Pain in the anus is usually not dangerous; However, if they occur frequently or with high intensity, they can severely impair the quality of life.
Anal pain: the most common causes
Pain in the anal region can occur during or after a bowel movement or the person concerned can be rudely awakened from sleep. In which situations and with which accompanying symptoms the symptoms occur can often provide information about the cause.
Pain when defecating in the anus: Skin tear as a trigger
If pain in the anus occurs again and again when defecating, the cause is often a so-called Analfissur – a crack in the skin of the anal canal.
The biggest risk factors for anal fissures are hard stools and constipation; If you have to press hard when defecating, the sensitive skin on the anus can tear. Concomitant symptom is common Blood on the toilet paper.
The first step in therapy is the To soften stool – ideally with a high-fiber diet and a fluid intake of at least two liters per day. Special ointments and suppositories support wound healing. In addition, home remedies such as hip baths can help alleviate symptoms.
Pain in the anus from hemorrhoidal disease
From so-called Hemorrhoids (colloquially “hemorrhoids”) one speaks when the tissue in the upper anal canal has enlarged and inflamed.
Hemorrhoidal diseases typically cause hardly any discomfort in the initial stage, but greatly enlarged and inflamed hemorrhoids can lead to pain in the anus. Additional symptoms are then common Itching, burning, and blood in the stool.
Constipation is also the greatest risk factor for these complaints; So that existing hemorrhoidal diseases do not worsen, you should therefore rely on a high-fiber diet, high fluid intake, and plenty of exercise be respected.
The so-called Anal vein thrombosis. As the name suggests, these are Blood clots in the anal veins. Typical symptoms, in addition to sometimes extreme pain, are small lumps at the exit of the anal canal. The symptoms typically come on suddenly and are most pronounced after a bowel movement.
In the case of severe symptoms, both hemorrhoidal disorders and anal vein thromboses can be treated surgically – in earlier stages, soothing ointments and hip baths often help.
Pain in the anus at night: cause of sphincter pain
at severe, cramp-like pain in the anus, mainly in the evening or at night, it is usually about so-called anal cramps. They can last up to half an hour.
The exact causes are not known – however there are some known risk factors such as Constipation, hemorrhoids, or anal fissures.
Home remedies such as hip baths and hot water bottles can alleviate the symptoms of anal cramps. The doctor: he looks for the trigger – if these are hemorrhoids or an anal fissure, for example, these can be treated. The anal cramps then often go away again.
Pain in the anus: when to see a doctor?
Since anal pain can cause severe distress, a visit to the doctor should not be delayed for long. In addition, the earlier they are diagnosed, the better the underlying diseases can be treated.
Go with the pain in the anus Blood in the stool This should also be clarified by a doctor in order to rule out rare, serious causes such as cancer.
sources:
Levator Syndrome, in: msdmanuals.com
What’s to know about proctalgia fugax?, in: medicalnewstoday.com
Anal fissure, in: mayoclinic.org
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