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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sharp Pain And Anal Discomfort, Strong During Bowel Movement, Sitting On Couch Dulls Pain. What's The Problem ?

Hi. This is an awkward question but I am just going to jump right in. For the past couple of days I have been having rectal/anal discomfort and it has grown to a very sharp pain. It occurs very strongly when I have a bowel movement to the point where I am in tears but it also continues when I am not using the bathroom. Sitting on a chair/couch for long periods of time sometimes dulls the pain. What could be the issue?
Mon, 30 Jun 2014
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Emergency Medicine Specialist,  's  Response
Hi,
Thanks for writing your query.

After reading your post, it seems that you might be having anal fissure and needs medical attention.

I would advise that you should get yourself clinically examined and investigated by a surgeon.

Sitz bath twice daily will help you in relieving your symptoms.
A painkiller after meals and local application of nitroglycerin ointment 2-3 times daily will help in controlling pain.

Further medical management can be planned after clinical examination.

I hope this is helpful to you.
Thanks.
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Sharp Pain And Anal Discomfort, Strong During Bowel Movement, Sitting On Couch Dulls Pain. What's The Problem ?

Hi, Thanks for writing your query. After reading your post, it seems that you might be having anal fissure and needs medical attention. I would advise that you should get yourself clinically examined and investigated by a surgeon. Sitz bath twice daily will help you in relieving your symptoms. A painkiller after meals and local application of nitroglycerin ointment 2-3 times daily will help in controlling pain. Further medical management can be planned after clinical examination. I hope this is helpful to you. Thanks.