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What Causes Tightness In The Anus?
Question: Hi Dr
I have a very tight anus. I've been checked for fissures and it was negative. I've used suppositories with no relief. The pressure in my anus is extreme and is 24/7. It makes getting an erection impossible. It constantly feels like I have to poop but I don't. I try to push the muscle to relax and it stays with the same pressure.
I have a very tight anus. I've been checked for fissures and it was negative. I've used suppositories with no relief. The pressure in my anus is extreme and is 24/7. It makes getting an erection impossible. It constantly feels like I have to poop but I don't. I try to push the muscle to relax and it stays with the same pressure.
Brief Answer:
Clinical evaluation and investigations.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/20 - tight anus - no fissures - used suppositories and fiber supplements - no relief - pressure in anus is extreme - 24/7 - makes getting an erection impossible - constant feeling of poop but nothing comes out - push the muscles to relax and it stays with the same pressure - visited a Doctor...
The causes of such an occurrence in a young man of 20 can occur due to the following reasons:
severe procto-colitis
Descending perineal syndrome
IBS- irritable bowel syndrome
Prostatitis
Rectal polyp
This can be checked and confirmed by the following:
- Per-rectal digital examination.
- Proctoscopy to start with
- Colonoscopy and biopsy.
- Ultrasonography of the whole abdomen, particularly focusing on prostate and the whole genito-urinary system too.
- Clinical evaluation by a General Surgeon and/or a Gastroenterologist.
- Tests of stool for consecutive days.
This way it would be easy to make a proper diagnosis and plan a further management.
I hope this answers your query and may help for getting the correct diagnosis.
Please feel free to give feedback of all the tests done so far and will be done in future and progress of the case and feel free to ask for further relevant queries.
Clinical evaluation and investigations.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/20 - tight anus - no fissures - used suppositories and fiber supplements - no relief - pressure in anus is extreme - 24/7 - makes getting an erection impossible - constant feeling of poop but nothing comes out - push the muscles to relax and it stays with the same pressure - visited a Doctor...
The causes of such an occurrence in a young man of 20 can occur due to the following reasons:
severe procto-colitis
Descending perineal syndrome
IBS- irritable bowel syndrome
Prostatitis
Rectal polyp
This can be checked and confirmed by the following:
- Per-rectal digital examination.
- Proctoscopy to start with
- Colonoscopy and biopsy.
- Ultrasonography of the whole abdomen, particularly focusing on prostate and the whole genito-urinary system too.
- Clinical evaluation by a General Surgeon and/or a Gastroenterologist.
- Tests of stool for consecutive days.
This way it would be easy to make a proper diagnosis and plan a further management.
I hope this answers your query and may help for getting the correct diagnosis.
Please feel free to give feedback of all the tests done so far and will be done in future and progress of the case and feel free to ask for further relevant queries.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can you please provide more details as to what is prostatitis, descending perineal syndrome, and procto-colitis is and what symptoms are experienced with each of them? Also how can any of them affect erections?
Brief Answer:
as explained in details.
Detailed Answer:
Details:
Prostatitis: Is inflammation of prostate gland, which in young man of your age is usually due to infection. Per-rectal examination, Ultrasound and Urine examination can help to get the proper diagnosis and treatment. One get pain deep within the perineum, painful urination, difficulty in urination. Many a times the symptoms can be vague.
Descending perineal syndrome: one gets the continuous discomfort and feeling like to pass motion and strains a lot but does not pass any motion.
Procto-colitis: is inflammation of the colon, rectum. The symptoms are the same as you have explained.One needs colonoscopy and biopsy to know the exact diagnosis.
All can have similar symptoms with mild variations as discussed above.
All the diseases are near the prostate and the apparatus that is responsible for normal erection.
Secondly erection is a process which has the psychology as the most important constituent. Even a small pain may not allow the erection. Trivial things like not feeling well will not allow the erection.
I would advise you the following:
Get a proper diagnosis by consulting the Specialists in the field, get detailed investigations to know the perfect diagnosis so that you can be treated properly.
I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
as explained in details.
Detailed Answer:
Details:
Prostatitis: Is inflammation of prostate gland, which in young man of your age is usually due to infection. Per-rectal examination, Ultrasound and Urine examination can help to get the proper diagnosis and treatment. One get pain deep within the perineum, painful urination, difficulty in urination. Many a times the symptoms can be vague.
Descending perineal syndrome: one gets the continuous discomfort and feeling like to pass motion and strains a lot but does not pass any motion.
Procto-colitis: is inflammation of the colon, rectum. The symptoms are the same as you have explained.One needs colonoscopy and biopsy to know the exact diagnosis.
All can have similar symptoms with mild variations as discussed above.
All the diseases are near the prostate and the apparatus that is responsible for normal erection.
Secondly erection is a process which has the psychology as the most important constituent. Even a small pain may not allow the erection. Trivial things like not feeling well will not allow the erection.
I would advise you the following:
Get a proper diagnosis by consulting the Specialists in the field, get detailed investigations to know the perfect diagnosis so that you can be treated properly.
I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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