Pain above the anus

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Symptoms similar to anorectal pain

• Pain in the coccyx • coccydynia • pain in the coccyx area • pain in the coccyx

In the literature devoted to chronic pain syndrome of the anococcygeus region, a fairly wide range of terms is used to define this disease, however, only two are mentioned in the International Classification of Diseases - “proctalgia” and “coccydynia”. The definition of “anococcygeus pain syndrome” is a broader concept that unites a number of manifestations (anism, proctalgia, anal neuralgia, anorectal pain, coccydynia), the main symptom of which is pain in the perineum, anus or coccyx. Separately, only traumatic coccydynia should be considered, where the immediate cause of pain is an injured pathologically mobile tailbone.

Inflammation of the bony area (tailbone) located between the buttocks is called coccydynia. Pain in the tailbone occurs when the sensitive endings at the tip of the tailbone between the buttocks are irritated. The pain often worsens with straining.

Tailbone pain is often the cause of injury, but can occur seemingly spontaneously. There are many causes of tailbone pain that can mimic coccydynia, including sciatica, infections, pilonidal cysts, and bone fracture.

Causes of pain in the anorectal region and coccyx

Pain in the area of ​​the sacrum and coccyx is most often associated with injury (kicks, driving on bad roads), and the injury itself could have occurred long before the pain occurred, but there may be other causes of such pain (for example, sitting for a long time on “soft” surfaces). ).

Causes of “anorectal pain” can be:

— subtle disorders of the neuromuscular system of the posterior anal space and the entire pelvic floor; - prolapse of the perineum; — operations on the anus, leading to cicatricial deformities of the anus; - sitting on the toilet for a long time; - constipation; - diarrhea.

Diseases accompanied by pain in the anorectal region and coccyx

• Fracture • Sciatica • Infection • Pilonidal cyst • Trauma

Classification and types of pain

“Coccydynia” - pain directly in the coccyx area.

“Perianal pain syndrome” or “anorectal pain” is pain in the anus and rectum, often without cause.

Symptoms, clinical signs of anacopcygian pain syndrome

Anococcygeus pain syndrome combines several very painful symptoms:

pain directly in the coccyx area (“coccydynia”); pain in the anus and rectum, often without cause (“anorectal pain”).

Painful sensations can be constant or occur unexpectedly, for no apparent reason, last for different periods of time and also disappear unexpectedly. The nature of the pain is different - stabbing, dull, radiating to the perineum, buttocks and thigh, etc.

The main manifestation of anococcygeal pain syndrome is pain localized either in the rectum, or in the anal canal, or in the coccyx area. Sometimes it is impossible to accurately localize the pain. Proctalgia is characterized by a sudden onset of pain in the rectum lasting from a few seconds to 15-30 minutes, usually occurring at night. The onset of pain is difficult to predict, and the intervals between painful attacks can be quite long. The pain may be accompanied by intestinal spasms, painful priapism, and neurovegetative disorders (pallor, sweating). Sometimes these symptoms occur after sexual intercourse.

Haemorrhoids

This is the most common cause of pain. It is an expansion of the veins of the rectum and is caused by stagnation of blood. Hemorrhoids can be internal or external. The causes of the disease are:

• Problems with blood vessels.
• Frequent constipation.
• Pregnancy and childbirth.
• Hereditary predisposition.
• Poor nutrition.
• Lifting weights.
• Alcohol abuse.

Important: With hemorrhoids, the intensity of pain in the anus can be different and depends on the stage of the disease.

At the very beginning, discomfort and aching pain appear, which intensifies during the act of defecation. Later, after the formation of hemorrhoids, the pain and burning sensation can be very strong, including at night. During bowel movements they become simply unbearable.

In addition to pain in the anus, the following symptoms occur:

• Hemorrhoids. They can form inside and outside the anus. During the second, third and fourth stages, they fall out.
• Blood in stool. Appears due to damage to the mucous membranes.
• Swelling and itching in the anal area.
• In severe cases, an increase in body temperature occurs.
• With prolonged bleeding, anemia occurs.

How to treat hemorrhoids? This question worries many women. In order to get rid of the disease at home, capillary stabilizing agents (Detralex, Normoven, Diosmin) are used. They are taken orally according to the instructions. In order to eliminate fighting sensations and eliminate swelling, inflammation and itching, rectal suppositories are used (Relief, Sea Buckthorn, Anuzol, Anestezol).

Causes of pain in the anus

1. Trauma to the anus. Anal fissure - damage to the mucous membrane of the rectum in the form of a crack usually occurs when it is stretched by dense feces during bowel movements, sometimes during prolonged debilitating diarrhea. The pain in the anus when a crack appears is difficult to compare even with a toothache. It is so strong and long-lasting (up to 5-6 hours) that a person stops sleeping and responding adequately to external stimuli. Due to severe pain, the victim holds back the act of defecation, which only increases constipation and pain. Other symptoms of anal fissure: the accumulation of feces in the colon leads to the absorption of toxic substances (indole, skatole) into the blood, which poison the entire body, causing nausea, dizziness, weakness, and allergic reactions. In some patients, anal fissures are complicated by rectal fistulas, in which the skin in the anus becomes wet and severe itching occurs.

Long-term constipation often leads to inflammation of the colon mucosa (colitis), the formation of colon polyps and other intestinal diseases.

2. Rupture of the anal sphincter. The causes of rupture may be complicated childbirth associated with exceeding the maximum permissible stress in the tissues of the perineum, vagina and rectum, constipation, the introduction of any solid objects into the rectum (enemas, road accidents, falls, violence, childish or pathological desire to experiment, and others ), a sharp sudden spasm of the anal sphincter, lifting weights and anal sex.

Hereditary predisposition, physical inactivity, “sedentary” work, smoking, prolonged sitting at the table, hypovitaminosis, dietary imbalances, frequent alcohol consumption, age-related changes and others contribute to the rupture of the anal sphincter.

With a mild degree of sphincter rupture, symptoms may consist of a periodic inability to retain and voluntarily release intestinal gases, and moderate and severe degrees of failure are characterized by incontinence of liquid or even all fractions of the rectal contents without exception. The development of infectious and inflammatory processes and dysfunction of adjacent structures (urinary and reproductive systems, gastrointestinal tract, pelvic organs and others) almost always occur. Pain when the sphincter ruptures can be of varying intensity - from tolerable to severe, they are usually associated with defecation, but can also be felt in the intervals between visits to the toilet, immediately after or at the first occurrence of the urge, the pain radiates to neighboring areas.

3. Constipation. Common causes of constipation are insufficient and/or unhealthy diet, deficiency in dietary fiber, pregnancy, lack of physical activity, taking certain medications, and stress. It is believed that constipation can become chronic due to regularly delaying bowel movements for more than three months in a row. In this case, the feces acquire a hard consistency and become compacted, which, in turn, leads to problems with bowel movements. Elderly and senile people especially often suffer from constipation. Symptoms include difficulty in defecation, the passage of feces in small portions, after which a feeling of fullness of the intestines remains, a condition in which defecation occurs every day, but the volume of feces excreted is very small.

Other symptoms of constipation: hardening of the stool, deterioration of intestinal motility, persistence of a feeling of incomplete evacuation even after defecation, very infrequent bowel movements (constant retention of stool for 48 hours or more), dry, dense stool, which can lead to injury and inflammation of the anus, insufficient daily volume of feces and its separation in small portions, very strong straining, inability to defecate, decreased intestinal secretory function.

4. Drinking alcohol and spicy food. Drinking alcohol and hot spicy foods directly cause irritation of the mucous membrane of the rectum and anal area. Irritation of the mucous membrane leads to unpleasant sensations, the intensity of which varies from mild itching to severe pain. These symptoms are most pronounced during the act of defecation.

Anal fissures

Cracks in the anus appear as a result of damage to the mucous membranes. Most often they appear as a result of injury to the surface of the rectum by solid feces. The appearance of cracks can be caused by birth injuries, weakness of the pelvic floor muscles and chronic diseases of the digestive organs.

In most cases, the first sensations of pain appear during bowel movements. A sharp and acute pain lasts several minutes, then its intensity decreases, it becomes aching, and can be felt near the anus. Additional symptoms include:

• The appearance of scarlet blood in the stool.
• Constipation.
• Itching in the anus.

To treat anal fissures, the same medications are used as for hemorrhoids. If the damage is external, ointments are used to improve blood circulation and eliminate pain (Relief, Proctosan, Proctosedyl).

Kryptit

This is a disease in which the transverse folds of the rectum become inflamed. It occurs when there is excess, injury, frequent diarrhea or constipation. The disease can also be caused by a malfunction of the immune system.

Cryptitis is characterized by severe pain in the anus, peaking during bowel movements. Blood in the stool and itching may also appear. If you do not start treating the disease in time, it becomes chronic and a dull pain appears in the anus, which becomes regular.

Cryptitis is treated with antiseptic baths, microenemas and, if necessary, antibacterial drugs are prescribed.

Causes of lumbago

Shooting in the anal canal can be caused by various reasons. In particular, shooting pain in the anus is observed in the following diseases:

• neuralgia of the rectum;
• haemorrhoids;
• endometriosis;
• paraproctitis;
• perirectal fistula;
• cryptite;
• anal fissure;
• adnexitis.

In the anus there are a large number of nerve endings, when inflamed, rectal neuralgia develops. This pathology is quite difficult to diagnose, since any changes in the anus are often not detected either visually or by instrumental methods. However, in the absence of adequate treatment, this disease becomes chronic and in such cases shoots in the anus for years, sometimes causing painful suffering.

With hemorrhoids, pain in the anus can also become shooting in nature.

It usually shoots during bowel movements, but pain of this nature can also be observed during fast walking or prolonged sitting. Endometriosis is fraught with inflammatory complications, which tend to worsen during menstruation. In this case, the pain often radiates to the anus, having the character of lumbago.

Paraproctitis is an inflammation of the perirectal tissue, beginning in many cases with the appearance of painful lumbago in the anal canal. If treated incorrectly, paraproctitis is complicated by the development of pararectal fistulas, exacerbations of which are also in many cases accompanied by painful shooting pains in this area.

Cryptitis, or inflammation of the blind pouches present in the anus, observed when they become infected, is manifested by a pronounced increase in pain during bowel movements and physical exertion. Clinical manifestations very similar to cryptitis are observed in the presence of an anal fissure, especially if it becomes infected. In acute adnexitis, that is, inflammation of the female appendages, the pain often radiates to the anus and is often shooting in nature.

Proctitis and paraproctitis

The disease is an inflammation of the colon mucosa. If the inflammation spreads to the surrounding adipose tissue, paraproctitis is diagnosed. The causes of these ailments are:

• Abuse of alcohol or spicy seasonings.
• Stool disorders.
• Pathogenic microorganisms.
• Parasites.

The appearance of proctitis and paraproctitis is promoted by anal fissures, gynecological diseases, and diseases of the genitourinary tract.

These diseases are accompanied by a strong burning sensation in the anus and a feeling of heaviness. Additional symptoms include a false urge to defecate, bowel movements are disrupted, body temperature rises, and health deteriorates. There may be weeping or itching in the anal area.

Treatment of proctitis and paraproctitis is carried out using antibiotics from the group of penicillins, cephalosporins or macrolides. Antihistamines are also used to eliminate swelling and reduce itching. Painful sensations are eliminated with antispasmodics and analgesics.

Why does a burning sensation in the anus occur after diarrhea?

Diarrhea is an unpleasant phenomenon that can last for a long time. It is accompanied by frequent and profuse bowel movements from 5 to 20 times a day. A burning sensation in the anus often appears after diarrhea. The reason for this unpleasant condition is the injury to the sphincter during diarrhea. However, severe itching, burning or pain may be signs of the disease. It is impossible to independently determine why the sphincter hurts after severe diarrhea. It is necessary to undergo an examination and see a doctor.

Cystitis and urolithiasis

The bladder is located next to the rectum and if there is inflammation in this area, pain can radiate to the anus. Depending on the disease and intensity of inflammation, the pain may be periodically aching or stabbing.

Cystitis can be caused by bacteria, germs, viruses or hypothermia. Additional symptoms include a frequent urge to urinate, itching and burning in the urethra during this process, and a feeling of incomplete emptying of the bladder. The same symptoms can be observed with renal colic, when the stone moves along the ureter.

To relieve pain, non-steroidal anti-inflammatory drugs (Dexalgin, Ketanov, Baralgin), antispasmodics (No-shpu, Drotaverine), as well as antibiotics are used.

Important: In most cases, for pain in the anus, treatment with folk remedies will not give the desired effect; the use of medications is necessary.

Folk and herbal remedies for burning sensations

Pain in the anus after diarrhea can be eliminated not only with medications, but also with folk remedies. Traditional medicine is rich in recipes for restoring intestinal function, relieving itching and burning in the anus. It is advisable to combine the use of these drugs with drug therapy and diet. This will allow you to achieve quick and sustainable results.

Effective folk remedies for anal itching are:

• Pharmaceutical chamomile. If your anus hurts and itches after diarrhea, a remedy such as an infusion of chamomile flowers will help. For anal fissure, it is recommended to do microenemas with infusion. Chamomile baths will quickly relieve inflammation and itching. The water should be a comfortable warm temperature, not hot.
• Ice Cube. It is very important not to overcool and not injure delicate skin. An ice cube (without sharp corners or chips) is wrapped in clean gauze and applied to the itchy area. You only need to hold it for a few seconds.
• Soda. In women, the cause of itching in the perineum and anus is often thrush. You need to dissolve a quarter teaspoon of soda in a glass of water, then douche with this solution and wash off the rest.
• Sagebrush. This herb is considered an excellent natural anthelmintic. To prepare the medicine, you need to pour boiling water over a couple of tablespoons of wormwood and let it brew. It should be taken orally in small portions. But anthelmintic enemas with wormwood for intestinal parasites are also sometimes recommended. However, before using such a remedy, you must consult a doctor.
• Cranberry juice ointment. To relieve the burning sensation and stop the inflammatory process, you can prepare a cranberry-based ointment. Freshly squeezed cranberry juice is mixed with petroleum jelly (50 g of juice per 200 g of petroleum jelly). Lubricate the anus with the mixture several times a day.

When using homemade ointments and suppositories, you need to be careful. Some of them can cause an allergic reaction and increase itching. In this case, you must immediately consult a doctor.

Folk remedies are effective in combination with prevention rules. It is necessary to constantly wash yourself with mild soap or a special intimate hygiene product, wear underwear made from natural breathable fabrics, and choose high-quality soft toilet paper.

Papillitis

On the back wall of the rectum there are papillae, which can become inflamed under the influence of negative factors. The reason for this may be congestion in the pelvic area, infections, bowel disorders, or abuse of cleansing enemas.

The disease is characterized by severe pain in the anus, which reaches its peak during defecation. Also, the pain can be shooting or bursting and does not stop even at rest. Mucus (sometimes mixed with blood) may be released from the anus. The patient has a feeling that there is a foreign body in the anus, and the act of defecation does not bring relief.

As a conservative treatment, baths with disinfectant solutions and enemas with antiseptics and astringents are used. You can reduce pain with the help of rectal analgesics.

Adnexitis and salpingitis

Often pain in the anus is accompanied by inflammation of the fallopian tubes and ovaries. The causes of diseases are infections that enter the body during unprotected sexual intercourse.

With these diseases, a woman experiences severe pain that extends to the lower abdomen. It may get worse when going to the toilet or during menstruation. Also, with these diseases, body temperature may rise, purulent, foamy or bloody discharge from the vagina and difficulty urinating may appear.

Antibiotics are used to treat diseases, and non-steroidal anti-inflammatory drugs based on diclofenac, ibuprofen or nimesulide are used to eliminate pain.

How to get rid of burning and itching in the anus with diarrhea

Irritation of the anus with frequent loose stools is usually accompanied by itching, pain in the anus and a burning sensation.

The butt becomes red and burns, which causes great discomfort for both adults and children. If a child does not hesitate to complain about unpleasant sensations, then not every adult will dare to talk about his problem, so quite often the disease takes on an advanced form before a person comes to see a doctor. And this is fraught with multiple problems. First of all, the psycho-emotional state suffers. When the anus is inflamed, burning and painful from incessant diarrhea, the person becomes depressed and irritable. When pain prevents you from concentrating or sitting down, it affects not only a person’s mood and behavior, but also his performance, communication with others and his personal life. In children, the development of severe irritation of the anus can be prevented and treatment can be started in a timely manner, since the first symptom of the disease is redness of the butt, which attentive parents will definitely notice. Treatment of pain, burning, itching, redness of the butt due to diarrhea should not be delayed, as this will bring great inconvenience and can cause serious health problems.

Ectopic pregnancy

Occurs when a fertilized egg implants in the fallopian tube before reaching the uterus, an ectopic pregnancy occurs. The reason for this may be inflammatory processes, adhesions, endometriosis, or taking drugs to stimulate ovulation.

An ectopic pregnancy is accompanied by nagging and aching pain in the lower abdomen extending to the anus, which may be accompanied by spotting. At the same time, your period comes on time. When a pipe ruptures, the pain intensifies and becomes unbearable, and loss of consciousness is possible.

You can only get rid of an ectopic pregnancy through surgery.