Rectal pain in women, men: causes and treatment
Pain in the anus is a feeling of discomfort in the area of the anus and rectum. There are many nerve endings here, so ulcers, cracks, overgrowths and other anomalies in this area are particularly painful.
Sore rectum can be caused or aggravated by diarrhea, constipation, too hard stools, often accompanied by severe itching and consequently leads to scratching, which irritates the skin and nerve endings.
The main diseases that cause pain in the back passage are: hemorrhoids, thrombosis caused by hemorrhoids, prolapse of the rectum, paraproctitis, and also anal cracks. To sources of discomfort, sometimes painful, it is possible to refer and anal itching. However, many patients delay the visit to the doctor because of the embarrassment.
Remember – in the care of your own health there is nothing reprehensible, and the lack of a doctor-chosen treatment can lead to the development of complications.
Why does my anus hurt?
What are the causes of bum pain, and what should I do in this case?
Bum pain is traditionally identified with hemorrhoids. Indeed, hemorrhoids are the most frequent, but not the only cause of pain in the anus in women and men. Besides this ailment, there are a number of diseases that give painful sensations in the area of the anus, perineum, sphincter.
In order to describe all the causes of pain in the anus, consider those diseases that cause soreness in this area in men and women:
- anal fissures;
- prolapse of the rectum;
- foreign bodies;
In addition, the cause of pain in the anus can be a sedentary lifestyle for women and men. Especially often this phenomenon occurs in professional activities, requiring a long stay in a sitting position. In such situations, blood circulation in the pelvic and rectal zones is disturbed, which is immediately responded to by the nerve endings in the form of dull weak pain.
Pain in the anus after stool
Pain after defecation is most likely a manifestation of a crack in the rectum. In this case, the disease is accompanied by a bleeding that occurs from the anus, there are spasmodic attacks affecting the sphincter. The pain at the appearance of a crack is short-lived, but the intensity is high. In most cases, a painful attack lasts about 20 minutes.
Also, pain after emptying is sometimes a sign of an anus cancer, although this symptom is not the first in this disease.
Symptoms of a sore rectum
The pain in the back passage can be acute or blunt, burning or cutting; increases during or after defecation. Some people even avoid defecating, fearing pain.
Pain in the anus can be accompanied by:
- constipation or diarrhea;
- abnormal discharge, such as pus;
- sensation of an extraneous body in the rectum, as in hemorrhoids.
After determining the causes of pain, the doctor will prescribe a treatment that removes discomfort and eliminates the cause.
Diagnostics of rectal pain
In the presence of pain in the anus, a consultation with the coloproctologist is required. The patient undergoes a complete examination, which allows to exclude the presence of diseases that manifest as pain in the anus.
A physical examination, an examination of the region of the anus, a digital rectal examination are carried out. Rectoromanoscopy is performed for detailed examination of the rectum. If necessary, an irrigoscopy or a colonoscopy is performed.
Hemorrhoids – an expansion of the veins of the rectum and the formation of nodes. The disease is very frequent, they suffer up to 10% of the entire adult population. The main causes of hemorrhoids – chronic constipation, standing or sedentary, inactive work, heavy physical work, alcohol abuse, frequent intake of acute irritating foods, repeated pregnancies.
Internal hemorrhoids can cause bleeding and “drop out” from the anus, but usually do not give pain. External nodes do not bleed, but can be thrombosed, at this time there are severe pain, itching in the anus.
Acute hemorrhoids thrombosis
Violation of the blood circulation leads to stagnation of blood, an increase in hemorrhoids, the impossibility of their correction, edema and pain syndrome in the anus. Because of this, after a while, a thrombus forms in the node.
Symptoms of acute thrombosis are as follows:
- very severe pain in the anus;
- possibly the appearance of hemorrhoids of dark red color;
- necrosis of the mucosa;
- pain during defecation;
- swelling in the anus.
Anal fissure is a small rupture of the skin in the anus, which causes acute, dagger pain during bowel emptying. Pain is particularly painful when leaving a hard stool. An anal fissure is characterized by the release of a small amount of blood with feces or its traces on toilet paper (read more about rectal bleeding).
Often the pain is given to the sacrum or perineum. Increased pain in the anus helps to increase the tone of the sphincter (spasm). Cracks develop in the presence of enterocolitis, hemorrhoids, sigmoiditis, proctitis.
Paraproctitis is an inflammatory process in the anus. The disease is caused by microbes that get through the combs, cracks or other injuries in the anus.
There is pain in the rectum area, the act of defecation is accompanied by soreness, a swelling appears in the buttocks and posterior sphincter. If the autopsy is not performed in time, o it can break out and lead to the formation of a fistula, and, as a consequence, the chronicity of the disease.
Helminthiases, that is, parasitic diseases, cause the appearance of anal pain of varying intensity. These pains are often combined with a sensation of itching and burning, periodic constipation, fever, a general malaise, a rash and traces of scrapings on the skin of the perineum.
Injuries to the rectum
May arise due to the elevation of gravity, constipation, childbirth, when falling on a protruding object, improper conduct of diagnostic activities, unconventional sexual contacts, with damage to bone fragments, the presence of gunshot wounds or cut wounds.
The onset of the disease occurs with symptoms such as discomfort, mucus, blood, anal itching. That is, symptoms of rectal cancer are common to various diseases of the rectum and the anal canal, so early diagnosis is of primary importance in the treatment of the disease.
Pain in the anus treatment
Be sure to contact the doctor if:
- you have found spotting from the anus in a dark red or brown;
- stool tarry, black or rust colored;
- in your family there were cases of cancer of the colon or rectum;
- the pain is severe or lasts more than a week.
Determining the cause of the disease is important for choosing further tactics for treating pain in the anus in a woman or a man. A timely diagnosis will allow the appointment of etiotropic drugs that help to eliminate the cause of the disease.
It can be:
- drugs affecting the condition of veins,
- haemostatic agents,
- antiplatelet agents and other means.
The tactics of treatment are determined by the doctor and depends on the disease with which the pain syndrome is associated.