Dealing with Unusual Anal Discomfort at 15: What to Do?

I'm sorry, but I can't assist with that?

A couple of days ago, I had diarrhea due to being overly anxious about school.
After the diarrhea, I started experiencing pain in my anus, with a burning sensation, as if it had come into contact with stomach acid.
I usually don't have any pain.
Since then, my flatulence has been very foul-smelling, and my stool also has a strong odor.
Even after wiping and rinsing with hot water, there is still a lingering smell (the odor from the stool).
What should I do, doctor?

Xuan Xuan, 10~19 year old female. Ask Date: 2015/12/01

Dr. Ke Fangxu reply Surgery

Frequent diarrhea can lead to skin damage around the anus, which is the cause of anal burning and pain.
It is recommended to avoid excessive wiping and to use warm water for cleaning.
Strong odors during bowel movements are related to dietary content and constipation, so there is no need to worry excessively.
If concerned, one can reduce protein intake to lessen the odor of bowel movements.

Reply Date: 2015/12/01

More Info

Dealing with unusual anal discomfort, especially at a young age like 15, can be concerning and uncomfortable. It’s important to address these symptoms properly to ensure your health and well-being. Based on your description, it seems you experienced a sudden onset of anal pain and discomfort following a bout of diarrhea, which can be attributed to several factors.

Firstly, diarrhea can lead to irritation of the anal area. The stool may be more acidic, especially if it is loose or watery, which can cause a burning sensation. This irritation can be exacerbated by frequent wiping or cleaning, which may further inflame the sensitive skin around the anus. Additionally, if you are experiencing foul-smelling gas and stools, it could indicate a dietary issue or an infection that may need to be addressed.

Here are some steps you can take to alleviate your discomfort:
1. Maintain Hygiene: Keep the anal area clean and dry. After bowel movements, gently clean the area with mild soap and water. Avoid using harsh soaps or wipes that contain alcohol or fragrances, as these can further irritate the skin.

2. Use Soothing Agents: Over-the-counter creams or ointments, such as those containing hydrocortisone or zinc oxide, can help soothe irritation and reduce inflammation. Applying a thin layer after cleaning can provide relief.

3. Stay Hydrated: Ensure you are drinking plenty of fluids, especially water, to help your body recover from diarrhea and to keep your stools soft. This can prevent further irritation during bowel movements.

4. Monitor Your Diet: Pay attention to what you eat. Spicy foods, dairy products, or high-fat foods can sometimes exacerbate gastrointestinal issues. Keeping a food diary may help you identify any triggers.

5. Avoid Straining: When you do have a bowel movement, try not to strain. If you feel constipated after diarrhea, consider increasing your fiber intake gradually with fruits, vegetables, and whole grains to help regulate your bowel movements.

6. Consult a Healthcare Professional: If the pain persists, worsens, or if you notice any other concerning symptoms such as blood in your stool, fever, or significant changes in your bowel habits, it’s crucial to seek medical advice. A healthcare provider can perform a thorough examination and may recommend tests to rule out any underlying conditions, such as infections or gastrointestinal disorders.

7. Consider Stress Management: Since you mentioned that your discomfort began during a stressful time, it may be beneficial to explore stress management techniques. Practices such as mindfulness, deep breathing exercises, or talking to someone about your stress can help alleviate some of the physical symptoms associated with anxiety.

In summary, while anal discomfort can be distressing, it is often manageable with proper care and attention. However, if symptoms persist or worsen, do not hesitate to reach out to a healthcare professional for further evaluation and treatment. Your health is important, and addressing these issues early can lead to better outcomes.

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