iCliniq logo

Ask a Doctor Online Now

HomeAnswersMedical GastroenterologyulcerHow to get rid of painful anal ulcers?

I am suffering from very painful anal ulcers that recur every few weeks. Please help.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

Dr. Sneha Kannan

Published At May 20, 2020
Reviewed AtDecember 28, 2023

Patient's Query

Hi doctor,

I am suffering from anal ulcers for four months now. I was diagnosed with SIBO last year, which was treated with antibiotics, and now experiencing ulcers in the rectum, which are very painful. I have been tested for ulcerative colitis and Crohn's disease, which came back negative. I have had STI checks so that I can rule this out also. I am so uncomfortable and a bit miserable now as it recurs every few weeks and very painful. Other symptoms include night sweats, itching, soreness, and ulcers in the nose and mouth.nd a bit miserable now as it recurs every few weeks and very painful. Other symptoms include night sweats, itching, soreness, and ulcers in the nose and mouth.

Answered by Dr. Ajeet Kumar


Welcome to icliniq.com.

Painful ulceration over the anal and perianal area plus around the nose and mouth suggests some possibilities. Zinc deficiency, Vitamin B complex deficiency, Folic acid deficiency, Behcet disease, Veneral disease (for which you have tested such as syphilis). Inflammatory bowel disease such as Crohn's disease (diagnosis has to be made on history, examination, and colonoscopy findings and pathology findings). Herpes zoster infections (very painful recurrent eruptions or ulcers commonly among individuals who are immunocompromised; taking steroids for long use). For all the above possibilities, I have to have more information, and later based on that information, I can provide target investigations to help your problem diagnose. For suspected vitamin deficiency, you can start taking tablet Surbex Z daily. For the rest of the possibilities, there is no blanket therapy that I could provide. Every entity has a different management approach.

I hope this will help.

The Probable causes

Crohns disease. Veneral disease. Behcet disease. Vitamin deficiency. Celiac disease.

Treatment plan

Tablet Surbex Z once daily.

Regarding follow up

Follow to provide more information, this will help narrow list the differentials and can optimally approach problem.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Medical Gastroenterology

*guaranteed answer within 4 hours

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.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy