HomeAnswersMedical Gastroenterologyanal bleedingI am experiencing pain and bleeding while pooping after joining the gym. What should I do?

What are the methods to overcome anal bleeding and fissures?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ramesh Kumar S

Medically reviewed by

iCliniq medical review team

Published At October 20, 2023
Reviewed AtOctober 20, 2023

Patient's Query

Hello doctor.

I am a 20-year-old male and have a lot of anal discomfort while passing stools. I feel that there are some fissures and that blood occasionally comes out. This is something I have noticed since attending the gym. It occurred to me previously when I attended a gym for a month and quit. There was a lot of discomfort in the first week after quitting the gym, but it ultimately got better and fixed itself. I returned to the gym today and am experiencing identical discomfort as before, as well as a slight crack sensation in my anus. Please offer a good medication or cream that can hasten the condition's recovery. Due to my tiny stature, I also do not want to leave the gym. I started going to the gym a month ago and had a lot of anal soreness, anus-cracking feelings, and even blood pouring out after passing the stools. It progressively got better, but I just started going to the gym again and am having the same symptoms.

Please help

Answered by Dr. Ramesh Kumar S

Hello,

Welcome to icliniq.com.

A quick explanation of what pus is and what it means will assist you in better comprehending the severity of your situation before moving on to complications. Pus is a thick, white-to-yellowish substance that typically develops as an aftereffect of bacterial infections and is mostly made up of dead cells. Pus is a byproduct of the decomposition and death of the inflammatory cells involved in the body's immunological response at the site of an infection. Abscesses develop when pus accumulates in the tissues' small crevices. Pus formation and discomfort signify an active bacterial infection. The problem is that pus growth makes antibiotics ineffective. The only treatment that can be helpful besides surgery is routine abscess pus drainage. An anal fistula is a chronic abnormal communication between the epithelialized surface of the anal canal and the perianal skin, In layman's language it is a breach of external skin and this breach results in direct communication of your anal canal with the external environment and pathogens. It can be a potential source of infection if left untreated. It is just like an open wound where the skin is breached. This break in the skin provides a route for the germs to travel from the outside to the inside. Even the pus inside the fistula can spread further leading to the formation of multiple tracts and several openings in the skin around the anus. This makes the fistula more complex and further difficult to treat. There is a risk, though low, of cancer formation in the long-standing anal fistulas. Therefore, Fistulas should always be treated at the earliest. If somehow the bacteria come in contact with blood this may result even in life-threatening conditions like sepsis also. The mortality rate of patients landing up in shock due to sepsis is as high as 90 %. Pus should be drained out regularly if possible every alternate day. Mupirocin antibiotics should be used twice daily locally over the area. Proper hygiene should be maintained, Any oozing pus, etc should be cleaned up immediately. As recommended by your gastroenterologist, any broad-spectrum antibiotic, such as Cefixime, should be used in small preventive dosages. To increase immunity, try eating a nutritious diet and supplementing with natural antioxidants regularly. Analgesics can be used as needed to treat pain. Every day, the abscess region has to be cleaned with a Betadine solution. An abscess will heal and dissolve as long as it is sufficiently drained and the right antibiotic regimen is administered. Take Folic acid and vitamin C pills, these help the body repair wounds. In response to your question, sepsis cannot be predicted, it is a matter of probability. Because our blood vessels have a natural barrier layer that prevents germs from entering, sepsis can occur if pus or bacteria accidentally come into touch with a bleeding mucosa or a damaged vessel.

Thank you and take care.

Regards

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ramesh Kumar S

Dr. Ramesh Kumar S

Medical Gastroenterology

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