Crohns disease

i have had crohns for ten years and for the past few weeks it has been tender around my anus. Tonight my partner had a look as everything had got really sore and nippy even whilst passing urine. They are like small clear ulcers. What should i do?

[Dr. Kokil Mathur]

Hi!
It is very difficult to say what the anal ulcers are. They can be due to Crohn’s disease too. Usually Crohn’s affects the small intestines but ulcers due to Crohn’s have been found anywhere in the gut—right from the mouth to the anus. Other than this it can be due to Herpes, anal fissure, piles, bacterial infection, fungal infection or very dry skin.
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Please consult your treating doctor regarding this. Take care!