What could be the reason for anal pain and burning sensation while passing stool?

Hello,

Welcome to icliniq.com.

Thanks for your consultation.

I have reviewed your case history and the attached image (attachment removed for patient identity protection).

As per your history, this seems to be a small anal fissure or erosion, which causes pain or uncomfortable conditions. While you pass stools, it remains there for a while and will slowly improve.

1) You can take a large tub, fill it with warm water, put some antiseptic solution, and sit there for 10 to 15 minutes twice daily. This is known as warm water sit baths, a treatment for anal fissures.

2) You can apply a small amount of Lidocaine gel (local anesthesia gel) at the anal verge and slightly inside with the tip of your finger five to ten minutes before passing stools, it will cause numbness at the anal verge, and you will not feel pain. You can use this even after passing stools to avoid uncomfortable feelings or pain on the anal verge.

3) Avoid constipation or excessive straining and avoid diarrhea. You should pass soft stools daily without effort or extra pressure at the anal verge.

4) Do this for one to two weeks, and your symptoms will disappear. If it does not improve, you will need a physical examination by a nearby gastroenterologist before starting another ointment known as Glyceryl Trinitrate (GTN) rectal ointment for local application at the anal verge twice daily after passing stools.

Thank you.