Anus Pain

Anal pain or proctalgia is pain in the anus (rectum) or rectum, which is the end of the digestive tract. Anal pain is harmless, but can make the patient uncomfortable.



Anus Pain

Causes and symptoms of anal pain

Rectal pain can be caused by several conditions and causes symptoms, such as:

  • Hemorrhoids or hemorrhoids. Hemorrhoids are swollen arteries in this condition, usually due to frequent lifting, constipation or childbirth. Anal hemorrhoids pain is usually mild, but can worsen into acute or throbbing pain. The pain can last for several days, depending on the severity of the hemorrhoids. Hemorrhoids can also be accompanied by itching and redness in the anus, and there are lumps in the anus.
  • Fissura ani. Anal fissures are small tears on the skin around the anus. This condition is usually caused by hard, large stools in the stool, resulting in a very tight anus. In addition, anal fissures can also occur in people whose anal sphincter muscles are stiff, making it difficult to remove stool gently. The anal sphincter muscle is the muscle that regulates excretion during bowel movements. Anal pain experienced in patients with anal fissures resembles a knife cut initially, then turns into dull pain. Aside from pain, patients with anal fissure may have bloody stool.
  • Anal fistula and anal abscess. Anal fistula is an abnormal channel that forms between the tip of the digestive tract and the skin around the anus. This channel is usually formed due to recurrent infection around the anus (rectal abscess). The throbbing pain and worsening in a sitting position. In addition, there is redness and swelling around the anus, loss of blood or pus and fever.
  • Proctalgie Fugax. Proctalgie Fugax is a severe pain in the anus that sometimes requires you to wake up from sleep and suddenly occurs and is felt in a short time. The pain can be sharp, piercing or like cramps. Although the cause of this disease is not known with certainty, it is thought to be caused by tension in the anal sphincter muscle.
  • Ani Lift Levator Syndrome Ani Levator is an anal muscle area whose function is to regulate urination when you urinate. It is thought that the tension in these muscles causes loss of pain in the anus which lasts several hours to several days. The pain experienced by people with anvator syndrome decreases as the pain worsens in a sitting position. Proctalgie syndrome, anvator syndrome, is more common in women than men.
  • Rectal Prolapse Circumference where a part or all of the rectal wall comes out of its original location and sticks around the anus.
  • Infection. For example, proctitis, which is inflammation of the rectum due to a sexually transmitted infection or prostate infection (prostatitis).
  • Inflammatory bowel disease. For example, Crohn's disease or ulcerative colitis.
  • The presence of foreign objects entering the rectum.
  • Bone problems Like inflammation of the coccyx (coccydynia), arthritis or bone tumors in the pelvic region.
  • Anal or rectal cancer.
Anal pain can cause a person to delay bowel movements, making the stool harder and more painful when removed. Usually, anal pain can improve on its own, but call your doctor immediately if you experience anal pain that is unbearable for several days and is accompanied by bleeding at the same time. anus.
Diagnosis of anal pain

The diagnosis will be made by the doctor by asking chronologically the appearance of symptoms and the medical history of the patient. Physical examination will also be done by checking the condition of the anus (rectum). The doctor will do a digital rectal examination by inserting a finger into the anus to determine whether there is an abnormality. If necessary, examinations such as rectoscopy or anoscopy, use a tool such as a tube to clearly see the rectum or anus.
Treatment of anal pain
Anal pain can usually be relieved and treated at home by taking the following steps:

  • Soak in hot water for 20 minutes.
  • Eat high-fiber food and enough water to soften the stool and, if necessary, use laxatives.
  • Exercise regularly.
  • Take painkillers, such as paracetamol or ibuprofen. Can also apply painkillers around the anus.

If anal pain worsens or does not improve with personal care, get medical help immediately. Appropriate treatment for anal pain according to the cause. The doctor can give medicine or surgery to treat the cause of anal pain.

Occasionally, anal pain experienced by the cause is unknown, as in the case of proctalgie farsight or anvator syndrome, so there is no appropriate treatment to overcome it. In such cases, the doctor will give painkillers or muscle relaxants to reduce pain, but not the cause.
Prevention of anal pain

Anal pain can be prevented by eating lots of fiber-rich foods and adequate amounts of water. This will soften the stool and facilitate discharge from the digestive tract, eliminating the risk of trauma to the anal canal and the surrounding area.

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