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What Causes Chronic Soft Bowel Movements And Raw Sensation In The Anus?

Posted on Tue, 13 Jun 2017

Question: I have been experiencing chronic,very acidic, soft stool bowel movements for going on 3 wks now, leaving my anus raw at times. have no idea what this might be. I normally experience this for no more than a day,or so, at the end of a three day bout of what I refer to as Nexium purge every six to seven weeks. medications I take daily; Nexium,acetaminophen,potasssium gluconate,and Centrum silver for men. I am a 57yr old male,active in construction work,adopted at birth so no family medical history. I suffer from acid reflux, pollops, and three run-ins with diverticulitis over the last fifteen years ( two in the last two years ) am an alcoholic that quit drinking my staple sour mash bourbon a month ago and I smoke a pack of Camels a day. these bovel movements are disconcerting.

Answered by Dr. Bhagyesh V. Patel (28 minutes later)

Brief Answer:
Respected XXXX,hi benign condition like fissure/proctitis

Detailed Answer:
Respected XXXX,hi I evaluated your query thoroughly.
* Seems in association with Anal fissure / Peri anal skin excoriation / Proctitis .
* Usually due to friction of epithelium by stool content or some bacterial
infection.
* Kindly provide me some more input for the same to understand in more depth
- pain ,burning after stool , frequency of bowel movements
- sticky stools with any odd content as trace of blood / mucus
- changes in color of skin around anus +/- itching
- abdominal pain
- fever / weight alterations / appetite
Thanks for using Health care magic & giving me an opportunity to assist you.
Awaiting for your details.
Regards dear.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (24 hours later)

I appreciate your quick response,but I sense I may need a medical dictionary to decipher your initial assessment,ie; anal fissure,peri anal skin excoriation, proctitis. providing additional input, I can say the soft stools seem abit sticky during clean-up and 100% more frequent concerning movement, but consistent in color with no odd trace content. pain after movement that lasts 5+ minutes then gradually deminishes. no abdominal pain. no change in appetite, weight and no fever. don`t notice any unusual color change around anus,but then I don`t know what it looked like before. feels like prolonged, internal, hemorrhoidal irritation, but my past problems, rare, have always been external and lasting no more than 3 days. have been passing gas more frequently during the night and I have added much more red meat to my diet in the last month, hope this input helps.

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
Respected XXXX,fissure with bowel inflammation most likely.

Detailed Answer:
Respected XXXX, hi welcome .
Thanks for giving further details.
No need of medical dictionary I am explaining you all wordings in detail.
@ Anal fissure - cut involving anal opening
@ Peri anal skin excoriation - rawness of skin surrounding anal opening
@ Proctitis - inflammation of internal wall of rectum
* After your details , my opinion remains for fissure with bowel inflammation.
most probably in relation to increase intake of red meat in diet in last month.
* Suggested clinical guidelines for you to get better early
- drink plenty of liquids - preferably boiled water, coconut water, lemon juice ,
green tea , coffee , butter milk etc.
- take small amount of light diet including rice , curd etc at regular intervals.
- avoid prolong fasting / overeating
- have balanced diet rich in all necessary ingredients .
- avoid all oily / spicy / non vegetarian stuffs / beverages / cheese / excess
ghee / sugars / artificial sweeteners
- no more red meat now onwards till you are totally ok
- avoid stress / anxiety
- avoid sitting for long periods on hard surfaces / long drivings
- have regular sound sleep of 6-7 hours
- avoid smoking / alcohol / any abuse substances if any
- remain ambulatory , regular walking , light exercises , YOGA
- keep anal part clean , dry
- Sitz bath ( sitting in a tub filled with lukewarm water for 10-10 minutes
morning , evening & specifically after passing stools ) regularly help a lot
- apply Xylocaine (5%) Jelly over anal opening after passing stools and Sitz
bath.
- thorough following of all above & follow up consultation after 10 days
recommended with continuation of your current medicines.
Hope this clears your query.
Welcome for any further assistance.
Wishing you fast recovery from the same.
Regards dear take care.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Bhagyesh V. Patel (2 days later)

thank you for your very thorough response, red meat is out and hopefully pork is a good substitute. please let me know if not. will do my best to comply with rest and will report back in 2 weeks, I am very satisfied with with your service, take care.

I have a prescription anucort-hc 25mg rectal suppositories, dated 6/21/16. should I be using these twice a day, per instructions on bottle, for this ailment?

Answered by Dr. Bhagyesh V. Patel (29 hours later)

Brief Answer:
Yes you can use anucort-hc rectal suppositories as instructions on bottle.

Detailed Answer:
Hello XXXX,
* Yes sure you can use it as it is useful to treat proctitis and other inflammatory
conditions of the lower intestines and rectal area.
Thanks regards dear .

Brief Answer:
Pork is also not good substitute for you at present dear.

Detailed Answer:
Hello Dear
Welcome but no appreciations please it is part of our moral responsibility .
* Honestly speaking , I don`t recommend pork also for you particularly till the
time your gut is perfectly fine . Try to avoid all non vegetarian stuffs so far
as possible to get asymptomatic much faster .
Regards .

Above answer was peer-reviewed by : Dr. Prasad