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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Burning In Anus After Passing Stool?

Hi. My anus has been burning after passing gas and having BM s for the past year (I had a pretty bad fissure) and now gradually my penis has started burning after urinating more and more and now almost everytime. I ve noticed every once in awhile my stool will be green and after every stool I have light brown mucus hanging off my BM s. I have been taking pro biotics and wormwood could this possibly be causing the green stools (the green stools started after taking wormwood)
Fri, 15 Apr 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted your history of burning in anus after passing gas and having BM for the past year, known case of fissure in ano. Now your penis is buning after passing urine. There is green stool sometimes after which there will be brown mucus. You are taking probiotics and wormwood.
My thoughts:
Green stool can be caused by wormwood, but most probably indicates an intestinal infection.
Since you are a known patient of fissure in ano, the cause is usually due to the same.

I would advise you the following:

First of all get the stool tested for 3 consecutive days.
Tests of blood: CBC, liver, pancreatic and kidney function along with for thyroid, diabetes and so on.
Urine tests: routine, microscopy, culture and sensitivity.
Ultrasonography of the abdomen.
Clinical evaluation by a General Surgeon along with proctoscopy and colonoscopy.
To get the proper diagnosis and stat on a proper treatment of antibiotic, metronidazole, probiotics and see the results.
If required you may need surgery for the fissure in ano to get a permanent cure.
Till then take soft bland diet.
Sitz bath
Laxatives to soften the stools.
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What Causes Burning In Anus After Passing Stool?

Hi. Thanks for your query. Noted your history of burning in anus after passing gas and having BM for the past year, known case of fissure in ano. Now your penis is buning after passing urine. There is green stool sometimes after which there will be brown mucus. You are taking probiotics and wormwood. My thoughts: Green stool can be caused by wormwood, but most probably indicates an intestinal infection. Since you are a known patient of fissure in ano, the cause is usually due to the same. I would advise you the following: First of all get the stool tested for 3 consecutive days. Tests of blood: CBC, liver, pancreatic and kidney function along with for thyroid, diabetes and so on. Urine tests: routine, microscopy, culture and sensitivity. Ultrasonography of the abdomen. Clinical evaluation by a General Surgeon along with proctoscopy and colonoscopy. To get the proper diagnosis and stat on a proper treatment of antibiotic, metronidazole, probiotics and see the results. If required you may need surgery for the fissure in ano to get a permanent cure. Till then take soft bland diet. Sitz bath Laxatives to soften the stools.