Anal pain, or pain in the anus, can have several causes, such as fissures, hemorrhoids or fistulas, so it is important to see in which situations the pain appears and if it is accompanied by other symptoms such as blood in your stools or itching, for example.
However, anal pain can also be caused by sexually transmitted diseases, such as chlamydia, gonorrhea or herpes, as well as bacterial infections, bowel inflammations, abscesses, or cancer. Therefore, it is important to see a proctologist because it may be necessary to take only antibiotics or have surgery depending on the cause of anal pain.
Some common causes of anal pain, are:
The presence of hemorrhoids can result in anal pain with itching and arise due to constipation, intimate anal contact or pregnancy. Hemorrhoids can be noticed by swelling in the anal area that causes discomfort, itchy anus, red blood in the stools or toilet paper, and anal pain when walking or sitting, for example.
What to do: In order to treat hemorrhoids, cold seat baths or application of hemorrhoid ointments, such as Proctosan, Proctyl or Traumeel, for example, may be indicated. If hemorrhoids do not disappear and discomfort becomes ever greater, it is advisable to seek the advice of a gastroenterologist or proctologist for hemorrhoids to be evaluated so that the best treatment can be done, which may involve the surgical removal of hemorrhoids. Learn more about the treatment for hemorrhoids.
2. Anal fissure
The anal fissure is a small wound that appears in the anus and that can cause anal pain when evacuating and presence of blood in the stools. In addition, anal fissure can be perceived by the appearance of other symptoms such as burning while evacuating or urinating and itching in the anus, for example.
What to do: Most of the time, the anal fissure goes by without needing any kind of treatment. However, the use of anesthetic ointments such as Lidocaine, for example, in addition to a warm bath can be recommended.
3. Intestinal endometriosis
Intestinal endometriosis is a disease in which the endometrium, which is the lining of the uterus, develops around the walls of the intestine, which can result in anal pain during menstruation. In addition to anal pain, there may be abdominal pain, nausea and vomiting, blood in your stools and difficulty while evacuating or persistent diarrhea.
What to do: You should see a gynecologist as soon as possible for the diagnosis and treatment, which is usually done through surgery.
In some cases, fungal infection can lead to anal pain when cleaning up. Therefore, it is important to go to the doctor to identify the micro-organism causing the infection and so to perform the best treatment. It is usually recommended to use antimicrobials, in addition to avoiding overuse of toilet paper, giving preference to a hygienic shower.
When to go to the doctor
It is important to see a proctologist or go to the emergency room when anal pain takes more than 48 hours to pass after using anal ointments or anesthetic medication such as Paracetamol.
It is important for the doctor to identify the cause of recurrent or worsening anal pain over time, as it can be a sign of serious problems such as anal fistula or cancer that may require treatment with surgery.