Anal Burning

Hi everyone. My problem is that I have an on and off burning feeling in mi anus. I have small internal hemorroids (hemorrhoids) but they dont seem to be the problem. I have been diag win GAD, and when my nerves fire up it is worse. I have tried all kinds of creams but no solution. The doctor does not see any thing related to it. I do have to strain a lot to have a BM since I have a problem due to a minor spinal chord injurey due to a spinal anesteshia mal praxis 10 years ago. Any advice will be appreciated. Thank you very much.

[Bhupinder Kaur, MD]

Hello,
The spinal cord injury can be responsible for this burning sensation in the anus because burning sensation is mostly due to neurological causes. For such burning sensations parasthesia skin should also be ruled out. Parasthesias are common in alcoholics and metabolic disorders like diabetes, hypothyroidism, and hypoparathyroidism. They can also be due to peripheral vascular disease, spinal causes, vitamin B12 deficiency or malnutrition.

Get your blood sugar and thyroid hormones levels evaluated. You can take some vit B12 for some days and see if the burning is gone or not.

In case the symptoms persist then please consult a neurologist as it can be due to some neurological disorder.

I hope it helps. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.