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I Have Had Recurrent Pain In My Anal Area For
Question: I have had recurrent pain in my anal area for 2-3 months. The last days it has been particularly bad. The pain is throbbing and aching, unrelated to bowel movements. Sitting is not more painful than standing. The pain is worst in the evening, often I'm pain free in the early morning. I have no bleeding with bowel movements. I had a thrombosed hemorroid 3-4 weeks ago and had the similar pain, but this time I can't see anything down there. I also had a fissure several months ago, but the bleeding and pain with defecation went away when i treated constipation. Now I'm not understanding why I have this recurrent pain....it somehow feels like muscle spasm or "fullness" in the anus.
I have noticed a whitish, fibrosis-looking change in the posterior midline of the anus. This has been there for several months. I'm not sure what it is, maybe it can be a scar after an old fissure? I've had constipation and gastrointestinal issues for years.
I'm otherwise healthy and 31 years old. Have some anxiety issues and a lot of stress lately (starting a new job etc.).
I have noticed a whitish, fibrosis-looking change in the posterior midline of the anus. This has been there for several months. I'm not sure what it is, maybe it can be a scar after an old fissure? I've had constipation and gastrointestinal issues for years.
I'm otherwise healthy and 31 years old. Have some anxiety issues and a lot of stress lately (starting a new job etc.).
Brief Answer:
Can be a fissure.
Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns.
The first picture attached by you has hemorrhoids.
You have written I have a thrombosed hemorrhoid 3 weeks ago...I can't
understand this...You got the hemorrhoid thrombosed by your surgeon?...Are you telling me the diagnosis or post treatment condition? please make clear.
Secondly fissrue is something which on one end is connected to anal or rectal canal glands. It's tract can't be tracked by naked eyes.Inflammation inside any of them may cause pain.
A MRI fecogram should be done to see the exact path of the fissure.
Pain is suggestive of fact that some thing is wrong in the body.
If pain is there;Definitely there is some problem.
Fecal calprotectin would only be elevated if inflammation is inside intestine.
Fullness near anal area may be suggestive of ongoing infection.
Discuss this with your doctor and revert me back with what he says.
Treatment tried till date?
Reply the questions I asked above.
Thank you.
Can be a fissure.
Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concerns.
The first picture attached by you has hemorrhoids.
You have written I have a thrombosed hemorrhoid 3 weeks ago...I can't
understand this...You got the hemorrhoid thrombosed by your surgeon?...Are you telling me the diagnosis or post treatment condition? please make clear.
Secondly fissrue is something which on one end is connected to anal or rectal canal glands. It's tract can't be tracked by naked eyes.Inflammation inside any of them may cause pain.
A MRI fecogram should be done to see the exact path of the fissure.
Pain is suggestive of fact that some thing is wrong in the body.
If pain is there;Definitely there is some problem.
Fecal calprotectin would only be elevated if inflammation is inside intestine.
Fullness near anal area may be suggestive of ongoing infection.
Discuss this with your doctor and revert me back with what he says.
Treatment tried till date?
Reply the questions I asked above.
Thank you.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
1) 3 months ago I had an anal fissure. The doctor tested for inflammation and bleeding. He didn't treat anything. I treated it myself with laxatives and zinc ointment.
2) 3-4 weeks ago I had a swollen painful hemorrhoid. This went away by itself.
3) Now I have only pain. No swelling, no bleeding, no fever.
2) 3-4 weeks ago I had a swollen painful hemorrhoid. This went away by itself.
3) Now I have only pain. No swelling, no bleeding, no fever.
Brief Answer:
Follow up.
Detailed Answer:
Hi again,
Thanks for follow up dear,
1)Change your doctor firstly. Wise step on part of you to start laxative. Keep taking it as straining while defecation may increase the problem.
2)There are many stages of hemorrhoid from stage 1 to 4.Some hemorrhoids comes out and then goes back.
Suggestion proper investigations and tests by gastroenterologist.
Thank you!
Do rate the answer.
Follow up.
Detailed Answer:
Hi again,
Thanks for follow up dear,
1)Change your doctor firstly. Wise step on part of you to start laxative. Keep taking it as straining while defecation may increase the problem.
2)There are many stages of hemorrhoid from stage 1 to 4.Some hemorrhoids comes out and then goes back.
Suggestion proper investigations and tests by gastroenterologist.
Thank you!
Do rate the answer.
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Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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