Pain after bowel movements can be caused by various reasons. Often, it is characterized by a stitching feeling, which is accompanied by a burning sensation. This condition may also be accompanied by irritation. The causes and possible diseases, as well as the prevention of this phenomenon, are described in this article.
The causes of this pathology
The following factors can lead to pain during bowel movements:
- Frequent constipation or diarrhea.
- The presence of cracks in the mucosa of the anus.
- The presence of inflammation in the anus, for example, with anal fistula, abscesses and so on.
- In the presence of anal eczema.
- With the onset of symptoms of hemorrhoids, when veins in the rectum are inflamed.
- With thrombosis of the anal veins. In this case, there are blood clots in the small veins of the rectum. There may be other causes of pain after bowel movements.
- With irritable bowel syndrome.
- In the presence of chronic inflammatory bowel diseases, for example, with ulcerative colitis.
- Venereal pathologies, which are accompanied by inflammation of the rectum.
- The presence of genital warts.
- Due to stool incontinence.
- Due to inadequate hygiene of the intimate area.
- Passion for spicy dishes.
What diseases can a person have pain with?
Possible diseases that have become a provoking factor
Such a phenomenon as pain after defecation can be observed in the presence of certain diseases in a person. So, here is a list of pathologies, in the presence of which pain may occur after defecation:
- In the presence of intestinal adenocarcinoma. Such a tumor is an oncological disease that affects the rectum. This is the most common form of bowel oncology. At risk are people between the ages of fifty and seventy years.
- With atonic constipation. In this case, changes occur in the normal functioning of the intestine, which is why a person has a delay in bowel movements. This condition is caused by a failure of intestinal motility. Women face this problem more often than men.
- In the presence of infusor dysentery, which is a gastroenterological disease of a parasitic nature. His clinic is characterized by symptoms of general intoxication. In this case, patients have ulcerative defects of the colon.
- In Crohn's disease, when a granulomatous inflammatory process occurs. Because of it, different parts of the intestine are affected.
- With vesiculitis. Such a disease occurs in the seminal vesicles. This pathology does not have acute manifestations, which leads to late treatment of patients for medical assistance.
- With inflammation of the uterus. Against the background of this disease, the fallopian tubes, as well as the ovaries, are quite often affected.
- The patient has hemorrhoids.
- With gonorrhea in women and men. Such a disease can be sexually transmitted or transplacental. Its pathogen is pathogenic gonococcus.
- In acute prostatitis, which is an inflammatory disease, against which the prostate gland is affected. It can occur on its own or be a complication after an adenoma. This pathology in men is often diagnosed at the age of twenty to forty-five years.
- Pain after defecation in the anus can also be with perianal dermatitis, which manifests itself in the form of inflammation of the skin in the region around the anus.
- Against the background of colon polyps.
- In the presence of polyposis, which is a disease characterized by the appearance of multiple neoplasms of a benign nature in various organs.
- With a fistula of the rectum, resulting from the course of paraproctitis.
- With endometriosis, which is a non-tumor pathology, which is accompanied by proliferation of the endometrium beyond the appropriate limits.
In the presence of one or other of the above diseases, people may experience pain after defecation.
Treatment
Since pain after defecation is only a symptom of the disease, the main goal of therapy in this case is to establish the true causes of the disease and eliminate them.
In the event that the cause of pain during bowel movements is chronic constipation, the attending physician will prescribe the appropriate treatment. In such situations, you can do without medications, since to get rid of constipation, a banal increase in physical activity often helps along with eating food that should be rich in fiber. Drinking plenty of fluids is also required.
Most of the ailments associated with pain in the anal area are very treatable with the use of suppositories, ointments or enemas. Such medicines contain mild laxative substances with effective components that reduce pain, inflammation, and irritation. These drugs include cortisone along with muscle relaxants, medical substances, and antibiotics. It also perfectly soothes the mucous membrane and relieves pain after the act of defecation chamomile extract. Receptions of sitz baths with the extract of this plant will serve as an effective complement to the treatment.
In the event that a hemorrhoid was detected by a doctor, then therapy with the use of suppositories and ointments will, of course, be insufficient. In such cases, patients will require additional surgical medical procedures.
The presence of malignant tumors in the anal region and lower intestinal regions, as a rule, requires differentiated oncological therapy in the form of a resection. In addition, if necessary, additional chemotherapy or radiation treatment may be required.
Prevention measures for this pathology
Pain after bowel movements can be avoided if you follow some special recommendations, including the following:
- It is necessary to ensure that the chair is regular and has a soft consistency. This requires a balanced diet. The diet should be rich in fiber, it is also necessary to drink two liters of water daily. Fiber is found in large quantities in bread baked from whole grain flour, and it is also found in fruits, vegetables, flaxseeds, and so on. Such foods contribute to a soft stool, stimulating intestinal motility and preventing heaviness, constipation and bloating.
- Excessive consumption of raw plant foods that further aggravate the intestines should be avoided. Boiled vegetables also contain all the important vitamins and can even be much better digested in the human body.
- Use soft toilet paper. It is necessary that the paper be without any perfume additives.
- It is very important to monitor hygiene in the corresponding intimate area. For example, hypoallergenic wet wipes contribute to good hygiene.
What are the causes of blood after defecation without pain?
Is defecation blood a dangerous symptom?
This symptom is very common, but people often do not pay any attention to it. When nothing bothers and does not hurt, and the blood still continues to be excreted with feces, it is very dangerous. For this symptom alone, it is difficult to establish an accurate diagnosis. In this case, a comprehensive examination of the patient is required. But this does not mean at all that it is worth waiting for additional signs of the disease. Any disease is best treated at the very beginning.
Causes of blood during bowel movements
Many do not know why this phenomenon occurs. Is it life threatening? Should I panic? Blood after defecation without pain is an integral part of the onset of the development of serious diseases of the digestive system. Thus, most often this occurs as a result of the development of a particular disease.
The causes of blood after defecation without pain should be identified by the doctor.
So, this can happen in the following cases:
- In the presence of colon cancer.
- Against the background of the formation of polyps.
- With hemorrhoids, especially in the acute stage.
- If a person has cracks in the anus or rectum.
- Against the background of diverticulosis, that is, with protrusion of the intestinal walls.
- In the presence of intestinal ulcers.
- Against the background of ulcerative colitis.
- With a tumor in any area of the intestine. In this case, the colon most often suffers along with the sigmoid and rectum.
- Against the background of irritable bowel syndrome.
- With phlebectasia or endometriosis of the large intestine.
- Against the background of the development of ischemic colitis.
- With Crohn's disease.
- As a result of intestinal damage, helminthic invasions. It is worth noting that men are not as susceptible to this phenomenon as women. And the main risk group is children.
- In infectious diseases of the intestine, for example, with dysentery, salmonellosis and so on.
- Against the background of chronic constipation.
- Women can notice blood on toilet paper when they are pregnant, which is associated with a change in the location of a number of organs and their pressure on the intestines.
- With intestinal tuberculosis, in rare cases, stool with blood can be observed.
What can a bowel movement look like?
Pain and blood after bowel movements can manifest themselves in different ways. The following options are available:
- Feces have a dense texture with small blood clots.
- The stool of dense consistency leaves with some part of the mucus, on which traces of blood are visible.
- The chair is very hard and looks like sheep feces - this type is a characteristic sign of constipation.
- Drops of blood are not visible on the feces, but remain after defecation on toilet paper.
- Immediately after the bowel movement, the blood looks like a homogeneous mass, and the stool has a dark color.
- With diarrhea, mucus comes out, and the feces themselves resemble a jelly-like consistency.
- Blood comes out with soft feces and resembles thin red threads in shape.
- Blood is not visible, and the feces are black. This phenomenon is observed in the presence of constipation, when bleeding occurs in the small intestine.
- Feces can also be of normal consistency, but blood is secreted from the anus, regardless of whether intestinal emptying has occurred or not.
- Bleeding from the intestines can also be severe, while feces are fluid.
All the above variations in the excretion of feces with blood indicate the development of a serious bowel disease. Most often we are talking about oncology, hemorrhoids, phlebectasia or helminthic invasions. Another reason is also possible - stomach ulcer.
What else can be accompanied by abdominal pain after defecation?
What other symptoms indicate the development of pathology?
Against the backdrop of a bowel movement with blood, a person needs to analyze his well-being in recent days. In the event that he notes a certain symptomatology, this is an occasion to consult a doctor. So, the following manifestations are signs of a particular pathology:
- The presence of abdominal pain, constipation, or diarrhea.
- The presence of pain during bowel movements.
- There is a lot of mucus or pus in the feces.
- During a trip to the toilet, a person feels a burning sensation in the area of the anus.
- Presence of itching in the anus.
- Departure of parts of worms with feces.
- Presence of belching, heartburn, bloating, or tightening of the abdominal muscles.
- In the event that after emptying a person has a feeling of an unfinished process.
Thus, if, when going to the toilet, a person feels pain or notes any changes in the consistency of feces - the presence of impurities in it, and also notes other disturbing symptoms, then you should immediately contact a doctor to determine the causes and conducting treatment.
But how is the diagnosis of blood with pain after defecation in the lower abdomen and in the anus?
Diagnostics
When there is blood from the rectum, many do not know what to do, although the answer in this case is obvious and very simple - you need to immediately go to your doctor. The doctor should examine the patient and send him for tests. As a rule, the patient is sent to the following examination procedures:
- Carrying out a coprogram.
- Submission of fecal occult blood test.
- General blood test.
- Stool analysis for helminthic infestations.
- Conducting endoscopy or colonoscopy of the rectum as indicated.
But what should I do if my stomach hurts after defecation? Which doctor should I contact?
Which doctor should I contact for this pathology?
This article presents all the causes of pain in the anus after defecation and how to eliminate it.
When blood is observed during bowel movements, patients often do not even know which doctor should be consulted. The surest solution is a trip to a therapist, who should write a referral to specialists such as a proctologist, gastroenterologist and oncologist. Sometimes a gynecologist may also be needed. More narrow specialists prescribe treatment according to the established diagnosis.