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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain While Having Bowel Movement?

hi i have no stomach pain.or so this only happens when i go stool today i did stool and it was hard to let in out had to push as i did i felt pain in.my anus now afterwards a couple of hours or so it burns and starts to like spasms and anul feels close like my finger cant go in.my anus please help i eat health and lots of fiber whats the probs it started to wake me up and night the pain like a knobing pain around my anus the muscles feels like it
Thu, 29 Jan 2015
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Internal Medicine Specialist,  's  Response
Hi. Thanks for your query in HCM. I am Dr. Aliem, and I am pleased to answer your query.
Your symptoms indicate that you are probably having Fissure-in-ano, i.e, a small tear in the mucosa that covers your anal canal. This causes pain during defecation which may be severe, and tightness of anal opening.
The following may be helpful to ease the discomfort:
1. Take a lot of fiber and water - I am happy that you are already taking it
2. Take regular Sitz baths - i.e Fill your bath tub (or an ordinary plastic basin) with Luke warm water. Keep your anal orifice immersed into it for about 15-20 mins. This may be done twice daily.
3. Try taking mild laxatives, available in powder form
If the problem persists, consult your gastroenterologist or surgeon. He/she may give you some ointments to be applied locally deep into your anal canal for pain relief. If it is resistant to all these, there are some minor surgeries that may provide cure.
Hope this helps. Please feel free to ask me further queries in this issue, if any.
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What Causes Pain While Having Bowel Movement?

Hi. Thanks for your query in HCM. I am Dr. Aliem, and I am pleased to answer your query. Your symptoms indicate that you are probably having Fissure-in-ano, i.e, a small tear in the mucosa that covers your anal canal. This causes pain during defecation which may be severe, and tightness of anal opening. The following may be helpful to ease the discomfort: 1. Take a lot of fiber and water - I am happy that you are already taking it 2. Take regular Sitz baths - i.e Fill your bath tub (or an ordinary plastic basin) with Luke warm water. Keep your anal orifice immersed into it for about 15-20 mins. This may be done twice daily. 3. Try taking mild laxatives, available in powder form If the problem persists, consult your gastroenterologist or surgeon. He/she may give you some ointments to be applied locally deep into your anal canal for pain relief. If it is resistant to all these, there are some minor surgeries that may provide cure. Hope this helps. Please feel free to ask me further queries in this issue, if any.