Dr. Mohammed Abdul Nasir
Pain Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 40-year-old male. I have a hard time while wiping my butt after I poop. I have to stand up to wipe because I am a big guy. It is hard for me to reach my back. Toilet paper does not seem to do it. I do not feel clean even after wiping myself. After taking shower, I feel clean but I do not feel it completely. I used a scented soap on a washcloth and scrubbed my butt crack. I have hemorrhoids. I clean my butt vigorously and sometimes I bleed. I wipe until I do not have anything over my back. Sometimes I notice some poop stains in my underwear even after I wash them. This makes me feel irritated. Kindly suggest.
Hi,
Welcome to icliniq.com.
Please mention whether you have itching after you poop or any painful sensation after pooping. You seem to have obsessive-compulsive disorder. Bleeding occurs due to excessive and vigorous wiping and not because of hemorrhoids. You are not able to reach your back as you are a big guy. I suggest you apply Smuth ointment (Lidocaine, Calcium Dobesilate, Hydrocortisone and Zinc) at your butt crack and so your irritation will get reduced. Keeping yourself clean is a good habit but you should not be overzealous in doing it. Kindly attach the affected region and so I can guide you better. Sometimes, anal skin tags can also cause irritations. Fungal infections can occur and so they can also cause similar symptoms.
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Pain Medicine
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