Pain coming from the bottom area is not something that we are used to feeling and, as a repercussion, bum (anal) pain can cause a great deal of worries.
Symptoms of Pain in Bum
- A knife-like pain when you have your bowels open, and which may last for 10 — 15 minutes later on, is most likely triggered by an anal crack Some people describe it as like ‘passing glass’. In addition to the pain, you might notice some brilliant red blood on the toilet tissue.
- A similar knife-like pain can be caused by herpes simplex infection.
- A nagging, hurting pain intensified by defecation could be due to stacks.
- A throbbing pain, getting worse over a couple of days, and bad enough to disrupt your sleep, is likely to be caused by an abscess.
- An occasional, severe, cramp-like pain deep in the anal canal, lasting about half an hour, is probably a condition called proctalgia fugax.
- A continuous hurting pain in the rectum needs to be figured out by your doctor. It is frequently caused by a back problem (when a part of the spine presses on a nerve).
Also read: Pain Near Anus
What Causes Sharp Pain in Bum?
Pain in bum is likewise referred to as anal pain, rectal pain, or proctalgia, and explains pain impacting the bottom.
Common causes of anal pain consist of:
- Haemorrhoids: Haemorrhoids, an in some cases painful swelling of a vein or veins at the anus, are a typical issue, with about 50% of people experiencing them at a long time in their life, inning accordance with the NHS. They are usually caused by straining during defecation. Heavy lifting and childbirth are also common causes.
- Anal fissure: An anal crack is a small tear in the skin at the opening of the rectum. It is caused when a large, tough stool is passed and excessively stretches the anus. This issue can also happen in people whose anal sphincter tone (the muscle that controls the anal opening) is too tight and can not relax to pass the stool.
- Proctalgia fugax: Proctalgia fugax involves fleeting rectal pain. This disorder happens more commonly in women and in people younger than 45 years. Although the precise reason for the pain is not known, many doctors believe spasm of the anal sphincter muscle is the origin of this pain.
- Levator ani syndrome: Levator rectum syndrome happens in women somewhat more frequently than it occurs in men. The term levator rectums refers to the group of muscles that surround and support the rectum. Convulsions of these muscles are believed to cause rectal pain.
Less most likely factors for pain in bum hole:
- Infection, including anorectal abscesses or proctitis
- Inflammatory bowel disease, such as ulcerative colitis or Crohn’s disease
- Foreign bodies in the rectum
- Rectal prolapse
Main Causes of Pain in Bum Area in Details
An anal crack is a split in the anal skin, simply inside the rectum, normally towards the back. The pain of an anal fissure seems like being cut with glass when you have your bowels open and afterwards. It is even worse when you have had a difficult bowel motion. You might observe some bright red blood on the lavatory paper at the very same time. You might have the ability to feel a little swelling along with the fracture; this is a ‘skin tag’.
Anal fissures are most typical in teens and young adults, often after a period of constipation. Sometimes they follow giving birth. They normally heal on their own, but this typically takes numerous weeks and the scar may split once again.
What you can do. Do not feel nervous about the fissure. Although it is horribly painful, it is not a hazardous condition.
- Prevent constipation — this is essential. Keep your faeces soft by consuming great deals of bran cereals, fruit and vegetables.
- Smear some painkilling gel around the area right before you have your bowels open. You can purchase a suitable painkilling gel from a pharmacy; they are in some cases labelled ‘for stacks’ or ‘for haemorrhoids’. It will prevent the anus entering into a convulsion, which can make the issue even worse. Do not use the gel at any other time, or for more than 1 week, due to the fact that you can quickly develop an allergic reaction to its components. If you discover pain and itching, in addition to the sharp pain, it is quite most likely that the gel is responsible.
- Warm baths twice daily can assist, if you have the time. Put a handful of ordinary kitchen salt into the bath.
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How your doctor can assist. You need to see your doctor if the problem is not enhancing after 3 weeks. If you feel nervous about this, look at the section on seeing your doctor about an anal issue. For some treatments, your doctor will have to send you to the ‘rectal center’ at your local hospital. A few of the treatments your doctor might use are noted below.
- Glyceryl trinitrate ointment, used a number of times a day, heals about 50% of people (The Surgical Clinics of North America 2010; 90:33 -44). However, about 1in 4 people utilizing this treatment gets a headache as a side effect.
- A gel consisting of the drug diltiazem, applied two times daily for 6 — 8 weeks, appears to be as effective as glyceryl trinitrate.
If glyceryl trinitrate or diltiazem do not work for you:
- Injections of botulinum toxin (Botox) into the muscle of the anus are a possibility. Botulinum toxin prevents convulsion of the muscle, due to the fact that it obstructs transmission of nerve impulses to the muscle. Recovery rates are about 69 — 90%.
- The most common treatment (prior to diltiazem gel and glyceryl trinitrate ointment emerged) used to be a little operation under a basic anaesthetic. The operation is created to conquer the spasm of the anal muscle by extending the rectum. The pain relief is dramatic and instantaneous. In the past, this operation could leave you less able to manage wind, but this is less most likely with a newer type of operation called lateral internal anal sphincterotomy (British Journal of Surgery 2005; 92:403 — 8).
Sadly, the fissure returns within 3 — 4 months in about one-third of individuals treated with glyceryl trinitrate or diltiazem, and in about 40% of individuals after treatment with botulinum contaminant (Gastroenterology 2002; 123:112 — 7). Surgery seems to be the best long-term treatment and works in about 90% of cases.
Also read: Pain Around Anus
Herpes virus infection
A herpes virus infection can produce a pain similar to an anal fissure. Herpes can contaminate the anal area, either spread by the hands from a cold sore on the face, or sent as a sexual infection. At the rectum, herpes typically forms a fracture instead of the small ulcers that tend to happen somewhere else. It can happen in people who have never ever had herpes elsewhere. The discomfort takes place in episodes, each lasting for a couple of days. A genitourinary medication center will be able to take a swab to check for the virus if you go to the center as quickly as an episode starts; if you are fretted about the thought of visiting a clinic, take a look at the section on visiting the clinic.
An abscess near the rectum produces a throbbing pain that aggravates over a few days, and is usually bad enough to disturb your sleep. You may have the ability to feel a tender swelling in the skin beside the anus, or the abscess may be hidden inside. This is not likely to disappear by itself; it needs to be lanced by a doctor.
Also read: Lump on Anus
Proctalgia fugax is a severe, cramp-like pain, deep in the anal canal. It generally lasts for a couple of seconds or minutes, however can in some cases last for approximately half an hour. Between attacks there is no pain at all. Many victims have only 5 or 6 attacks a year. You may feel a need to defecate urgently, however nothing takes place. It may even make you feel dizzy, or provide you a headache. It happens in both men and women. The pain frequently wakes sufferers at night, and men may have an erection at the same time. Some men experience it after sex. It is a mysterious condition; no one knows what causes it, however it is most likely a convulsion of the rectal or pelvic floor muscles and does not imply that you have anything seriously incorrect. There are different methods of relieving the pain.
- Try putting pressure on the perineum (the area between the back passage and the vagina or base of the penis) by resting on the edge of your bath or on a tennis ball.
- Sit in hot water or, additionally, use some ice.
- Two paracetamol (acetaminophen) tablets and a hot drink may give some relief.
The problem with medications for proctalgia fugax is that the episode is likely to be over prior to the drugs become active, but medication might be worth attempting if your attacks last a long time. The usual treatment is the asthma drug salbutamol, breathed in from a puffer at the start of the attack (Gastroenterology 2006; 130:1510 — 8). This is only available on prescription, for which you would have to see your doctor.