Evacuar pain usually occurs due to constipation, hemorrhoids or anal fissural, but it may also be a sign of anal abscess or intestinal endometriosis.
Depending on your cause, in addition to pain of evacuating, other symptoms such as blood, discomfort or swelling in the anal region, hardened feces or fever may occur.
In case of pain to evacuate, especially if it is frequent or associated with other symptoms, it is indicated to consult a general practitioner, gastroenterologist or proctologist to identify the cause and start the most appropriate treatment, which may involve improvement of eating habits, use of healing ointments or surgery.
Main causes
The main causes of pain when evacuating are:
1. Hemorrhoids
Hemorrhoids can cause pain by evacuating in some cases, which is usually accompanied by other symptoms such as stool blood, itching, burning sensation and discomfort in the anal region. When the hemorrhoid appears in the outer region of the anus, it is also possible to feel a slight swelling in the region. See how to identify the hemorrhoids.
What to do: The ideal is to consult a proctologist to confirm the presence of hemorrhoid or hemorrhoidal thrombosis and start the proper treatment, which is usually done with ointments such as proctoan or processl, for example. See other examples of ointments for these cases.
2.
In case of constipation, the pain when evacuating is common and usually occurs due to the passage of hardened feces by the anus during evacuation. Also, when stools are hard, they can also cause wounds in the region, and the emergence of small bloodstains on toilet paper can be noticed.
What to do: In this case, it is important to have a fiber -rich diet, exercise regularly and drink plenty of fluids. However, it can sometimes be indicated by the doctor to use laxatives to help soften the stool and allow their passage. Check out tips to cure constipation.
3. Anal fissure
Anal fissure is a small wound that can appear in the anal region, happening when there is trauma in the region, such as when cleansing the excess anus, when you have very hard feces or due to other diseases, such as Crohn’s disease, for example.
Although fissure may cause a burning sense during the day, pain is usually stronger when evacuating due to the passage of stool. Because it is a wound, there is a higher risk of infection, which may end up causing swelling of the region, abscess and very intense pain throughout the day. Check out other symptoms of anal fissure.
What to do: The crack can heal naturally, and no treatment is not required. However, as you have a higher risk of infecting, it is advisable to maintain adequate intimate hygiene. Therefore, whenever possible, after evacuating it is very important to wash the region with abundant water without strong jets.
It can also be indicated the use of healing ointments such as xylocaine + hydrocortisone, the use of painkillers to relieve pain, such as dipyrone and acetaminophen, or the use of laxatives, such as lacquer or mineral oil, as well as being recommended to have a fiber -rich diet and the consumption of plenty of liquids during the day, as it is possible to prevent the stool from being hardened. The use of diltiazem ointment at 2%, under the prescription of the proctologist or gastroenterologist can also help.
4. Anal abscess
The anal abscess consists of the accumulation of pus under the skin, near the anus region. This abscess usually happens due to obstruction of the glands that are around the anal region, causing a lot of discomfort and pain when evacuating.
In addition, the anal abscess usually causes swelling that increases over time and causing redness on site, intense pain and fever. At first, symptoms can be very slight and intensify by evacuating, but it is common for pain to make worse, affecting everyday tasks, such as sitting and making efforts. Know more symptoms of anal abscess.
What to do: The treatment of the abscess consists of having a small surgery to drain the pus that is inside. Thus, if there is a suspicion of abscess, it is advisable to seek an emergency for an assessment and start treatment as soon as possible.
5. Intestinal Endometriosis
Intestinal endometriosis is the growth of endometrial tissue, which is the uterus tissue in the gut and which causes symptoms such as pain and difficulty to evacuate, intense abdominal pain, constipation, stool blood and swelling in the belly.
Symptoms of intestinal endometriosis are usually more intense during menstruation, but can also happen outside the menstrual period. Learn to recognize the symptoms of intestinal endometriosis.
What to do: It is recommended to consult the gynecologist for tests that confirm intestinal endometriosis and thus be able to start the most appropriate treatment according to the severity and intensity of symptoms. In general, the doctor should recommend surgery to remove excess endometrial tissue, as well as the use of medicines to relieve symptoms and prevent endometrium growth in the intestine.
Source: www.tuasaude.com