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What causes burning in the rectum?

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Practicing since : 2003
Answered : 695 Questions
I have had burning of my rectum for over a month and a half. Saw my general practioner and she prescribed hydrocortisone creme 2.5 percent and it made it worse, then she told me to buy an anti fungal creme and it burned worse...I'm going crazy with the burning rectum...what can I do? what doctor should I see? please help me,
Posted Sun, 5 Jan 2014 in Skin Hair and Nails
Answered by Dr. R.G. Joshi 31 minutes later
Brief Answer: consult a surgeon or a gastroenterologist. Detailed Answer: Hello thanks for writing here.Burning rectum can be due to external skin releated cause or due to internal one.As your burning worsened by topical creams it can be releated to internal cause.Most common causes are fissures, amoebic ulcers and stress releated.A detailed rectal examination will help to rule out exact cause.A surgeon or gastroenterlogist will help.Watch for constipation and use a good laxative if you are suffering from constipation.A topical lignocaine cream can help in reducing burning but it is always better to find out the exact cause.Hope this will help you.Take care.
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Follow-up: What causes burning in the rectum? 40 minutes later
If it is a fissure, are they inward as I have no tears on the outside of my rectum, just burning!
Answered by Dr. R.G. Joshi 3 hours later
Brief Answer: Fissures are defect of mucosa. Detailed Answer: Hi thanks for follow up.Fissures are ulcers over mucosal part of rectum and they are on inner parts.There is no defect in skin hence a proctoscopic examination will be needed to make exact diagnosis.
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