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Anal pain during passing stool - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 592 Questions
Doctor :   Hi XXXXXXXX
User :   Good evening doctor
Doctor :  
User :   doctor i have anal pain when i go to shit
Doctor :   ok
User :   and i have itching problem also there
Doctor :   Can you describe the pain ?
User :   i thought its some minor problem and i took albendezol tablets
User :   k
Doctor :   also mention your age, medical proplems like Hypertension, diabetes , etc if u have
User :   but no blood is coming
User :   age-22
User :   i have no other problems
Doctor :   Do u have constipation since a long time ?
User :   like diabetes and all
Doctor :   how about appetite issues ?
Doctor :   ok
Doctor :   what is your occupation?
User :   no i dont have constipation
User :   i am a student
Doctor :   ok
User :   is this a symptom of piles
User :   ??
Doctor :   how long have u had this problem?

User :   around 2 months...sometime pain will be less...
Doctor :   piles or hemorrhoids - occurs in old people, and has blleding in stools, painful mass protruding from anus, etc
Doctor :   *bleeding
User :   no bleeding
Doctor :   Also, do u have pain all the time or only when defecating ?
Doctor :   any foul smelling stools , loss of weight etc ?
User :   all the time its more when defecating...and its itching also
Doctor :   ok,
User :   no nothing like that
Doctor :   i am of the opinon, that you may be having a fissure in the anal canal
Doctor :   this usually causes pain and the symptoms that u are currently have
User :   so what should i do??is it serious a issue??
Doctor :   this is due to injury to the anal canal associated with hard stools , etc
Doctor :   and irregular dietary habits as well
User :   k doctor
User :   is it curable??
Doctor :   i would recommend you to change your dietary habits, and include more fluids in the diet
User :   k doctor
User :   any medicine for this pain and itching??
Doctor :   also, you can apply KY jelly to the anus, injuect the jelly inside with the tube given with the package
Doctor :   or with your finger
Doctor :   this jelly will reduce the pain and discomfort considerably
Doctor :   Over time, this should come down considerably
User : long should i take this??
Doctor :   the alternative is lignocaine jelly ( medicated jelly) which will block the pain and cause comfort
Doctor :   u can use as long as you are symptomatic
User :   k any tablets
User :   ??
Doctor :   if it does not go away even after 2-3 weeks, i would advise you to get a physical examination by general surgeon, who will suggest you either surgical therapy or an alternative diagnosis based on the physical examination findings.
Doctor :   you don't need any tablets specifically, as this is not treatable by medicines.
User :   k..whats the cost of this lignocaine jelly??
Doctor :   probably less than 50 INR

Doctor :   For a tube
User :   k..does it reduce the itching problem??
Doctor :   yes
Doctor :   also the itching could be due to the infection surrounding the fissure
Doctor :   once the area heals the itching will come down
User :   k if it doesnt go i have to do a surgery right??
Doctor :   Not right now
User :   after 3 weeks??
Doctor :   no not after 3 weeks
Doctor :   he may give you a course of antibiotics
Doctor :   and then give u an option of surgery
User :   today when i was defecatin i notice it was little difficult to come
Doctor :   ok

Doctor :   thats coz of hard stools
User :   what is that??
Doctor :   the pain could be due to hard stools, that cause pain or discomfort while defecation

User :   so the jelly is enough for this also right??
Doctor :   yes , definitely

User :   k..thank you so much doctor
Doctor :   you are welcome
Doctor :   Are you there ?
Doctor :   i guess you have moved out from the chat window
Doctor :   please log back in if u have any other query
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