What causes rectal pain and blood during bowel movements?
Patient's Query
Hi doctor,
I am 28 years old and have been experiencing pain in my rectum for the past five days, along with blood during bowel movements and a foul smell. The pain feels achy and pulsating. I have not taken any medication for this issue.
Kindly help.
Hello,
Thanks for trusting us with your health care.
I have read your query and am sorry for your discomfort. I have a few questions:
- Do you feel any mass bulging out at the anal opening?
- If yes, does it go away spontaneously, or do you have to reduce it manually?
- Do you experience constipation most of the time?
- Is the stool mixed with blood, or are there drips of blood at the end of stool evacuation?
- How severe is the pain?
- How long have you had the above-mentioned symptoms? Is it just for the past five days?
- Have you had any similar complaints in the past?
It may be an acute anal fissure or hemorrhoid. Please answer the above questions to help diagnose your medical condition and guide your treatment.
You can always reach me at icliniq.com.
Thank you for consulting me.
It may be acute anal fissure or haemorrhoid. I want you to reply to the above questions to diagnose your medical condition and guide you treatment for it. Thanks.
Patient's Query
Hi doctor,
Thank you for the reply.
- Yes, it was always there, but it seems inflamed now.
- No, the mass was always there with no pain before, but now it has been painful for the past five days.
- No, but before five days ago, I was passing stools often, like two times per day.
- Mixed with blood. It stopped bleeding for a day, then it started again.
- It disturbs my walking and I cannot sit well. Passing urine is also a nightmare.
- Only for the past five days.
- I used to get them, but they used to heal.
Hi,
Welcome back to icliniq.com.
It seems you have hemorrhoid grade II. I would suggest the following:
- Sitz bathes three times a day for one week.
- Apply Anovate cream (a combination of Beclomethasone, Phenylephrine, and Lidocaine) twice a day for one week.
- Take syrup Looz (lactulose) 20 ml at bedtime if you have constipation; avoid it if you have very soft or loose stools.
- Take the tablet Daflon (Diosmin and Hesperidin) 500 mg twice a day for five days.
- Avoid straining during defecation.
- Maintain a high-fiber diet.
- Stay adequately hydrated.
You need to buy medication of the same composition at your local pharmacy, whether it is cream or tablets. Please send me a picture of the medication after you buy it to confirm the correct medication or cream. I would like you to follow up after three days to let me know if there is any improvement. If needed, you can visit a nearby healthcare facility for a local examination to confirm or rule out hemorrhoids. Kindly follow up if you have any further queries about it.
You can always come back and reach me at icliniq.com.
Thank you for consulting me.
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
How to manage painful bleeding piles?
Can using too much salt in sitz bath cause a rise in BP?
Hemorrhoids in Pregnancy - Causes, Symptoms, Diagnosis, and Treatment
What could be the reason for lower back and rectal pain episodes, which typically need to use in restrooms?
Hemorrhoids are affecting my mood very badly. How to manage?
How to manage the itching, burning sensation, sores, rectal pain, and testicular pain developed after unprotected sex?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.