Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
196 Doctors are Online

What causes pain while passing stool? - Online Doctor Chats

Date : 13-Apr-2014
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:Hi Doctor, two weeks ago I had a hard time passing stool. I ate some pizza and usually I will take a lactose tablet because of the heavy cheese. I didn't and therefore the next day I had a hard time passing a stool to the point it felt like something was blocking it. I thought it caused me to have hemorrhoids but now it appears to hurt inside when I try to pass stool. It even hurts when I cough and I am feeling chilled.
User:Hi Doctor,
User:I have my son on the phone, he is in Nashville, TN. He is the one experiencing the problem.
Doctor:it appears like you had a tear inside
User:Why does it hurt when I cough
User:or laugh
Doctor:Because laughing or coughing increases the pressure inside the tummy
Doctor:that causes the anus and rectum to move a bit
Doctor:that movement causes pain
User:What should he do?
User:He said it feels like something is blocking him inside now when he tries to go to the bathroom.
Doctor:He should get examined by a proctologist or a general surgeon
User:He is in Nashville, do you recommend someone there. He is near Vanderbuilt hospital.
Doctor:Yes, that can happen too because of the tear
Doctor:we call that a fissure in ano
Doctor:Probably your son has this fissure in ano
Doctor:this needs to be confirmed by examination
Doctor:Once confirmed there are different ways of dealing with the problem
User:Do you recommend he go to the emergency room versus trying to schedule an appointment. I am concerned as is mother because both of his grandmothers died of colon cancer and my father of pancreatic cancer.
Doctor:The most important thing to remember is to always take the lactase tablet
Doctor:He can go to the ER if the pain is severe
Doctor:if he can schedule an appointment within the next 2 days then he can wait
Doctor:but it is not advisable to wait any longer
Doctor:because without proper care the fissure will deepen and will cause many more problems
User:He has been in pain for two weeks and thought it was just hemorrhoids until now it hurts to cough or laugh and he is feeling chilled
Doctor:The feeling of chills is because if the infection
Doctor:Since it has already been 2 weeks, I think it is best to go to an ER
Doctor:because scheduling an appointment may take time
User:I am telling him to go right now. Thank you very much.
Doctor:Is there anything else I can help you with?
Doctor:Thanks for consulting me here
Doctor:have a good day ahead
User:You too, thank you so much.
Doctor:You are most welcome
Doctor:take care
Doctor:bye bye
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor