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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Anus After Bowel Movement?

I had pain in the anus. Condition worsened after evacuation of the bowels. The pain would wake me up at night. It was sharp and piercing. I could feel a small tag like thing near the anus. I feared that it could be fistula. Bcz the symptoms were like that. I consulted a surgeon experienced in anal-rectal cases. After examining he told me it was chronic fissure fibroid. He advised me sitz bath, plenty of water intake, fibrous diet and prescribed diclofenac suppository for 7 days. I am fine now. Will it ever trouble me again.
Tue, 2 Jan 2018
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Surely your problem is that of a fissure-in-ano.
Your Doctor has advised you the most correct and practical therapy and if you follow the routine as advised by his that is Sitz bath, fibrous diet your problem may get solved unless you develop constipation again.
Hard stool causes the small cut at the anal verge hence it is better to keep the stool soft by dietary planning, addition of a stool softener or a laxative.
Keep the stress and anxiety away.
Avoid all the foods and beverages that you know can cause constipation.
Plenty of oral fluids.
Regular check up with your Surgeon to see the progress and anal dilatation by the SUrgeon can help you get rid of the problems.
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What Causes Pain In Anus After Bowel Movement?

Hi. Thanks for your query. Noted the history and understood your concerns. Surely your problem is that of a fissure-in-ano. Your Doctor has advised you the most correct and practical therapy and if you follow the routine as advised by his that is Sitz bath, fibrous diet your problem may get solved unless you develop constipation again. Hard stool causes the small cut at the anal verge hence it is better to keep the stool soft by dietary planning, addition of a stool softener or a laxative. Keep the stress and anxiety away. Avoid all the foods and beverages that you know can cause constipation. Plenty of oral fluids. Regular check up with your Surgeon to see the progress and anal dilatation by the SUrgeon can help you get rid of the problems.