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What Causes Pain In Anus And Rectal Bleeding?

Posted on Mon, 10 Nov 2014

Question: Hi sir. I had a pain in my anus with little bleading 4 days back. I went to my gp she diognesed my anus and said its fissers skin apply ounment i started apply 4 days have over still pain is there. Will it be a anus cancer. Bleading stopped on 1st day. Pain alone still there.

Answered by Dr. Dr.P.Ratnakar Kini (22 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Since the doctor has examined you already and that he did not find anything suggestive of a cancer, it is unlikely that you have anal cancer.

Bleeding and pain in the anus most often is due to anal fissure.
Constipation is the precipitating factor. The treatment in addition to relieving pain should be directed towards normalizing the bowel movements. You need to take stool softeners, high fiber diet that includes lot of vegetables and fruits and drink lot of fluids.

Regarding the pain the following may be done -
1. Sitz bath - sit in a tub of lukewarm water exposing your anal region to it for 5-10 minutes three times a day
2. Apply lignocaine and diltiazem ointment to the anal region.

These steps would provide very good relief.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr.P.Ratnakar Kini (23 minutes later)

Sir thank u for reply. Normaly how many days will it take to releif she said me to apply ruti cool oinment. Will it take care along with tub process. My worries are about cancer. She said anal cancer will have coninious bleed .

Answered by Dr. Dr.P.Ratnakar Kini (9 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Yes ruticool and sitz bath are enough. You will start feeling improvement from day one itself. You continue it till you get complete relief.
Do not forget about the steps I mentioned for good bowel movements. If the stool is hard you can take stool softeners after getting a prescription from your doctor.

And this is NOT anal cancer. So no need to worry.

Let me know if I can assist you further.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr.P.Ratnakar Kini (9 hours later)

Sir realy thanks. I took ur sitzbatch yesturday night and along with semi ultraset. Pain is far better. I apply oinment in my finger only. If there is any mass i can find while applying na. I am more afraid about cancer .

Answered by Dr. Dr.P.Ratnakar Kini (24 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Yes, if there is a mass you can feel it while applying the ointment.
As I told you earlier, anal cancer is unlikely.
You can continue with the treatment which I have suggested you earlier.

Regards,
Dr.R.K

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (27 hours later)

Hi sir i feel better. I stoped taking painkiller. I feel burning sensation on tip alone now. I am applying the oinment i feel it will cine better. My bowel today was little big is size so pained a litte while going. Wht can i do to reduce the size so that pain can be redused .

Answered by Dr. Dr.P.Ratnakar Kini (7 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Good to hear that you are feeling better.
More than reducing the size of the stool, you need to soften it.
You can take stool softeners like Syrup Evict 30 ml at night.

I hope that answers your query.
Let me know if I can assist you further.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (40 hours later)

Sir still there is sligh pain. I feel avain in my anus in the middle when i apply ounment that part pains. Will it take so kobg time to heal it even applying the ounment. When i apply oinment un my fing i feel pain in that part alone. What is the veat solution foor this pain releif .

Answered by Dr. Dr.P.Ratnakar Kini (15 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
For complete relief, the stool should be soft and the bowel movements should be easy.
So continue with sitz bath, apply ruticool and take stool softeners for relief.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (26 minutes later)

Thanks for reply. I can travel by sitting all na no problem in that all na. I take soflovac 2 t spoons in one glass of water by night is it ok

Answered by Dr. Dr.P.Ratnakar Kini (8 hours later)

Brief Answer:
Yes you can take softvac

Detailed Answer:
yes you can take softvac.
Yes you can travel sitting.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (14 hours later)

Sir i am little sencitive person. Even if i have small pain i worry a lot and pain is still there i take semiultracet it get 100% releif. It has been already 10 days over when compare to day 1 feel better. Its like acronic fissure it will take somemore day to heal i feel till that can i take semiultracet 1a day so that i can concentrate on work. No side effect in it why this so cronic and any reason for so long time to cure or heal. My brother says take light food it will heal like idiyappam and curd. Do take any spicy food. Pain is slight but feel i high i think. Any antibiotic can be taken to heal. I can feel a pain on my anus on the tip ie starting place like a thread type it pains when i aplly oinment. What reason does it come and ao cronic as already 10 days has hone started in16th .

Answered by Dr. Dr.P.Ratnakar Kini (29 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
I would advise you to avoid semi ultracet as it can cause constipation and worsen your fissure.
Sitz bath, softvac, and ruticool ointment - the best treatment for your fissures.
Take high fiber diet and drink lot of fluids.

First start with sitz bath and then apply ruticool.
Continue with this treatment.
If there is no relief, then you may require surgery for relief.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (18 days later)

Pls transfer this queation to Dr Rantnar Kini
Sir
As u advised i followed and fisurers pain was completely healed. After 15 days i have some nonveg with spicy food. I had heat feal in anus. Started applying oinment now i have some diacomgort alone. No pain. Will it be again fisurers.

Answered by Dr. Dr.P.Ratnakar Kini (18 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
If the bowel movement is not painful, then it is unlikely to be due to fissures.
It is more likely to be due to the type of food you took.
Avoid spicy food.

Take high fiber diet.
Drink enough fluids.
Do sitz bath.
And apply the ointment.

Regards.
Dr.R.K.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr.P.Ratnakar Kini (15 hours later)

Hi Doctor thanks for your answer. I usaly empty my bowl on early morning when i get up it will be emptied fully. Now far past two days i am not able to empty fully in the morning i go 3 to 4 time in 4 hours to empty. Its not that much free. Its all after i took that spicy food. What may be the problem. Will it be any thing serious. No pain but .

Answered by Dr. Dr.P.Ratnakar Kini (2 minutes later)

Brief Answer:
Nothing serious

Detailed Answer:
Hi,
There is nothing serious.
You increase the fiber in your diet and drink lot of fluids and water.
Continue taking the laxative which you have been taking already.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Dr.P.Ratnakar Kini (48 minutes later)

Sir thanks for reply. My mind set always goes to cancer. As i dind gave proper bowl clear i feel will it be any cancer till last saturday my bowl was clear. On April i had left abdimen pain at that time i went for ct abdomen contrast it was clear. No family cancer history but when some health issue comes i worry on it. My problem nowwhat i face is i am not able to clear my bowl on one time and my abdomen feel discomfort as its not cleared. It may be even because of my mind set i dont know. I thought its bowl abtruction due to colon or anus prob. Pls give me a solution pls

Answered by Dr. Dr.P.Ratnakar Kini (32 hours later)

Brief Answer:
Just follow the advice I have given

Detailed Answer:
Hi,
You have just constipation only and no cancer.
The CT scan has confirmed you do not have any cancer in the colon or anal canal.

Take high fiber diet, fiber supplements and drink lot of fluids as advised earlier.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (22 minutes later)

Sir realy thanks for reply. Now i have lower abdomen pain. It started ystd evening with pain in penis pain staarted when i had 2 tender coconut and now i have dull low abdomen pain .

Answered by Dr. Dr.P.Ratnakar Kini (35 hours later)

Brief Answer:
USG scan, Urine culture /sensitivity to be done

Detailed Answer:
Hi,
I went through your other post.
You have history of renal stones.
So I would advice you to get an ultrasound scan and a urine culture and sensitivity test done to rule out ureteric stone and urinary infection.

Since you find good relief with urispas, continue taking it till you get the test reports.Also drink lot of fluids. Further treatment can be planned after seeing the test reports.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (3 hours later)

Sir
Sorry i have taken urimac 0.4 and can i have 2 tab a day. Is this constupation and urine problem interrelated. I take fiber a lot. My worries again and again goes to what i came to know incomplete bowl is a symptom of cancer. My stool is not that much free. I took urine routine already its normal. Want me to go out for culture. Last sunday i had hot biriyani and frim that the constupation started. I went a stool on sunday morning very hot. From that day the problem started. Now i have no abdomen pain but have a discomfort on lower abdomen and penis

Answered by Dr. Dr.P.Ratnakar Kini (47 hours later)

Brief Answer:
Your constipation & urinary problems not related

Detailed Answer:
Hi,
No, your constipation and urinary problems are not related.
Since the CT scan done already was normal, it is unlikely that your have cancer.
Yes you can get urine culture done.

Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar