What could be the reason for recurring anal pain despite taking medications?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Our gut consists of an environment of microorganisms called gut flora. They are responsible for the proper digestion of food. Once this flora is depleted by toxins many gastrointestinal symptoms like loss of appetite, feeling of fullness, bloating, belching, etc can occur. I would suggest you take a good probiotic for two weeks. This will replenish the depleted flora. Once the flora is replenished intestinal motility and secretions will be improved. Along with it, digestive enzymes like papain and amylase can be taken twice daily before taking food for a week. Silymarin, a potent liver tonic can also be taken for a few days.

I suggest you follow a few instructions mentioned below.

1. Include a lot of fiber in your diet. Take 30-40 grams of fiber per day.
2. Have two teaspoons of Ispaghula husk twice daily.
3. Avoid burgers, pizza, over fried or spicy food.
4. Take lots of yogurt in your diet.
5. Avoid smoking or chewing tobacco.

The bacteria in our gut are considered beneficial and help in digesting all kinds of food. These bacteria also influence our maturation, immune system development, metabolism, and production of essential bio compounds. Moreover, it has been proven that some diseases are associated with changes in our gut bacteria. The gastrointestinal tract is a complex system that allows the body to digest and absorb food while moving wastes for excretion. For the intestinal tract to function properly, normal flora must be present. Intestinal flora are types of microorganisms known as probiotics that live normally as part of the intestinal tract. These organisms have several functions that help the body but also gain benefits from their hosts. For example, these microbes reside in the intestinal tract, where they receive nutrients for growth. Intestinal flora are found in both the large and small intestines. Intestinal flora might aid in food digestion to form other components. For example, Lactobacillus acidophilus creates lactic acid and hydrogen peroxide in the intestine during the digestive process as it breaks down food. The resulting products might serve other purposes as well, such as immunity. Additionally, some intestinal flora might help with digestion by breaking down proteins or helping the body digest dairy products.

I suggest you avoid taking certain foods mentioned below:

1. Gas-producing foods like beans, cabbage, cauliflower, peanuts, etc.
2. Dairy products that contain lactose such as ice cream, milk, cheese, and sour cream.
3. Foods and drinks that are high in sugar, especially fruit juice, soda, candy, etc.
4. Foods that are high in fat like red meat, egg yolk, butter, oils, and anything deep-fried.
5. Sorbitol and xylitol are artificial sweeteners found in some sugarless candies and chewing gums.

You may try eliminating these foods or beverages one at a time to see whether symptoms improve. Also, keep a daily record of what you eat and whether you experience problems after eating a particular food item.

Eat slowly, chew your food thoroughly, and have meals in a quiet relaxing environment. Try not to swallow air, which can cause bloating. It is also important to drink six to eight glasses of water daily as water will keep stools soft. Have gentle exercises like walking, cycling, or swimming regularly that helps to maintain bowel regularity. Try to maintain a pleasant environment when you eat. This may reduce the stress that can precipitate symptoms. Do not take medications unnecessarily.

I hope this has helped you.

Thank you.