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What Causes Anal Pain?

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Posted on Mon, 17 Oct 2016
Question: Hi.. I am XXXXXXX 34 years old and having pain in my stool passing area for past 5 days and had felt a big boil there. I am applying sufromycin ointment and felt relived. However since today morning, I am again having pain at the same area and feeling the same boil, small in size. Pls suggest a medicine..
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Answered by Dr. Rishi (1 hour later)
Brief Answer:
Most likely an Anal Fissure.

Detailed Answer:
Hi,
Thanks for your question.
You are most likely suffering from a Fissure-in-ano or some Doctors call it an Anal fissure.
You should see a Surgeon who can examine you and confirm the same. The problem is increased contraction pressure at your anal opening. This when faced with constipation leads to further tear of the mucosa and pain thereafter.
The best treatment is Surgery in the form of Lateral Sphincterotomy. Medical treatment can help you tide over the problem. You should take Sitz baths thrice a day, apply Lignocaine ointment at the location before and after passing stools after cleaning the area and stool softening medicines like Syrup Lactulose 20ml at night. For the pain you can take Tab Combiflam two to three times a day on full stomach
Take care and please see a Surgeon.
Do let me know if I can be of any help and any queries that I can answer.
Dr Rishi, New XXXXXXX XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rishi

General Surgeon

Practicing since :1999

Answered : 1312 Questions

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What Causes Anal Pain?

Brief Answer: Most likely an Anal Fissure. Detailed Answer: Hi, Thanks for your question. You are most likely suffering from a Fissure-in-ano or some Doctors call it an Anal fissure. You should see a Surgeon who can examine you and confirm the same. The problem is increased contraction pressure at your anal opening. This when faced with constipation leads to further tear of the mucosa and pain thereafter. The best treatment is Surgery in the form of Lateral Sphincterotomy. Medical treatment can help you tide over the problem. You should take Sitz baths thrice a day, apply Lignocaine ointment at the location before and after passing stools after cleaning the area and stool softening medicines like Syrup Lactulose 20ml at night. For the pain you can take Tab Combiflam two to three times a day on full stomach Take care and please see a Surgeon. Do let me know if I can be of any help and any queries that I can answer. Dr Rishi, New XXXXXXX XXXXXXX