Anal Pain

Pain that occurs in the perianal region (the area around the rectum or anus) is called anal pain. Some of the most common causes of anal pain include constipation, hemorrhoids or piles, diarrhea, anal sex, fecal impaction, ulcerative colitis, trauma, anal fissures, and anal cancer.

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Why do I have anal pain along with diarrhea?

Query: Hi doctor,I have diarrhea since yesterday and I have gone many times. It hurts more and more and I reached a point to have a scare to poop. It hurts a lot even after five to ten minutes of pooping.   Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. You started to have diarrhea from yesterday. It seems to be acute gastroenteritis. It occurs often due to food poisoning and a sudden burst of a large volume of poop. I suggest you start taking oral rehydration therapy (ORS). Add one sachet of ORS in one liter of mi...  Read Full »

Is surgery necessary for anal fissure?

Query: Hi doctor,I have pain while passing stools and I have blood along with it. Sometimes, I have many blood spots on my stool. I consulted a doctor and did a physical examination. He told me that I have an anal fissure. He suggested me to take GTN 0.2% and tablet Brixen. If there is no relief in ten day...  Read Full »


Dr. Lalit Bansal

General Surgeon

Answer: Hi, Welcome to icliniq.com. An anal fissure is a cut in the anal passage. It occurs due to the passage of hard stools. It presents with pain and bleeding in ninety-nine percent of cases. Surgery is not required in most cases. But proper medicines and prevention are necessary to be taken. I sug...  Read Full »

Please suggest treatment for pain in anus and blood loss.

Query: Hi doctor, I have pain in my anus with difficulty in passing stools. I have a huge amount of blood loss.  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. First of all, try to reduce your weight. Most of the time, obesity causes problems. Bleeding while passing stools can occur secondary to anal fissure, hemorrhoids, and rectal ulcer due to difficult defecation. I need to know more about your symptoms for better clari...  Read Full »

Are my symptoms pointing towards Crohn's disease or ulcerative colitis?

Query: Hello doctor, Doctors are switching between whether I have Crohn’s or ulcerative colitis, based on the response to the treatment and medicine. I started Humira last month, but it has come in for my second round, and it is already a month late. I do not know if that worked or not since I am of...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome you to icliniq.com. I know you must be very upset about your ongoing condition. Your symptoms suggest that you have Crohn's disease, not ulcerative colitis. Humira and biological medications like this work for a while before losing effect until the next dose. So yes, if the interva...  Read Full »

Why do I still have pain after four days since passing a hard stool?

Query: Hi doctor, I had hard stools four days back and after that, I am having enormous pain while passing stool every day. I consulted a doctor and he prescribed Ano-metrogyl cream. I used it three to four times a day but there is no relief. I drink Softovac powder at night. My situation is not getting b...  Read Full »


Dr. Mian Shah Yousaf

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. You have developed acute anal fissure due to hard stools and so you are having pain due to it. There are two ways to resolve it. You can use local cream to have relief from pain and to relax your sphincter. You can take medications to soften your stools. I am suggesting...  Read Full »

Is it normal to have anal pain even after 2.5 months of hemorrhoidectomy?

Query: Hi doctor,I had severe burning pressure and pain in the rectum. I used all creams. On MRI, I was diagnosed with a fistula at 6 o'clock. After doing an examination under anesthesia, my doctor did not found a fistula. But I had second-grade internal hemorrhoids at 3 o'clock, 7 o'clock, and 11 o'clock....  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. I have some concerns regarding the operation done while you are having burning and pain in the rectum as hemorrhoid surgery is not required in your case. Initially, it should have been explored with a sigmoidoscopy. As you have done surgery, some pain with narrowing...  Read Full »

Does anal fistula require surgery?

Query: Hello doctor, I am a 27 year old male. I am suffering from anal fistula for the last four years. I get pain in the anal region because of this. I just wanted to know whether this will affect my sexual strength. I am feeling difficult to get a good erection also. I have done a scanning and I am goi...  Read Full »


Dr. Salah Saad Shoman

General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. The curative treatment for fistula is usually surgery. A very few cases of anal fistula heal on its own. You may need an examination under anesthesia prior to the surgery to determine the best surgical plan for your condition. The surgery is performed under general anesth...  Read Full »

What could be the reason for bowel pain and bowel wall thickening?

Query: Hello doctor, I have pain in my bowel. I have had an MRI and the doctor noted that I have bowel wall thickening in my distal colon. Before that, I did a stool test that was negative in Calprotectin and I had a CDSA it showed no inflammation negative for Lactoferrin. No bacterial infection. I also h...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. I can understand you must be very upset about your ill health. So the comprehensive stool analysis is well within normal limits-particularly calprotectin and lactoferrin which are inflammatory markers. Their absence theoretically excludes any inflammation within the b...  Read Full »

Is it normal to have mucus in stools?

Query: Hello doctor,I have been having bowel problems and mild pain outside the anus for the past month. I went to a proctologist who did not see anything and thought it was a skin issue. Also, I have constipation and feeling like I need to pass stools all the time, but only tiny amounts came out. I went t...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello, Welcome to icliniq.com. Well, I agree there is an excessive amount of mucus, and the second photo shows probably a worm from intestinal flukes (attachment removed to protect patient identity). However, an undigested food which you have taken a couple of days back is also a possibility....  Read Full »

What medicines to take for anal pain?

Query: Hello doctor, A few days back, I faced problem with digestion and constipation. I had frequent bowel movement. But, the stool became tight and I had to pressure it out. Now, I feel pain and inflammation in my rectum and it seems that there is some swelling inside. The irritation gets intensified as...  Read Full »


Dr. Bharat Patodiya

Family Physician, General Medicine Physician, General Practitioner, Internal Medicine Physician, Medical Oncologist

Answer: Hi, Welcome to icliniq.com. It appears that due to constipation you have developed the pain of the rectum. Relieve the constipation by taking non-irritative purgative. My favorite is Movicol (Polyethylene glycol) with one glass of water at bedtime for two to three weeks. Rule out other causes of con...  Read Full »

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