Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Burning Itching Feeling During Excretion And Left Buttock And Leg Pain?
Posted on
Sun, 2 Nov 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 2 Nov 2014
Answered on
Sat, 29 Nov 2014
Last reviewed on
Question : Hi
I am XXXX .
I am feeling pain in left side of butt while sitting.
I have burning sensation or itching sensation while passing stool and then pain starts which make left back waist get heated,left legs start paining.
It has been since 4 weeks.
I have consulted doctor.
Doctor told it as a anal fissure.
Doctor has suggested to have loose stool.
I am taking slitz bath and applying annovate cream also.Taking MOREASE-I,zincovit.
Eating fruits,vegetable,not taking any spicy foods.
Please suggest what can I else try to overcome as soon as possible.
I am XXXX .
I am feeling pain in left side of butt while sitting.
I have burning sensation or itching sensation while passing stool and then pain starts which make left back waist get heated,left legs start paining.
It has been since 4 weeks.
I have consulted doctor.
Doctor told it as a anal fissure.
Doctor has suggested to have loose stool.
I am taking slitz bath and applying annovate cream also.Taking MOREASE-I,zincovit.
Eating fruits,vegetable,not taking any spicy foods.
Please suggest what can I else try to overcome as soon as possible.
Please suggest immediately.
Brief Answer:
Need some dietary modification along with treatmen
Detailed Answer:
Hi XXXX! Good evening. i am Dr Shareef answering your query.
From your history, I agree with your doctor that possibly you have developed a fissure in ano ( a cut in the perianal skin) due to passage of hard stool because of which there is initially itching followed by pain over there due to the super added infection.
If I were your doctor, I would first examine the area clinically, and after confirming that it was a fissure, would go for some anti inflammatory drug along with a proton pump inhibitor, a broad spectrum antibiotic, and a stool softener like lactulose liquid at bed time. Add sitz bath to it (sitting on a XXXXXXX warm water filled tub) three to four time a day for five minutes each. Application of a local cream/ointment containing a calcium channel blocker like Diltiazem also helps and you might have to apply this locally at least for 6-8 weeks for a satisfactory outcome. I am hopeful that you would get relief with this strategy, but I am afraid it would return if constipation (hard stool) occurs again for you. Therefore, to prevent the constipation, please avoid high protein diet, add a lot of roughage and fresh fruits along with sufficient liquids. Go for a regular exercise programme.
In case this recurs again and again, and there is no relief with increase in the pain and discomfort, I would advise you to get it assessed by a general surgeon in your area, who might advise you for lateral sphincterotomy ( a surgery where the sphincter mechanism of anal canal is slit to make it resist less for the out coming stool). This usually provides a permanent relief.
I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef
Need some dietary modification along with treatmen
Detailed Answer:
Hi XXXX! Good evening. i am Dr Shareef answering your query.
From your history, I agree with your doctor that possibly you have developed a fissure in ano ( a cut in the perianal skin) due to passage of hard stool because of which there is initially itching followed by pain over there due to the super added infection.
If I were your doctor, I would first examine the area clinically, and after confirming that it was a fissure, would go for some anti inflammatory drug along with a proton pump inhibitor, a broad spectrum antibiotic, and a stool softener like lactulose liquid at bed time. Add sitz bath to it (sitting on a XXXXXXX warm water filled tub) three to four time a day for five minutes each. Application of a local cream/ointment containing a calcium channel blocker like Diltiazem also helps and you might have to apply this locally at least for 6-8 weeks for a satisfactory outcome. I am hopeful that you would get relief with this strategy, but I am afraid it would return if constipation (hard stool) occurs again for you. Therefore, to prevent the constipation, please avoid high protein diet, add a lot of roughage and fresh fruits along with sufficient liquids. Go for a regular exercise programme.
In case this recurs again and again, and there is no relief with increase in the pain and discomfort, I would advise you to get it assessed by a general surgeon in your area, who might advise you for lateral sphincterotomy ( a surgery where the sphincter mechanism of anal canal is slit to make it resist less for the out coming stool). This usually provides a permanent relief.
I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
