help me understand what might be causing this and whether I should see a doctor immediately? Thank you!

S, 10~19 year old female. Ask Date: 2010/11/03

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello,
1.
Common causes of anal pain include hemorrhoids and inflammation.
Severe diarrhea can sometimes exacerbate hemorrhoids (which may not always be palpable), worsen anal fissures, or lead to inflammation of the anal skin.

2.
Stress, lack of sleep, irregular diet, or infections can affect bowel function, leading to diarrhea.
It is recommended to avoid spicy foods and irritants, and to stay hydrated, especially during episodes of diarrhea.
If anal pain persists, it is advisable to consult a physician.

Wishing you good health,
Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health.

Reply Date: 2010/11/03

More Info

Anal pain can be a distressing symptom and may arise from various causes. Given your description of pain near the anal area, along with diarrhea and a tingling sensation, it’s important to consider several potential factors that could be contributing to your discomfort.

Possible Causes of Anal Pain
1. Hemorrhoids: One of the most common causes of anal pain is hemorrhoids, which are swollen veins in the rectal area. They can cause discomfort, especially during bowel movements, and may be associated with itching or bleeding.

2. Anal Fissures: These are small tears in the lining of the anus, often resulting from passing hard stools. They can cause sharp pain during and after bowel movements and may lead to a sensation of burning.

3. Infections: Infections in the anal area, such as abscesses or sexually transmitted infections, can cause pain and discomfort. If there is any swelling, redness, or discharge, this could indicate an infection.

4. Skin Conditions: Conditions like dermatitis or psoriasis can affect the anal area and lead to pain or irritation.

5. Gastrointestinal Issues: Your recent diarrhea could be related to gastrointestinal disturbances, which can cause referred pain to the anal area. Stress from studying for exams can also exacerbate gastrointestinal symptoms.

6. Muscle Strain: Prolonged sitting or straining during bowel movements can lead to muscle strain in the pelvic area, resulting in pain.

When to See a Doctor
Given your symptoms, it is advisable to consult a healthcare professional, especially if:
- The pain persists or worsens.

- You notice any bleeding or discharge from the anus.

- You experience significant changes in bowel habits, such as prolonged diarrhea or constipation.

- You have fever or other systemic symptoms.

- The tingling sensation does not resolve or is accompanied by other neurological symptoms.

Recommendations
1. Self-Care: In the meantime, consider warm sitz baths, which can help soothe anal pain. Over-the-counter topical treatments for hemorrhoids may also provide relief if that is a contributing factor.

2. Dietary Adjustments: Ensure you are consuming a high-fiber diet to prevent constipation and reduce straining during bowel movements. Staying hydrated is also crucial.

3. Stress Management: Since you mentioned that you have been studying late for exams, try to incorporate stress-relief techniques such as mindfulness or relaxation exercises, as stress can impact gastrointestinal health.

4. Monitor Symptoms: Keep track of your symptoms, including any changes in bowel habits, the nature of the pain, and any other associated symptoms. This information will be helpful for your healthcare provider.

In conclusion, while anal pain can arise from various benign conditions, it is essential to seek medical advice to rule out any serious underlying issues, especially given the recent onset of diarrhea and the discomfort you are experiencing. A healthcare provider can perform a thorough examination and recommend appropriate tests or treatments based on your specific situation.

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