Pain in the anus in men occurs with proctological diseases, some andrological pathologies. It can be short-term, long-term, constant, insignificant, moderate, strong, dull, sharp, burning, pressing, pulling, bursting, cutting, pulsating. Perhaps a combination with itching, burning, tenesmus, constipation, diarrhea, mucous or bloody discharge. To establish the etiology of the pain syndrome, a survey, external examination, ultrasound, sigmoidoscopy, anoscopy, and laboratory tests are performed. Treatment regimens include antibiotics, anti-inflammatory, analgesics, coating preparations, local procedures.
Drawing pain in the anus is noted when wearing tight underwear and trousers. Unpleasant sensations sometimes disturb drivers, which is explained by a long stay in a sitting position, constant vibration. Less often, similar complaints occur in men of other "sedentary" specialties. Soreness is aggravated by the overflow of the colon.
An increase in hemorrhoids is one of the most common proctological causes of pain in the anus. Uncomplicated hemorrhoids are manifested by burning, bursting at the time of bowel movement, often supplemented by non-intense dull aching or pulling pain. All symptoms persist for no more than a few hours.
In patients with thrombosis, the symptom intensifies, becomes permanent. The connection with the act of defecation is lost. When inflammation is attached, the pain increases even more, persists at night, becomes pulsating. Inflamed thrombosed nodes increase, feel like a foreign body in the anus. Possible deterioration of the general condition, hyperthermia.
Prolapse of hemorrhoids occurs several years after the manifestation of chronic hemorrhoids, at first it is asymptomatic or with a short-term sensation of interference in the anus, which disappears after self-reduction of the nodes. Pain and itching join when the nodes stop repositioning on their own, begin to fall out outside the act of defecation. The manifestation of the inflammatory process is characterized by sharp pains, subfebrile condition.
Acute anal fissure is manifested by spasm, intense pain that occurs during defecation and persists for a long time after its completion. Because of the pain, men try to delay bowel movements, which leads to constipation and exacerbates the problem. With chronic cracking, the symptom decreases somewhat, but does not disappear, the spasm becomes more persistent. Both forms of the disease are accompanied by itching, the appearance of small smears of blood on toilet paper, or streaks of blood in the stool.
Pain in the anus in children
Acute proctitis is characterized by false urges, stool disorders, general hyperthermia, severe pain in the anus, which increases during defecation, radiates to the scrotum, lumbar region. The clinical picture is somewhat different depending on the type of proctitis:
In men suffering from chronic proctitis, the severity of symptoms decreases. The pains are not intense, dull, pulling or aching. Periodically there are relapses with a clinic resembling an acute form of the disease.
Pain syndrome is caused by spasm of the anus, develops secondarily against the background of other pathologies, or forms independently due to mental and physical overload. Painful sensations are intense, stabbing, cutting, spastic in nature, appear suddenly at any time, regardless of the act of defecation. The duration of an attack of proctalgia does not exceed several hours. Sometimes the symptom disappears after a bowel movement or a warm sitz bath.
The cause of the injury can be sexual intercourse in passive homosexuals, the introduction of various objects for the purpose of masturbation, with mental disorders, improper procedures prescribed by the doctor, an attempt at self-treatment using folk remedies. Microtraumas, superficial burns of the mucosa are more often noted. Sometimes tears and breaks are revealed.
Foreign bodies enter the intestine not only through the anus, but also through the digestive tract. Men sometimes swallow toothpicks, small fish bones, and other sharp objects that dig into the mucous membrane, causing sharp pain, frequent urges. Dull foreign bodies and fecal stones provoke a feeling of heaviness, bursting, pressing pain.
With a mucosal injury, the occurrence of an inflammatory process, all symptoms intensify, fever, weakness, weakness are possible. A sharp excruciating pain indicates a violation of the integrity of the rectal wall and the exit of a foreign object into the pararectal tissue. Unbearable cutting pain, followed by symptoms of an acute abdomen, indicates the penetration of a foreign body into the abdominal cavity.
Dull pain in the anus can be provoked by large villous tumors, rectal polyps. Sometimes the appearance of a pain syndrome indicates erosion or injury of benign neoplasia. Melanomas of the anorectal zone, rectal cancer are asymptomatic at first, then they are accompanied by rapidly growing pains, false urges, bleeding, mucus separation.
The list of other diseases of the anus and lower colon with pain includes:
In addition, pain attacks in men can develop due to infringement of the prolapsed rectum. Sometimes sudden painful sensations at the time of defecation are observed in people with fecal incontinence on the background of chronic diseases, after injuries, proctological operations.
The likelihood of pain associated with diarrhea correlates with the duration and severity of the disorder. In the acute form, the symptom is spasmodic in nature or occurs against the background of overstretching of the sphincter. In patients with a chronic form, itching, burning, pain may indicate the formation of secondary perianal dermatitis.
Pressing, bursting painful sensations, combined with a feeling of fullness in the intestines, often bother men with chronic constipation. After defecation, pain syndrome is formed due to damage to the anus by too hard feces.
Pain in the anus with inflammation of the prostate gland is radiating in nature. It is not a mandatory sign of pathology. Features of pain in the anus in men depend on the form of prostatitis:
With prostate cancer that has arisen against the background of chronic prostatitis, pain is also due to irradiation, combined with pain in the perineum, pelvis, and above the pubis. In patients with colliculitis, discomfort, dull pain, sensation of a foreign object in the anus are mild, slowly progressing. Possible involuntary ejaculation during bowel movements.
Proctological examination
The determination of the etiology of pain in the anus is carried out by a proctologist. Men with prostate pathology are examined by an andrologist. According to the survey and physical examination, the patient is assigned such diagnostic manipulations as:
To prevent pain arising from the action of external stimuli, you should choose comfortable underwear, take regular breaks during sedentary work, adjust your diet, and move enough to prevent constipation. You can reduce the likelihood of accidental injury by avoiding non-traditional sexual practices and self-medication.
Drug therapy is not indicated until the cause of the pain is determined. With general hyperthermia, intense pain, profuse bleeding, it is urgent to contact a proctologist. If the pain in the anus is supplemented by urination disorders, you need to make an appointment with an andrologist-urologist.
To create conditions conducive to the treatment of proctological diseases, a man is prescribed a special diet. It is necessary to exclude fatty, fried, salty. With a tendency to constipation, it is necessary to increase the amount of plant fibers, to ensure the possibility of a comfortable bowel movement at a certain time of the day.
With frequent diarrhea, it is recommended to abandon products that stimulate motility, increase fermentation and gas formation. Preference should be given to steamed dishes. The following medications are included in the drug therapy regimen for pain in the anus:
Drug treatment of prostatitis involves long-term antibiotic therapy. Among non-drug remedies, prostate massage, ultrasound, laser exposure, microclysters are prescribed. For prostate cancer, radiotherapy, chemotherapy, hormone therapy are possible.
Men with diseases of the anus and rectum perform the following surgical interventions:
For men suffering from andrological diseases, operations such as: