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How do I manage constipation-induced anal irritation?

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

Patient's Query

Hello,

I am a 23-year-old female and had a flexible sigmoidoscopy just a month ago because a little bright red blood was coming from my rectal area. I have a burning sensation when my stool is really hard, which is a problem in my case. When the doctor put the camera on during the sigmoidoscopy, he could not see any anal fissure, but there was a tiny hemorrhoid. But he said it was not the cause of the bleeding. The doctor saw a very small reddish area in my rectum, but it was very mild red. So he took a biopsy from there in case it could be the start of ulcerative colitis. Test results came, and he said that there was nothing wrong. Enemas also may cause that mild redness in that area. He gave me laxatives and told me to consume fiber-rich foods. So my questions are how quick anal fissures can heal themselves? Are they really like lip cracks when they are damaged a little? My bum really burns while passing stool, especially when I am constipated. But sometimes, when I wipe, there is a yellowish fluid that is not diarrhea. Is it mucus in my stools? Or is it because of anal fissures? My health anxiety is also not helping my case, although the doctor told me that there is nothing to be worried about. I would appreciate it if you gave me answers in detail.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

As far as your clinical history is concerned, you should not be worried. I suggest-

1. You must continue laxatives at bedtime for constipation.

2. You can apply Nifedipine (calcium channel blocker) cream at bedtime to relax the anal muscles.

3. You can apply Xylocaine (anesthetic) cream for pain and discomfort in the anal regions.

4. You must drink more than five liters of water every day.

5. You must eat fruits and vegetables regularly.

6. You must exercise regularly and schedule a time for the toilet.

I hope these measures will help you.

Regards.

Thank you.

Medically reviewed byiCliniq medical review team

Published At April 28, 2022
Reviewed AtFebruary 10, 2026

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