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Suggest Treatment For Rectal Pain And Irritation

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Posted on Thu, 5 May 2022
Question: I am having rectal pain and irritation all the way up my butt crack. I have tried hemorrhoid cream, diaper rash cream, corn starch and nothing seems to help.
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Answered by Dr. Dr. Vasudha (2 hours later)
Brief Answer:
You need physical examination/needful investigations followed by treatment

Detailed Answer:

Hi,

* Anal pain can follow
- Constipation which in turn causes anal fissure (it has a skin crack at anus with constipation &difficulty in defecation along with pain)
- Loose motions (it's due to irritation &trauma to anal mucus membrane)
- Abscess around anus (perianal abscess associated with abscess and pain) or
- Intermittent spasm of anal muscles (intermittent spasms of anal muscle following nerve irritation)

* A detailed examination of anorectal area by Proctologist/anorectal surgeon would reveal the cause. Investigations like stool examination, proctoscopy may be needful to arrive to definite cause followed by specific management.

* Till then you need to manage constipation / diarrhea with self care, have sufficient water with salt and water for maintaining electrolyte balance in case you have loose motions and fibers in case of constipation. Foment the area with sitz bath in case of anal fissure./over the counter pain medicine for some relief

I hope that answers your query .Any follow up query is welcome.
Thanks.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Vasudha

General & Family Physician

Practicing since :1970

Answered : 9472 Questions

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Suggest Treatment For Rectal Pain And Irritation

Brief Answer: You need physical examination/needful investigations followed by treatment Detailed Answer: Hi, * Anal pain can follow - Constipation which in turn causes anal fissure (it has a skin crack at anus with constipation &difficulty in defecation along with pain) - Loose motions (it's due to irritation &trauma to anal mucus membrane) - Abscess around anus (perianal abscess associated with abscess and pain) or - Intermittent spasm of anal muscles (intermittent spasms of anal muscle following nerve irritation) * A detailed examination of anorectal area by Proctologist/anorectal surgeon would reveal the cause. Investigations like stool examination, proctoscopy may be needful to arrive to definite cause followed by specific management. * Till then you need to manage constipation / diarrhea with self care, have sufficient water with salt and water for maintaining electrolyte balance in case you have loose motions and fibers in case of constipation. Foment the area with sitz bath in case of anal fissure./over the counter pain medicine for some relief I hope that answers your query .Any follow up query is welcome. Thanks.