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What causes small painful bumps in rectum?

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Posted on Wed, 18 May 2016
Question: My Hubby is having a sensitive issue. He goes to bathroom regularly every day. But he has been going 2-3 time a day for the past week or so. His bottom area is now extremely sensitive. He has 2 small bumps inside the folds of his rectum area that are inflamed. He is extremely uncomfortable. He has tried sits bath, putting ice cube on the area, wet towel on the area, adding cocoa butter (which burned), adding thin film of Vaseline. He is totally against going to ER but he is very uncomfortable. Does not look like an std or hemorrhoid based on Internet info. Is there anything he could use or take for comfort or should I convince him to get to doctor which I am trying hard to do. Could he have gotten urinary tract infection from me 3 weeks ago. I did antibiotics and we had sex 3 days after I finished round and was symptom free. Especially since I had a reoccurrence about a week later.
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Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
Pl post actual and clear photos

Detailed Answer:
Hi.
Thanks for your query about your hubby.
To recapitulate: Male/42 - was regular for bathroom but going 2-3 times for the past week - 2 small bumps inside the folds of rectum (anus) - inflamed - tried the thing you mentioned - against going to ER - you had UTI and got treated and had sex after completion of treatment -

This looks to be fissure in ano or small abscess in the area you have described.
I would advise him the following:
Send stool for tests as well as blood.
High fiber diet.
Avoid all the foods and beverages and stress-like conditions which gives constipation.
Laxative for softening the stool- never allow the dose too much to cause liquid stools.
Sitz bath- very important- just before passing a stool and after passing a stool.
Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean.
Apply liquid povidone iodine locally. Apply nothing else.
5 day course of an antibiotic on prescription of a local Doctor.
Add probiotics and multivitamins.
Avoid stress and mental tensions at any cost; this is a very important factor.

Anti-inflammatory medicine with pain killer properties like Ibuprofen should help for the discomfort.

Actual photo of the area would help me to do a on-the-spot diagnosis and please post so that I can have better idea and add on treatment/advise accordingly.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19103 Questions

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What causes small painful bumps in rectum?

Brief Answer: Pl post actual and clear photos Detailed Answer: Hi. Thanks for your query about your hubby. To recapitulate: Male/42 - was regular for bathroom but going 2-3 times for the past week - 2 small bumps inside the folds of rectum (anus) - inflamed - tried the thing you mentioned - against going to ER - you had UTI and got treated and had sex after completion of treatment - This looks to be fissure in ano or small abscess in the area you have described. I would advise him the following: Send stool for tests as well as blood. High fiber diet. Avoid all the foods and beverages and stress-like conditions which gives constipation. Laxative for softening the stool- never allow the dose too much to cause liquid stools. Sitz bath- very important- just before passing a stool and after passing a stool. Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean. Apply liquid povidone iodine locally. Apply nothing else. 5 day course of an antibiotic on prescription of a local Doctor. Add probiotics and multivitamins. Avoid stress and mental tensions at any cost; this is a very important factor. Anti-inflammatory medicine with pain killer properties like Ibuprofen should help for the discomfort. Actual photo of the area would help me to do a on-the-spot diagnosis and please post so that I can have better idea and add on treatment/advise accordingly.