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Suggest Treatment For Hard Stools And Burning Sensation In The Anal Area

Posted on Thu, 16 Feb 2017

Question: Hi Sir,
Yesterday i had a very hard stool and after that pain or burning sensation started in anal.
When i started cleaning i had very little amount of blood.
Today when i had to go to stool,the stool is softer but still there is a pain in anal area but no blood and some times when it is little bit hard again blood comes.
I am very much tensed.Please help in resolving my issue.

Answered by Dr. Ivo Ditah (1 hour later)

Brief Answer:
Probably an anal fissure!

Detailed Answer:
HI,

The hard stools probably caused a fissure(wound) in the anal area. This explains the pain and the blood on tissue paper. To address this:

1. Increase vegetables, fruits, fibre, fluids, etc intake. Exercise often as much as possible.
2.Soaking in warm water for 10 to 20 minutes several times a day, especially after bowel movements, can help relax the sphincter and promote healing.

3. Topical anesthetic creams such as lidocaine hydrochloride (Xylocaine) should be applied and are helpful for pain relief.

Report progress to me. I wish you a speedy recovery.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (4 minutes later)

Thanks Ditah.

I have one more question.

I am worried ,does to is related to colonial cancer???

Answered by Dr. Ivo Ditah (9 minutes later)

Brief Answer:
NO!

Detailed Answer:
Hi,

Colon cancer at you age is unlikely. It will not also present with pain in the anal area during defecation. It rather goes with alternating episodes of constipation and diarrhea with blood mixed stools.

I wish you well. Keep me posted and for sure this is NOT colon cancer or even least suggestive.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (3 minutes later)

OK

But sometimes i will not go to stool for 1 or 2 days and 3rd day when i go to stool,
the stool is very hard and in that case also i experience pain and some blood in anal area.

Is that also due to annal fiisure???

Answered by Dr. Ivo Ditah (5 minutes later)

Brief Answer:
This si constipation which now caused the anal fissure!

Detailed Answer:
HI,

The hard stools is the reason why you have anal fissures because hard stools can easily injure the fragile peri-anal area. Increase your fiber intake, fruits, fluids and regular exercise to improve on this. avoid processed and fast foods.

I wish you well.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (38 minutes later)

One mor question.

Cousin you please suggest the annual fissure ointment name???

Answered by Dr. Ivo Ditah (1 hour later)

Brief Answer:
Use Lidocaine 3% cream!

Detailed Answer:
Hi,

Get these two medications:

1. Diltiazem to relax the anal sphincter and improve healing and,
2. Lidocaine 3% gel for pain relief.

I wish you well.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (4 hours later)

Hi Sir,

Can I use recti care lidocaine 5% ??

I am not finding with 3%

Answered by Dr. Ivo Ditah (23 hours later)

Brief Answer:
Yes you can!

Detailed Answer:
Hi,

It is perfectly okay to use lidocaine 5% gel. This for topical application only.

I wish you well.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar