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What causes burning sensation and irritation around anal area post defecation?

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Posted on Fri, 13 May 2016
Question: Hi...I'm 28 years female who gave birth to baby on jun 2015.I had sever 4th degree tear,forceps with epitsomy too.post that rvf was formed and was operated by Oct 2015 by gastroenterologist and gynecologist . Post surgery, the rvf symptoms had gone,but for the past 1.5 months I'm facing lot so much of irritation and
Burning around the anus post defecation. Also,I'm going to toilet 2 times a day with irregular timings.also when ever I walk or stand for long time,I feel like defecating. I went to gastroenterologist dr chk up last week and said like scar tissue is the reason for all the above and will take time to get smoothen ..I have mild soiling around anus.please advice me on how to over come 1.the mild fecal soiling post defecation 2.burning around anus and not able to walk even.im currently taking b12 tablet and vitamin c along with sitz bath.because of all these issues im afraid to move out of home.please advice. Dr advised to use dilzem ointment if its worse.im attaching the medical report for your reference and how long it will take to be back to normal life,because post delivery I'm still sitting with issues one by one and lost happiness
doctor
Answered by Dr. BR Hudda (54 minutes later)
Brief Answer:
Further evaluation to rule out fistual or fissure in Ano

Detailed Answer:
Hello and welcome to health care magic.
I have gone through your question very diligently and I will try to help you out in best possible way.

You were operated in Oct 15 and since the post op period was uneventful, you need not to worry much.

Post defecation fecal soiling and burning sensation after defecation might be related to fistula in Ano or fissure in anus.

I would advise to follow these guidelines
Continue taking sitz bath at least twice daily
Have lots of fresh fruits, vegetables, dietary fibers in your diet.
Avoid constipation by taking laxative or stool softeners
You can use anaesthetic ointment like lignocaine especially for burning sensation post defecation.

Here I would advise you to consult general surgeon or GI surgeon for tests to rule out fistula or anal incontinence or CT scan or MRI of lower abdomen and perineum to find out any post surgical complication.

I have not find any reports attached with this question so, please upload me all your report and relevant information so that I will be able to guide you better
Hope I could answer your question, please feel free to ask if you have any more queries, I will be happy to help you.
Best wishes
Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. BR Hudda (1 hour later)
Hello dr...thnks for your reply. I uploaded the report in my reports in my login,this was provided by the gastroenterologist dr by physical examination last week. If your aren't able to view,kindly share me some mail I'd n i can fwd to tht.
The gastroenterologist said like there is no issue n everything is fine,he added like the tissues are tender n takes time to heal.so just give time and relax.but I'm worried lot, it's not a day or two it's been so many months and my health doesn't return bk to normal. Wats the reason for defecation 2 times and y I'm not getting it complete by morning itself? Also I have urge to go to toilet, soon after feel like defecating. For tht I'm doin Kegel but the holding strains anus and i rush to toilet.
doctor
Answered by Dr. BR Hudda (8 hours later)
Brief Answer:
you need to see a general surgeon or GI surgeon for further investigation

Detailed Answer:
Hello ma'am
welcome again and thanks for all the details
I have received your report, have gone through it.

Since you had undergone a surgery and post op complication might have developed, so I would advise you to consult a general surgeon or GI surgeon for per rectal examination and Further investigation like fistula test or CT/MRI to find out the underlying cause especially for post defecation fecal soiling and incomplete evacuation of bowel.

As such as per your doctor's prescription and examination findings are quite satisfactory like sphincter tone is adequate, perineal body is normal but tenderness at perineal body and posterior fourchette is suggestive of some inflammation.

So in my opinion you should see a general surgeon or GI surgeon as per your convenience for investigation to rule out any post op complication.

Meanwhile continue with the medicines you are taking and follow all the measures as advised you in my previous answer.

Hope you will fine my response informative and helpful, please feel free to discuss further.
Best wishes
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. BR Hudda (11 hours later)
Thanks for the details dr.ya,the report was given by XXXXXXX surgical gastroenterologist and said like tissues need to grow n become strong and it ll take time. You mean to still check with different dr again for the test u mentioned? Also, I'm afraid a lot whether I need to undergo any surgery again....is there chances of it?? Also, the anus keeps like incomplete feeling all time.can you suggest anyone in XXXXXXX Also,it's been 4 months and tissue doesn't take these much time to grow?
doctor
Answered by Dr. BR Hudda (6 hours later)
Brief Answer:
You should see a general surgeon

Detailed Answer:
Hello and welcome again
Since it's been a 4 months and you are still having these issue especially fecal soiling and continuous irritation which affects your day to day life.

So in my opinion you should see a general surgeon or GI surgeon for above mentioned test and further evaluation to rule out any lont term complications.

Hope this answers your question, thanks for your question, please feel free to ask for further assistance.
wishing you good health.
Regards
Above answer was peer-reviewed by : Dr. Deepak
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Dr. BR Hudda

General & Family Physician

Practicing since :2009

Answered : 2997 Questions

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What causes burning sensation and irritation around anal area post defecation?

Brief Answer: Further evaluation to rule out fistual or fissure in Ano Detailed Answer: Hello and welcome to health care magic. I have gone through your question very diligently and I will try to help you out in best possible way. You were operated in Oct 15 and since the post op period was uneventful, you need not to worry much. Post defecation fecal soiling and burning sensation after defecation might be related to fistula in Ano or fissure in anus. I would advise to follow these guidelines Continue taking sitz bath at least twice daily Have lots of fresh fruits, vegetables, dietary fibers in your diet. Avoid constipation by taking laxative or stool softeners You can use anaesthetic ointment like lignocaine especially for burning sensation post defecation. Here I would advise you to consult general surgeon or GI surgeon for tests to rule out fistula or anal incontinence or CT scan or MRI of lower abdomen and perineum to find out any post surgical complication. I have not find any reports attached with this question so, please upload me all your report and relevant information so that I will be able to guide you better Hope I could answer your question, please feel free to ask if you have any more queries, I will be happy to help you. Best wishes