Q. I have diarrhea, and anal pain increases every time I poop. Please help.

Answered by
Dr. Ajeet Kumar
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 08, 2020 and last reviewed on: Apr 09, 2021

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.



Welcome to

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 mineral water or boiled water. Take 200 to 300 ml each time while having loose bowel. This helps to replenish your salt in the body and it helps to decrease diarrhea. Antibiotics are not needed in cases of acute diarrhea except in cases of blood in stools. You can take tablet Lomotil (Diphenoxylate hydrochloride with Atropine) two tablets thrice a day and do not take them for more than three days.

Treatment plan:

Take oral rehydration therapy (ORS). Add one sachet of ORS in one liter of mineral water or boiled water and take 200 to 300 ml each time while having loose bowel. You can take tabler Lomotil (Diphenoxylate hydrochloride with Atropine) two tablets thrice a day.

Regarding follow up:

Have a follow-up after 48 hours.

Thank you doctor,

I am concerned more about the pain. I have been taking ORS but there is pain. Please help.



Welcome back to

I understand your situation. You have pain due to the forceful contraction of the bowel wall. It causes spasms and it is a protective response to remove toxins within your gut. Lomotil works well for pain. It contains an opioid drug that is commonly used as a painkiller. Use ORS with Lomotil. If you have pain after 24 hours, then you can take Tramadol 100 mg. It helps to reduce pain.

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