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


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



Welcome to

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.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
How can anal fissure be treated?

For fissures, the following remedies work wonders: Sitz bath thrice a day for 15 minutes each time ... Sitz bath means you should sit in a tub of lukewarm water ......   Read full

I get anal pain due to a flap in anal region. Why do I get this pain?

The pain is due to an underlying fissure, or simply a crack at the anal opening ... Also, topical medicines to apply at the anal orifice will also help in relieving the acute pain ......   Read full

I have anal pain even two weeks after a piles surgery. Is it normal?

Still, I have pain in the anal area during bowel movements ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.