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Why do I feel slight anal pain when removing stool manually?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I used to have constipation issues last year, and recently, in the last two weeks, it gets fixed. But I think I have little wounds appearing, that is my assumption. I am taking soft stool from last week. While taking out stool, I feel a slight pain in that area. Is it serious?

Kindly help.

Hello,

Welcome to icliniq.com.

I can understand your concern for symptoms.

Never attempt to take out stool. Insted it is advisable to use stool softener or laxatives. The habit of taking stool out and constipation can develop anal fissure which is small tear on inner wall of lower part of anal canal.

The probable causes are constipation and manual removal of the stool. Investigations needs to be done include proctoscopy and rectal examination. The probable diagnosis is an anal fissure.

Treatment includes:

  • Stool softener or laxative.
  • Analgesics for anal pain.
  • Anesthetic medication ointment for local application.

Thank you.

Medically reviewed byDr. Nithila. A

Published At February 13, 2017
Reviewed AtAugust 28, 2025

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