I have a problem withmy anus and don't know what to do - #11737

Hello dear Have you done your USG Cbc report done ?? Please make it done and let me know further…

Hello dear See hammorhoids require proper diagnosis and comprehensive evaluation. Merely application of anti inflammatory creams will not provide complete relief. Iam suggesting some tests Kindly get them done for confirmation Sigmoidoscopy Renal ush Anoscopy Colonoscopy if recommended by gastroenterologist CBC Serum ferritin Stool culture if recommended Kindly share the details with gastroenterologist or laproscopic surgeon for better clarification Please donot take any medications without consulting the concerned person Hopefully you recover soon Regards

Hello Billy, This situation is very likely treatable,But need professional care.

🛑Kindly See a colorectal specialist or gastroenterologist-they can properly diagnose and treat the issue. Be open about your sexual history

Proctoscopy/Anoscopy will help to fund out the disease. Please dont delay, this needs meducal attention since it is more than a year.

Feel free to talk Thank you

Hi Dear Billy, Kindly donot panic Kindly use ANOBLISS cream twice daily Have SITZ Bath Take Lactulose syrup 15ml at night Kindly visit an Medical gastroenterologist for further examination Take care

Hello, Your symptoms need proper evaluation and management. I can be due to piles or tear. Kindly visit SURGEON for best opinion.

Take care

Hello Billy, I understand your concern and I’m herr to help. Your issues might be due to chronic fissure, hemorrhoids, skin tags or other causes too. like infections or IBS. Here is my advise -

1. Since it has lasted more than a year and creams haven’t helped, you should see a doctor in person (preferably a gastroenterologist or colorectal surgeon) for examination (proctoscopy/anoscopy). This will confirm the diagnosis.

2. What you can do meanwhile - - Syp. Lactulose 15ml HS × 7 days - High fiber diet (Flax seeds, chia seeds, cucumber, tomatoes) -Warm Sitz baths (sit in warm water for 10–15 mins, 2–3 times daily) – reduces pain and helps healing. - 5% Lignocaine for local application before passing stool. - Avoid excessive straining. - Use condoms and lubricant during anal sex until problem is fully evaluated.

3. Also get done screened for these anal STIs - HPV, HIV, VDRL, Gonorrhoea, Chlamydia, Herpes.

4. Please don’t ignore this — long-standing bleeding and anal changes must be examined in person. Treatment is possible, but we first need a correct diagnosis.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

1. Based on your history of long standing pain, bleeding, and discomfort, the problem is more than simple piles and may include anal fissure, chronic hemorrhoids, or even rectal prolapse.

2. Creams alone often give only temporary relief, which is why you have not improved even after trying multiple over the counter treatments.

3. A direct examination by a colorectal surgeon or proctologist is very important, as they can confirm whether surgery or a small procedure (like banding or cauterization) is required.

4. Constipation and straining make your condition worse, so maintaining a high fiber diet, drinking plenty of water, and using stool softeners regularly will reduce pain and bleeding.

5. Sitz baths (sitting in warm water for 10–15 minutes twice a day) are very effective in relieving pain and relaxing the anal muscles.

6. Being a gay man and having anal pain, you should also be checked for sexually transmitted causes like fissures or warts, since these can mimic hemorrhoids and need specific treatment.

7. Do not ignore it any longer a colorectal specialist can give you a permanent solution and greatly improve your quality of life and mental well being.

Hello dear It’s seems like anal tear or hemroids Don’t panic You need to take rest for 1 week Ointment xylocaine for locally apply on anus Before and after poop Take Lukewrom water on bigbowl and sit for 10-15 minutes for three time a day because it’s relax your anal spincter and you will feel better avoid other activities for few days Syrup lactulose 5ml once a day Maintain Hygeine properly

Try for 5 days I think it will work its basic treatment and helpful too if still not improving don’t wait Then consult To general surgeon Thanks

DONT USE ANY OTHER LUBRICANT

Persistent pain, bleeding, and changes in the anal area for over a year, despite creams and home treatments, suggest this may be more than simple hemorrhoids. Causes like fissures, chronic hemorrhoids, fistula, or other anal/rectal conditions should be considered. It’s important that you consult a colorectal surgeon or gastroenterologist for proper examination (proctoscopy/colonoscopy) and targeted treatment.

1.The light blood with egg white discharge after sex is most likely due to minor vaginal wall irritation, not period blood, since your cycle had just ended.

2.Hormonal changes around your cycle can make the vaginal tissue more sensitive and sometimes cause burning or spotting.

3.Since the itching is mild and not constant now, it does not strongly suggest a serious infection, but recurrent itching after sex should be checked.

4.The pelvic pain and burning during intercourse may be due to dryness, muscle contraction, or small abrasions rather than infection.

5.You don’t need to panic, but if spotting, pain, or itching continues, visit your gynecologist again to rule out vaginal infection or hormonal imbalance.

From the description, it sounds like you might be dealing with more than just hemorrhoids—possibly something like anal fissures or even a prolapse, especially if you’ve tried over-the-counter hemorrhoid treatments without success. Blood and pain during defecation can signify these issues, and sometimes an anal fissure can cause a sharp pain and bleeding due to a small tear in the lining of the anus. This situation is definitely something you should address with a healthcare professional, ideally a gastroenterologist or a proctologist, as soon as possible. They can perform a physical examination and possibly a proctoscopy to check for ano-rectal conditions or abnormalities like a polyp or a fissure. It’s good that you’re observing and putting a time frame around these symptoms; this information will be helpful for any specialist when you’re explaining your symptoms. It might require some lifestyle adjustments in addition to a treatment plan. Adding more fiber to your diet through fruits, vegetables, or a fiber supplement could potentially soften stools and make them easier to pass. Additionally, ensure you’re hydrating well by drinking plenty of water. However, given the ongoing nature of this issue and your description of its impact on your quality of life, you shouldn’t delay in seeking medical advice. There’s a chance that what appears as a minor issue might need more invasive treatments, like prescription medications or, in some instances, surgery. It’s also pertinent to mention any history of anal intercourse to your doctor, as it can be relevant to your condition and what might be causing the issue. Do not ignore the worsening of symptoms like increased bleeding, significant pain, or signs of infection (such as fever), as they would require urgent medical attention.