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I experience aching in the anus that started in 2016. I underwent tests for haemorrhoids but the tests were negative. I was given Anusol tablets to insert. The problem went away for some time but it keeps recurring. Last year, I was given Anusol cream to use and, as usual, the problem abated. But since this year began, the problem has come back again. What can I do to treat this problem once and for all? Kindly advise.Dan
Dear Dan, Pain in the anus can be caused by:
- Anal fissure, which is a tear in the lining of the anus caused by passing large or hard faeces
- Haemorrhoids or piles: these are bulging veins in the lower part of the rectum and anus
- Anal fistula: this is a small tunnel that develops from the inner lining of the anus to the skin, usually caused by an infection leading to accumulation of pus (abscess)
- Muscle spasms
- Trauma
- Inflammation of the lining of the
anus and rectum
- Infection
- Diarrhoea or constipation
- Ulcer in the lining of the rectum - Cancer (rare)
Since the problem is recurring, it would be good to see a surgeon so that a proper examination of the lower part of the gastrointestinal tract can be done. Treatment depends on the cause.
Medication like Anusol has a pain reliever that helps with the symptoms. In addition, prevent constipation by taking a lot of fluid and high-fibre diet every day. Also, exercise, schedule time each day for a bowel movement, and take your time. Use baby wipes instead of toilet paper, and you can also take a sitz bath – by sitting in warm water for about 20 minutes twice a day – to help soothe the injured tissue. There are fibre supplements which you can take to help with stool texture.