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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Anal Pain While Sitting, Feeling Of Huge Vein Heading Inwards. Cause And Cure?

There is a pain in my anus when i set and {a swallow inside the anus wall comes out and hurts and it feels like a big vein heading to the inside }this started one day after i came out of the bathroom and it happend to me befor one month and now its back again ,i also feel itching inside the anus . whats the reason and the treatment?
Fri, 12 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
Do you have some mass palpable at anus?
With the available described details, there could be possibility of thrombosed hemorrhoids or anal fissure.
Aggravation of pain due to coughing or sneezing could be due to active wound at anus and persistent injury.
You should consult with internal medicine specialist/ general surgeon and should go for thorough check up.
You should go for per rectal examination also.
Treatment of anal fissure and hemorrhoids differ and treatment depends on exact diagnosis.
Meanwhile, you should take plenty of water along with laxative containing isapgula and lactitol. Laxative helps in relieving constipation and cure of local wound.
You should also apply lignocaine ointment along with diltiazem.
You should also perform hot sitz bath; put lukewarm water in a tub and sit in it for 15-20 minutes twice in a day. This helps in relaxation of anal sphincters.
You should also take antihelminthic medicines.
Take care,
Dr. Mayank Bhargava
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Anal Pain While Sitting, Feeling Of Huge Vein Heading Inwards. Cause And Cure?

Hi, Thanks for posting your query. Do you have some mass palpable at anus? With the available described details, there could be possibility of thrombosed hemorrhoids or anal fissure. Aggravation of pain due to coughing or sneezing could be due to active wound at anus and persistent injury. You should consult with internal medicine specialist/ general surgeon and should go for thorough check up. You should go for per rectal examination also. Treatment of anal fissure and hemorrhoids differ and treatment depends on exact diagnosis. Meanwhile, you should take plenty of water along with laxative containing isapgula and lactitol. Laxative helps in relieving constipation and cure of local wound. You should also apply lignocaine ointment along with diltiazem. You should also perform hot sitz bath; put lukewarm water in a tub and sit in it for 15-20 minutes twice in a day. This helps in relaxation of anal sphincters. You should also take antihelminthic medicines. Take care, Dr. Mayank Bhargava