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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Scratching Sensation In The Anus During A Bowel Movement?

Yes, for a couple (few months now) sometime, not always, when I poop it feels like there is something in my poop that is scratching one side of my anus when the poop first starts to come out. It is incredibly painful and when I wipe there is blood on the tissue afterwards. Any other poops during the morning or rest of the day, are usually normal with no scratching, pain, or blood. I am vegan, so I eat a healthy diet which consists of lots of vegetables, legumes, beans, seeds, nuts—lots of daily fibre and I drink 8 - 10 glasses of filtered water per day. I can t figure out what is causing the painful scratching. I thank you in advance for your professional consult regarding this matter! Melody
Wed, 5 Dec 2018
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General & Family Physician 's  Response
Hello,

The presence of painful bowel movement with some itchiness and blood when you wipe goes well with constipation. Even though it does not happen with all the bowel movement it still is a high chance you are having constipation. it is good you are having high fiber in diet and drinking plenty, sometimes more measures are needed.

You may take lactulose syrup to soften the stools and make them easier to pass. If no improvement with the treatment it is better to see your doctor and have a visit.

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

Regards,
Dr. Antoneta Zotaj,
General & Family Physician
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What Causes Painful Scratching Sensation In The Anus During A Bowel Movement?

Hello, The presence of painful bowel movement with some itchiness and blood when you wipe goes well with constipation. Even though it does not happen with all the bowel movement it still is a high chance you are having constipation. it is good you are having high fiber in diet and drinking plenty, sometimes more measures are needed. You may take lactulose syrup to soften the stools and make them easier to pass. If no improvement with the treatment it is better to see your doctor and have a visit. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Antoneta Zotaj, General & Family Physician