Having Pain In Anus, Chills And No Bowel Movement. Should I Worry?

Posted on Tue, 12 Nov 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 12 Nov 2013 Answered on

Sun, 8 Dec 2013 Last reviewed on

Question : I have anus pain in attacks from time in time, not always. When attack, I have chills, go to bathroom but no bowel movement. It happens only 2 or 3 times / year. Why? Do I need to worry?

Answered by Dr. Het Ram Bishnoi (50 minutes later)

Brief Answer: Anus pain . Detailed Answer: Hello, Thanks for the query. I would come up with these possibilities for this type of anal ( anus ) pain, these includes. 1 Hemorrhoids , as this is most common cause for pain in anus ,particularly when there is constipation .Diagnosis can be confirmed by physical examination by a surgeon . 2 Fissure in anus , in this patient usually feels excruciating pain ( as you are having chills at the time of pain). Diagnosis can be confirmed by physical examination by a surgeon. 3 Cancer in rectum or anal canal . diagnosis can be confirmed by colonoscopy examination. In my opinion consult a surgeon and get his opinion as physical examination is very important in this type of case. Hope these informations will be helpful for you . If further any question , ask in follow up. Good luck Dr. HET

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Het Ram Bishnoi (18 hours later)

Thank you. I have hemorrhoids not always with bleeding time by time especially when have constipation; the pain is 2-3 times a year for the last 10 years. What do you suggest?

Answered by Dr. Het Ram Bishnoi (5 hours later)

Brief Answer: Hemorrhoids treatment. Detailed Answer: Hello, Once again thanks for the query. Proctosedyl-M or shield ointment is available as an OTC product for hemorrhoids , for local application . Nefedipine tablet & ointment is also a very good treatment and latest treatment . You can use. High fiber diet with plenty of water is also good for hemorrhoids patient. Only go for defecation ,when there is strong desire of defecation. Avoid constipation, if , take 1-2 tablet ( laxative). Hope this information will be helpful for you.Further any question, you can ask. Good luck For you. Dr. HET.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Het Ram Bishnoi (2 days later)

Than you for your response. I came to know that Nifedipine can only use in liver when cirrhotic. Can I use when my liver is ok?

Answered by Dr. Het Ram Bishnoi (8 hours later)

Brief Answer: Nifedipine uses. Detailed Answer: Hello Albertgreta. Once again thanks for the query to H.C.M. Forum. Actually nifedipine is an anti hypertensive drug. But beside this there are also so many other uses including in cirrhosis of liver. Nifedipine in extended form is very successful in the treatment of hemorrhoids . Its topical use is very effective in hemorrhoids . As we discussed in previous queries that you are having only mild degree hemorrhoids so you can use only topical cream ( for local application ) and that will cure your hemorrhoids. Hope this information will be helpful for you . Good luck. Dr. HET

Above answer was peer-reviewed by : Dr. Yogesh D