Anal Discomfort After Constipation: When to Seek Help - Surgery

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Constipation and anal issues?


Hello doctor, I would like to ask about a situation I experienced.
After being constipated and having a difficult bowel movement the other day, I noticed some bleeding from my anus.
Since then, I've been experiencing some pain and itching, with the itching being more pronounced.
Should I go to a clinic to see a doctor, or would it be sufficient to buy an ointment at the pharmacy to apply?

Xiao Yu, 20~29 year old female. Ask Date: 2015/07/01

Dr. Ke Fangxu reply Surgery


First, go to the pharmacy and buy hemorrhoid ointment.
Based on your description, it seems to be a minor anal fissure.
Apply the ointment and avoid constipation; it should improve in two to three days.
If the symptoms persist for a week without improvement, you should see a doctor for evaluation!

Reply Date: 2015/07/01

More Info


Experiencing anal discomfort after constipation can be quite distressing, and it's important to understand the potential causes and when to seek medical help. Based on your description, it sounds like you may be dealing with a few common issues related to constipation, such as anal fissures, hemorrhoids, or irritation of the anal area.

When you experience constipation, the stool can become hard and difficult to pass. Straining during bowel movements can lead to small tears in the skin around the anus, known as anal fissures. These fissures can cause bleeding, pain, and itching. Hemorrhoids, which are swollen blood vessels in the rectal area, can also develop due to straining and can lead to similar symptoms, including bleeding and discomfort.

In your case, since you mentioned that there was some bleeding and ongoing pain and itching after a bout of constipation, it is advisable to seek medical attention. Here are a few reasons why:
1. Assessment of Symptoms: A healthcare provider can perform a thorough examination to determine the exact cause of your symptoms. They can differentiate between conditions like fissures, hemorrhoids, or other potential issues that may require different treatments.

2. Treatment Options: While over-the-counter creams and ointments may provide temporary relief for itching or discomfort, they may not address the underlying cause of your symptoms. A doctor can prescribe medications or recommend treatments that are more effective for your specific condition.

3. Preventing Complications: If the bleeding is significant or if you experience severe pain, it’s crucial to get evaluated to rule out more serious conditions. Persistent bleeding, especially if it’s bright red, should not be ignored, as it can indicate a more serious issue.

4. Long-term Management: If constipation is a recurring issue for you, a healthcare provider can help you develop a plan to manage it effectively. This may include dietary changes, increased fluid intake, and possibly the use of laxatives or stool softeners.

5. Education and Support: A healthcare professional can provide you with information on how to prevent future episodes of constipation and associated discomfort. They can guide you on lifestyle changes that can help maintain regular bowel movements and reduce the risk of anal discomfort.

In summary, while it may be tempting to self-treat with over-the-counter products, your symptoms warrant a visit to a healthcare provider. They can provide a proper diagnosis and treatment plan tailored to your needs. Remember, it’s always better to err on the side of caution when it comes to your health, especially when experiencing symptoms like bleeding and pain. Taking proactive steps now can help ensure your comfort and well-being in the future.

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