Epistemis

Anal pain

Specialty: Gastrointestinal.

  • pain when defecating
  • pain in the anus

Why it occurs

  • Anal fissure
  • Thrombosed hemorrhoids
  • Perianal abscess
  • Proctitis

Initial workup

Inspection and rectal examination; anuscopy; drainage if there is abscess.

red flags

Intense pain with fever and swelling → perianal abscess requiring drainage.

Standard management

  • Local measurements and fiber — sitz baths, soften stools
  • Topical analgesia — according to cause

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousAbdominal pain
Area
Gastrointestinal
Listed causes
4
Treatment options
2
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