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Q. What can cause pain during defecation in a 21-year-old?

Answered by
Dr. Navajith A. Mani
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 30, 2022

Hi,

I am 21-year-old and feel pain during defecation. I think it is due to the piles problem. Please suggest some treatment.

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Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

I feel sorry that you have to suffer but do not worry, I will help you get better.

Anal fissures are common in those with a history of constipation or hard stools, low fiber diet, trauma, and previous anal surgery. Anal fissures can be acute (lasting less than six weeks) or chronic (more than six weeks).

The majority of anal fissures occur at either the posterior or anterior midline. Therefore, the initial treatment of anal fissures is with medical interventions.

I suggest taking frequent sitz baths, analgesics, stool softeners, and a high-fiber diet.

If conservative management with dietary changes and laxatives fails, other options can be used like topical analgesics such as-

1. 2 % Lidocaine jelly.

2. Topical Nifedipine- It works by reducing anal sphincter tone, promoting blood flow and faster healing.

3. Topical Nitroglycerin- It acts as a vasodilator to encourage increased blood flow to the fissure area, increasing the rate of healing.

4. A combination of topical Nifedipine and Lidocaine compounded by another medication.

Thank you.


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