Anal Pain: Causes and When to Seek Medical Help - Gastroenterology and Hepatology

Q: Anal Pain: Causes and When to Seek Medical Help

Hello, Mr. <br>Xiao Zhan： There may be an issue with the rectum or it could simply be a functional abnormality. <br>You can schedule an appointment with the gastroenterology or colorectal surgery department to undergo a rectoscopy or sigmoidoscopy. <br>Changhua Hospital cares abo

Anal pain or discomfort?

Hello, I occasionally experience pain and a tight sensation in my anus.
What could be the cause of this? Which specialist should I consult? Thank you.

Xiao Zhan, 30~39 year old female. Ask Date: 2014/03/29

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Mr.
Xiao Zhan: There may be an issue with the rectum or it could simply be a functional abnormality.
You can schedule an appointment with the gastroenterology or colorectal surgery department to undergo a rectoscopy or sigmoidoscopy.
Changhua Hospital cares about your health.

Reply Date: 2014/03/29

More Info

Anal pain can be a distressing symptom that may arise from various underlying causes. Understanding the potential reasons for this discomfort is essential for determining when to seek medical help and which specialist to consult.

Common Causes of Anal Pain
1. Hemorrhoids: One of the most common causes of anal pain is hemorrhoids, which are swollen blood vessels in the rectal area. They can cause pain, itching, and bleeding, especially during bowel movements.

2. Anal Fissures: These are small tears in the lining of the anus, often caused by passing hard stools. Fissures can lead to sharp pain during and after bowel movements, along with bleeding.

3. Infections: Infections in the anal area, such as abscesses or sexually transmitted infections, can cause significant pain and discomfort. Symptoms may include swelling, redness, and discharge.

4. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can lead to inflammation in the gastrointestinal tract, including the anal area, resulting in pain and discomfort.

5. Proctalgia Fugax: This is a condition characterized by sudden, severe pain in the anal area that lasts for a few seconds to minutes. The exact cause is often unknown, but it may be related to muscle spasms.

6. Pelvic Floor Dysfunction: Issues with the muscles in the pelvic floor can lead to pain in the anal region. This can be associated with constipation, straining, or previous pelvic surgeries.

7. Skin Conditions: Conditions such as psoriasis or eczema can affect the anal area, leading to irritation and pain.

When to Seek Medical Help
You should consider seeking medical attention if:
- The pain is severe and persistent.

- You experience bleeding from the anus.

- There are changes in bowel habits, such as diarrhea or constipation.

- You notice any unusual lumps or swelling in the anal area.

- You have accompanying symptoms like fever, chills, or unexplained weight loss.

Which Specialist to Consult
For anal pain, the most appropriate specialist to consult is a gastroenterologist or a colorectal surgeon. These professionals specialize in disorders of the gastrointestinal tract and can provide a thorough evaluation and appropriate treatment options. If the pain is associated with skin issues, a dermatologist may also be consulted.

Diagnostic Approach
When you visit a healthcare provider, they will likely conduct a detailed medical history and physical examination. They may perform a digital rectal exam to assess for hemorrhoids, fissures, or other abnormalities. Depending on the findings, further diagnostic tests such as an anoscopy, sigmoidoscopy, or colonoscopy may be recommended to evaluate the underlying cause of the pain.

Conclusion
Anal pain can stem from a variety of causes, ranging from benign conditions like hemorrhoids to more serious issues like inflammatory bowel disease. Understanding the potential causes and recognizing when to seek medical help is crucial for effective management. If you experience persistent or severe pain, do not hesitate to consult a gastroenterologist or colorectal surgeon for a comprehensive evaluation and tailored treatment plan. Early intervention can lead to better outcomes and relief from discomfort.

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