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Why Do I Feel Pain And Irritation While Passing Stool?

Posted on Wed, 25 Oct 2023

Question: Hi Doctor,

Whenever I pass the stool I face issue irritation or pain sort of in my pack point. I mainly face problem when I pass the stool.

I am taking couple of medicines - Pantop DSR and Vizytac (bacillus)

This is been one week.

Please suggest what should I do.

Thanks,
XXXX
0000

Answered by Dr. Remy Koshy (2 minutes later)

Brief Answer:
Need more details,

Detailed Answer:

Hello,

I have gone through your query and just to reconfirm, you seem to have pain and irritation while passing stool?
Before I can guide you any further, I would like to know a few more related details:

- Do you face constipation or diarrhea?
- Any signs of XXXXXXX bleeding or any fleshy mass over the anal opening?
- Describe your food habits

Kindly revert back with your details,

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Remy Koshy (9 minutes later)

I don't face any constipations.

There is no bleeding. I did not observe fleshy mass over the anal opening.

I eat at home and out on the weekends.

Please let me know if there are further questions.

Thanks,
XXXX

Answered by Dr. Remy Koshy (20 hours later)

Brief Answer:
Explained below,

Detailed Answer:
Hi again,
Thanks for writing back,

Sorry for the inadvertent delay in replying back,

As per your details, it can just be some discomfort caused due to inflammation over that specific area or can may be an anal tear.

I would suggest you to do the following:
- Avoid foods that are too hot and spicy.
- Consume plenty of fluids, minimum of 2 Litres/ day.
- Apply Sitz bath: Sitting in a basin of warm water with salt. This helps in reducing the inflammation and thereby relieving your discomfort.
- Continue taking Pantop DSR and Vizytac.
- Also you can choose to apply ANOVATE cream over the area locally using an applicator provided alongwith.

I hope this helps,
Please feel free to discuss further,

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Remy Koshy (15 minutes later)

Thanks

How long i should take medicines ??

Answered by Dr. Remy Koshy (11 minutes later)

Brief Answer:
Explained below,

Detailed Answer:
Hi again,
Thanks for writing back,

Yes, you can apply the cream for 3-5 days till you are symptomatically better. As for the PANTOP-DSR and VIZYTAC, you can take them for another 10 days also.

I hope this helps.

Please feel free to discuss further or else kindly close the query and give your positive feedback,

Kind regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Remy Koshy (24 hours later)

Another update on this Doctor,

I just rechecked, i can some fleshy mass or small round balls of mass at the Anal position.

Is it piles ??

Mostly when i sit after toilet then i face pain while sitting as well.

Please suggest accordingly

Answered by Dr. Remy Koshy (3 hours later)

Brief Answer:
Explained below,

Detailed Answer:
Hello again,
Thanks for the follow up,

Yes, it could be piles or haemorrhoids. These are caused as result of increased abdominal pressure on the veins causing them to swell and resulting in irritation.
I would suggest you to do the following:

- Conitnue doing Sitz bath 3-4 times a day as I have mentioned earlier, as this will help in reducing the inflammation, thereby may even decrease the size of the mass slowly.
- Avoid straining while passing stools.
- You can continue with the ointment I prescribed earlier, ANOVATE cream.
- You may consider consulting with a general surgeon for proper examination if you find any bleeding or pain over the swelling.
- Include plenty of fiber and fluids in your daily routine.

I hope this helps,

Please feel free to discuss further,

Regards.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy