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Last Updated on March 10, 2024 by admin

Perineum problems, including the anal canal and the surrounding region, are fairly frequent. This is especially true for women after childbirth. Patients, on the other hand, frequently fail to seek medical care because they are too timid or ashamed to address the subject. Perianal disorders are widely categorised as piles or haemorrhoids by the general public, and cure is sought through rumour and, in today’s internet-savvy culture, the can the treatment from Best Plastic Surgeon in Jaipur and from Best Cosmetic Surgeon in Jaipur.

Instead of discussing various disorders affecting the perianal region, I’m addressing one of the most common symptoms people experience – Pain, what this symptom may mean, and when to seek medical treatment.

Defecation is excruciatingly painful.

Pain may develop during stools passing and continue for a few minutes to hours. Sharp knife-like pain during defecation implies an anal outlet damage. Anal fissure is the medical term for this ailment. It is a skin incision that continues within the anal canal from the anal aperture. The anal opening skin cut (anal fissure) is painfully painful and causes the muscle to spasm. Straining against the spasm to evacuate faeces produces recurrent harm to the skin cut, resulting in a vicious cycle.


The only way to assure that the wound heals is to reduce the agony, breaking the vicious cycle of pain – trauma – pain. This can be accomplished by warm water soaks in a tub known as Sitz baths and local ointments prescribed by your doctor. Furthermore, using laxatives helps that faeces be evacuated smoothly and without straining, reducing the risk of harm to the cut while defecating. You may be given pain relievers for a few days to help you get through the acute period. The most crucial piece of advise, however, is to make key lifestyle changes to promote healthy bowel habits and avoid another incident of distress in the future. These include staying hydrated, avoiding hot foods (red and green chilies), eating a high-fiber diet, and engaging in moderate physical activity. The therapy must be continued for the term prescribed by your doctor. Stopping it too soon may result in a recurrence that is resistant to medicines. If proper counsel is not followed and there is no improvement, the option is a surgical operation called as lateral sphincterotomy. It’s a quick treatment that involves cutting the muscle and allowing the fissure to heal.

Perianal pain accompanied with local edoema

This is caused by bleeding under the perianal skin or a perianal gland infection. The bleeding occurs within a solid mass beneath the skin, causing swelling and clotting of the blood, resulting in a painful lump at the spot. A thrombosed pile is the medical term for this ailment. The pain of a thrombosed pile begins quickly, is strong, and lasts all day. It normally resolves on its own, but it may occasionally necessitate surgical intervention. Examine how you can test yourself for piles.

An infection is the second most prevalent cause of this sort of discomfort. As the infection progresses, the discomfort becomes more intense. This infection might be of a perianal cutaneous gland or, more typically, a gland inside the anal canal. The infection quickly develops to the production of pus, which is known medically as a perianal abscess. A perianal abscess can range in severity from a little painful lump that bursts and discharges pus to a situation in which the pus spreads to the whole perineum and becomes a life-threatening illness. For alleviation, this ailment need surgical drainage.

piles thrombosed

All that is required for pain management is supportive care in the form of cold compresses and topical gels, as well as oral medicines. Laxatives can also assist prevent straining during faeces. If the agony becomes excessive, a brief surgical operation to remove the clot provides instant relief. If situations allow, it may be able to treat the underlying haemorrhoid disease at the same time. Once the thrombosed pile has resolved, it is recommended that the haemorrhoid surgery be performed.

a perianal abscess

Treatment is largely surgical, and rapid medical attention is required. The fluid must be drained, and the wound must be dressed on a regular basis during the healing process. An anal fistula is frequently formed as a result of the disorder.

Other causes of perianal pain: These are less prevalent than the previous reasons and include painful tailbone arthritis, often known as coccidodynia. A doctor does a medical check to diagnose the disease. The discomfort worsens when sitting and improves when standing or lying down. A spasm of the levator ani, a key muscle in the perianal area, generates comparable agony. The pain might be so intense that it wakes you up at night. After alternative causes of perianal discomfort have been ruled out, Levator ani syndrome (LAS) is diagnosed. Other gynaecological disorders where rectal discomfort may be a complaint include endometriosis, tumours of the rectum, spine, and pelvis. In such cases, the pain is persistent and worsens over a period of weeks to months. If you are experiencing comparable discomfort, you should get medical attention.

The Treatment of Coccidodynia

Coccidodynia and LAS treatment consists mostly of heat fomentation, pain relievers, a Sitz bath, and physiotherapy. The diseases are persistent and may wax and wane over time, necessitating supportive care if symptoms worsen.


When common disorders causing discomfort in the perianal period are detected and treated on time, they can be eased quickly and effectively. Pain that increases gradually over a lengthy period of time should not be disregarded. So, don’t self-medicate and put off therapy. All hospitals have specialists who can treat these illnesses.

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Emma Thompson
Emma Thompson is a certified health coach and a fitness enthusiast. She is dedicated to helping people improve their overall health and well-being by adopting healthy habits and making positive lifestyle changes. With over 7 years of experience in the field, Emma has written extensively on a wide range of health topics, including nutrition, fitness, stress management, and holistic health. Her mission is to empower and inspire others to take charge of their health and transform their lives. In her free time, Emma enjoys hiking, practicing yoga, and experimenting with healthy recipes in the kitchen.