Anal and perianal pain

Anal Pain & Perianal pain

What Causes Anal Pain?

Anal pain are usually very common conditions and are usually treatable.

They can result from:

  1. Fissure – a small ulcer or cut in the anus. This can often be a source of constant and prolonged pain & discomfort
  2. Abscess– sudden onset severe pain with often fever & nightsweats. This is likely due to bacterial infection.
  3. Fungal infection- This may create prolonged pain & is usually less severe than an abscess.
  4. Tumor- cancer can cause prolonged pain
  5. Muscle spasm- muscular spasm sometimes in pelvis may produce a very sharp pain which often resolves quickly.
  6. Fistula- abnormal tunnel between the rectum and the perianal skin, which can be painful, particularly if it gets blocked by motions ( stools) and an abscess can form in the tunnel

behind the blockage.

  1. Anal ulcer, a kind of sore or raw area, which may be painful and can represent an infection.
  2. Rectal STD – can be Gonorrhea, Chlamydia or herpes or HIV related illnesses
  3. skin problems- psoriasis or dermatitis, which may be the source for itching or burning & discomfort


When is anal pain serious?

Anal pain that does not resolve with the use of commonly used medications within 24-48 hours should be investigated by a colorectal physician. Anal pain that lasts more than 2 weeks can be serious. Chronic anal pain that progressively gets more severe may well be serious (cancer). It is important to realise that you need to seek medical help if things are not getting better as it may indicate an underlying serious problem.

What can be done to relieve anal pain?

  1. Maintaining a healthy diet with rich in fiber may help relieve anal pain in the majority of

treatable conditions.

  1. Drinking plenty of fluids daily.
  2. Avoiding trauma to the area is the most important thing.
  3. Do not use soap or perfumeof any kind on the anus or into the anal canal.
  4. Do not scrub or scratch the anus.
  5. Avoid moisture and creams.
  6. Applications of dry heat or dry cold may help in alleviating the pain in some.

When should I seek treatment from a colon and rectal surgeon for anal pain?

**Early detection is the key. Any mass of the anus should be examined by a specialist physician. In majority of the cases most of the cause for the pain can be treated successfully and they are benign ( nothing to worry, non cancerous). Cancerous tumors of the anus and rectum although rare can be cured by early surgical removal or radiation and chemotherapy. Waiting is not an option as the disease spreads rapidly and can have serious life threatening consequences**

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