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Sharp rectal pains on sneezing or coughing, returns after bowel movements, no pain during bowel movements, history of external hemorrhoids. What could this be?

Hey doctors. I have a sharp, knife-like pain in my rectal, whenever I cough or sneeze . This pain strikes again whenever I step off of a stool or sidewalk. Everyone says that it s just hemorrhoids . Hopefully that is true but I ve experienced external hemorrhoids before and they were not this painful. During my bowel movements I feel no pain but afterwards, the sharp pain returns. Could you please help with find an understanding of this problem?
Asked On : Fri, 13 Jul 2012
Answers:  1 Views:  3586
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Diseases and Conditions
General & Family Physician 's  Response
Thanks for writing in.
Your symptoms are suggestive of an anal fissure. This is a condition when there is a small split in the lining of the anus which can lead to pain and / or bleeding. These usually heal on their own and do not require specialized treatment. At this stage, the following measures will help:
a, Eat a high fiber diet. Include plenty of fruits and vegetables; whole grains and water.
b. Cleansing this area more gently
c. You can apply a cream with a muscle relaxant and a local anesthetic. One such cream is ANAPROCT cream.
d. Apply petroleum jelly to this area.
e. Sitting in a tub of hot water with some salt added to the water will also help.

Hope this helps
Answered: Fri, 13 Jul 2012
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