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Gastroenterology (Expert Forum)
Exteme burning in anus
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Exteme burning in anus
by palindrome, Oct 19, 2003 12:00AM
I am a married male, 46 yrs old. About 6 months ago I began experiencing a burning sensation in my anus on having a bowel motion. The pain would or burning would persist for hours graduallly radiating to my scrotum and also to the shaft of my penis. These symptoms were investigated by a urologist and a general surgeon. As a result of these investigations I had a benign polyp removed from my colon and also diagnosed a having kidney stones in my right kidney. These I have been told will be blasted.
The urologist says that he thinks I have prostatis, while the general surgeon says that my anal canal is inflammed and possibly have a touch of proctitis.
In the meantime I continue to have the "extreme burning" in my anus which I find debilitating. I have been given no medicine to help relieve this burning. I do not have this all of the time but probably about 4-5 days of each month.
Over the last episode I noticed the following. When I have a bowel motion, I feel that I have not evacuated completely or that there is some stool is still in my rectum of anal canal. At this stage I do not have discomfort and my stool looks very normal and healthy. However,about 20 minutes later I start to feel irritation in my rectum or anal canal. I return to the bathroom and have a second bowel motion which is full of "sputtering and gas" and small clumps of stool come out. Within minutes the burning is intense. I notice that there is lots of undigested food in these fore or five clumps of stool. To relieve the pain I apply Vaseline to my anal canal and ,within minutes, I feel relief and the buring sensation almost disappears. Also the burning does not radiate to my scrotum or penis. For this reason I do not believe that I have prostatis. I have requested of my physician to send to a Gastroenterologist which he is doing.
I would be most grateful if you could opine on these symptoms with any suggestion how to manage the extreme burning that I feel.
Many thanks,
The urologist says that he thinks I have prostatis, while the general surgeon says that my anal canal is inflammed and possibly have a touch of proctitis.
In the meantime I continue to have the "extreme burning" in my anus which I find debilitating. I have been given no medicine to help relieve this burning. I do not have this all of the time but probably about 4-5 days of each month.
Over the last episode I noticed the following. When I have a bowel motion, I feel that I have not evacuated completely or that there is some stool is still in my rectum of anal canal. At this stage I do not have discomfort and my stool looks very normal and healthy. However,about 20 minutes later I start to feel irritation in my rectum or anal canal. I return to the bathroom and have a second bowel motion which is full of "sputtering and gas" and small clumps of stool come out. Within minutes the burning is intense. I notice that there is lots of undigested food in these fore or five clumps of stool. To relieve the pain I apply Vaseline to my anal canal and ,within minutes, I feel relief and the buring sensation almost disappears. Also the burning does not radiate to my scrotum or penis. For this reason I do not believe that I have prostatis. I have requested of my physician to send to a Gastroenterologist which he is doing.
I would be most grateful if you could opine on these symptoms with any suggestion how to manage the extreme burning that I feel.
Many thanks,
Doctor's Answer
by Kevin Pho, MD, Oct 20, 2003 12:00AM
, Oct 20, 2003 12:00AM
An anal fissure is a definite possibility. Hemorrhoids are another cause.
With anal fissures, affected patients describe a tearing pain with the passage of bowel movements. The passage of stool may be accompanied by bright rectal bleeding usually limited to a small amount on the toilet paper or on the surface of stool. Some patients complain of an itch or perianal skin irritation.
Diagnosis can be made with a physical exam - a referral to a gastroenterologist or colorectal surgeon would be the most reasonable next options.
There are a variety of treatments, including topical nitroglycerin, calcium channel blockers, stool softeners, Sitz baths, botulinum toxin injections and surgery.
The initial treatment of fissures includes one month of bulk fiber supplements, stool softeners, nitroglycerin ointment and Sitz baths. If the symptoms continue, more specialized therapy can be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
With anal fissures, affected patients describe a tearing pain with the passage of bowel movements. The passage of stool may be accompanied by bright rectal bleeding usually limited to a small amount on the toilet paper or on the surface of stool. Some patients complain of an itch or perianal skin irritation.
Diagnosis can be made with a physical exam - a referral to a gastroenterologist or colorectal surgeon would be the most reasonable next options.
There are a variety of treatments, including topical nitroglycerin, calcium channel blockers, stool softeners, Sitz baths, botulinum toxin injections and surgery.
The initial treatment of fissures includes one month of bulk fiber supplements, stool softeners, nitroglycerin ointment and Sitz baths. If the symptoms continue, more specialized therapy can be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
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but you said applying vaseline helps.
you need an exam of your colon area