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Constipation With Anal Leakage (mucus) - Pain Radiating To Lower

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Posted on Tue, 10 Sep 2019
Question: Constipation with anal leakage (mucus) - Pain radiating to lower back when backed up (took anti-imfammatory which helped with pain)
Stools are small pebbles which feel 3 X the size to pass
Tried magnesium enema, laxatives, gelatin suppository, extra fiber with good results to go to bathroom regularly but anal leakage persists and constipation and stool remain difficult and small pebbles.
My wife sat on my office chair and after 2 hours complained of pain in her rectum - I have been off work for 2 months and due to lack of weightlifting (bad hip) my glutes have atrophied and have sitting all day on computer. (possible cause?)
I have been drinking beer every night for the last 2 months also.
I have to go to work in a week for 2 months (I cannot afford to take time off - I go to doctor for further assessment at a later date)

There is a slight pain in my rectum when I sit.
doctor
Answered by Dr. Hari Charan Perigela (1 hour later)
Brief Answer:
It could be Anal Fissure

Detailed Answer:
Hi
As per your description,it looks like Anal Fissure.
Hard stool causes trauma to the inner sensitive layer of the Anus leading to Pain.
You should take plenty of liquids,take high fiber diet.
Your stool should be soft.
Pain killers may lead to constipation which in turn intensifies Fissure.
If dietary modifications doesn't relieve the symptoms, you should take Laxative.
For anal Fissure,I prescribe Ointment containing Diltiazem to my patients.
It's better to use Water Pillow below your seat so that there will be no pain even you sit for prolonged hours.I advise the same thing to my patients.
Nothing to worry.
It will come down.
Hope I answered your query.If you have any questions,I will clarify further.
Wish you good health
Regards


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Hari Charan Perigela (41 minutes later)
So there is damage to my anus which is swollen that is causing the mucus discharge and constipation? I am very concern how to control this while it heals...soiling my pants at work is not fun. The discharge comes a lot when I try to pass gas. It is light brown with a little blood. How do I stop the discharge? This will happen only when my anus heals?
doctor
Answered by Dr. Hari Charan Perigela (5 minutes later)
Brief Answer:
Mucus normally comes from anus

Detailed Answer:
Hi
Some amount of mucus will come from the Anus.If it is more,then you have to get investigated.Colonoscopy should be done to know the exact cause of this excess mucus discharge.
Constipation leads to hard stool which damages the inner layer of Anus causing pain and bleeding.Ointment containing Diltiazem will help in healing the Fissure.
Please consult a Gastroenterologist and proceed further.
Wish you good health
Regards
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Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2716 Questions

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Constipation With Anal Leakage (mucus) - Pain Radiating To Lower

Brief Answer: It could be Anal Fissure Detailed Answer: Hi As per your description,it looks like Anal Fissure. Hard stool causes trauma to the inner sensitive layer of the Anus leading to Pain. You should take plenty of liquids,take high fiber diet. Your stool should be soft. Pain killers may lead to constipation which in turn intensifies Fissure. If dietary modifications doesn't relieve the symptoms, you should take Laxative. For anal Fissure,I prescribe Ointment containing Diltiazem to my patients. It's better to use Water Pillow below your seat so that there will be no pain even you sit for prolonged hours.I advise the same thing to my patients. Nothing to worry. It will come down. Hope I answered your query.If you have any questions,I will clarify further. Wish you good health Regards