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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anal Pain On Bowel Movement?

Sir 20 Days before i found a drop of blood in my stool and from that day it is very painful. I thought i am suffering with Haemoroids but doctor said it is a Fischer.....Took the treatment and the pain is reduced very much. But every time i pass Stool i am geting pain in the anus...some time it stays for mins and some times for hours but still no blood in stool. Is this severe condition and should i go for surgery
Wed, 18 Apr 2018
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General Surgeon 's  Response
Hello,

Painful defecation along with few drops of blood in stool is suggestive of a condition called fissure-in-ano.

Since your problem is of short duration, I would advise you the following:
-Sitz bath in a tub with warm water before and after passing stool.
-Apply Lidocaine jelly before passing stool.
-Take laxatives to keep stools soft.
-Antibiotic only if your surgeon advises so.
-Painkiller to ward off pain and inflammation.

This cures the problem in most of the cases. Surgery is to dilate the internal sphincter if there is spasm or fibrosis.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant
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What Causes Anal Pain On Bowel Movement?

Hello, Painful defecation along with few drops of blood in stool is suggestive of a condition called fissure-in-ano. Since your problem is of short duration, I would advise you the following: -Sitz bath in a tub with warm water before and after passing stool. -Apply Lidocaine jelly before passing stool. -Take laxatives to keep stools soft. -Antibiotic only if your surgeon advises so. -Painkiller to ward off pain and inflammation. This cures the problem in most of the cases. Surgery is to dilate the internal sphincter if there is spasm or fibrosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant