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    What causes pain and swelling in the anus?

Posted on Thu, 8 Jun 2017 in Digestion and Bowels
Question: My mother in law has pain in anus. She says there is a swelling in the anus region and she experiences heat while passing stools. Please advise what could be the cause.
Answered by Dr. Manjunath Metri 14 hours later
Brief Answer:
Need further details

Detailed Answer:
Hello XXXX, I thank you for posting your query here..
Welcome to HealthcareMagic..

I will analyze all your points and provide necessary explanation..
Please note..

1. Pain per rectum could be due to various causes.
Most notable are
A. Hemorrhoids
B. Fissures
C. Fistula
D. Malignancy late stages

2. Swelling in the anus.
Need further information..
A. Can she feel the Mass?
B. Is there bleeding per anus?
C. Any history of weight loss?
D. Loss of appetite?

3. Heat while passing stools looks OK, not a major problem..

4. Now, before you answer my questions I have three differential diagnosis.
A. Most likely, Hemorrhoids also called piles
B. Anal tag, due to Chronic Anal Fissure
C. Rectal Cancer

Please get back to me with these answers and I can help you better.
Take care..
Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Manjunath Metri 7 hours later

Please find answers to your questions below.

A) She can feel little mass
B) No bleeding
C) No loss of weight
D) She does not feel like eating as she has bitter mouth now.

Please let me know if you have any other questions. Please advise next steps.
Answered by Dr. Manjunath Metri 47 minutes later
Brief Answer:
Feel, it's Anal fissure

Detailed Answer:
Hello XXXX, welcome back..
I thank you for getting back with the answers..

Please note..

1. No bleeding then it's a good thing..
Eventually rules out cancer..

2. No loss of weight again is a good sign.

3. Yes.. No more questions..
Now I feel, it's Anal fissure that has healed and causing something called as sentinal pile.

The mass that she is feeling is sentinal pile due to long standing fissures.
Even pain that she tells, is related to anal fissure..

Advise you following things..
A. Don't worry about the mass, eventually it should subside in 3 to 6 months time..

B. Avoid constipation..
Ask her to drink lots of water, vegetables and fruits.
Avoid or reduce non veg if consuming.
Reduce coffee or tea..

And she can use
A. Sitz bath
B. Local Lignocaine gel for pain..

Hope this helps, in case you need further assistance, please contact me.
Or, you can close the question and rate.
Take care..
Above answer was peer-reviewed by : Dr. Kampana
Answered by
Dr. Manjunath Metri

General Surgeon

Practicing since :2005

Answered : 382 Questions


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