Anal pain

[evilme]

hey at the moment the moment im having some pain around the outside of anus and a little bit of difficulty with pooing could this be an STD hemmoroids or a fissure and also it seems like my bum cheeks / crack  are a little red / swore could this be a rash or chapped from sweating ?

sorry if this seems strange ty for time

[evilme]

Thanks heaps for the posts atm im not sure if im constipated and feeling some pain after bowl movment is there and often stops after a few minutes i was wondering if sweating alot from wearing thick pants could aggrovate this ... im in australia and not sure if i can get my hands on what u have suggested to use im also 16 years of age .... also just to clarify this couldnt be related to an STD say if some one licked my anus for a few seconds could it ? .... and also does constipation make u feel like u always have bowl movment or need to go to the toilet but cant ? and u get anal fissures from inserting things in ur anus yeh ? because i have tried that ... im rly embarassed about all this so i do hope u understand how hard this is for me .. thank you for your time and i hope that u reply to this as i am a bit worried

[Bhupinder Kaur, MD]

Hello,

Without examination confirming a diagnosis is tough but it looks like anal fissures. An anal fissure is a split in the anal skin and it feels like being cut with glass when you have your bowels open and afterwards.In that case,take warm sitz baths , smear some painkilling gel around the area  and avoid constipation.If the symptoms persist then glyceryl trinitrate ointment,Botox injections and surgery can be tried.

Other possibilities are hemorrhoids,herpes simplex,abscess and proctalgia fugax.A clinical examnination and proctoscopy are needed to rule them out.Pls consult a surgeon in that case.

Hope it helps.Take care and pls do keep me posted on how you are doing or if you have any additional doubts.