Pain during evacuation is usually related to changes in the region, such as hemorrhoids or cracks, but can also occur from variations in stool, especially when they are very hard and dry.
Thus, if this type of pain occurs in a constipated person, this usually occurs because the stools are very hard and therefore can cause injury during the passage through the anus. However, if a change in the anus is suspected, it is important to consult a general practitioner or proctologist to identify the diagnosis and initiate appropriate treatment.
- Hemorrhoids are one of the main causes of pain during evacuation and usually.
- In addition to pain.
- They also cause bleeding and blood may appear on toilet paper or even in the glass.
- Hemorrhoid is similar to a varicose vein because it is an enlarged vein that occurs in the anus.
- Especially in constipated people.
- As they can result from increased pressure during the evacuation attempt.
Most of the time, hemorrhoids don’t cause any other symptoms, but there are cases where the person may still experience itchyness in the area and discomfort during the day. If the hemorrhoid appears in the outer area of the anus, you may experience slight swelling in the area.
O que fazer: O ideal é consultar um proctologista para confirmar a presença da hemorroida e iniciar o tratamento adequado, que normalmente é feito com pomadas como Proctosan ou Proctyl, por exemplo. Veja outros exemplos de pomadas para estes casos.
In people with constipation, pain during evacuation is very common, not only because they have to apply more force, but because the stools are very hard, they can end up injuring the area on the way out and causing minor injuries. For this reason, it is also common for small blood stains to appear on the toilet paper, which appear as a result of bleeding from these wounds.
What to do: The best way to combat constipation is to eat a high-fiber diet, exercise regularly, and drink at least 2 litres of water a day. However, when these measures do not work, it may be necessary to make a laxative prescribed by a doctor, for example, to soften the stool and let them pass. Learn how to fight constipation and evacuate pain-free.
The fissure is a small wound that can occur in the region, occurring when there is trauma in the area, such as when the anus is too cleaned, when you have very hard stools, or other diseases such as sexually transmitted infections (STIs). ) or Crohn’s disease, for example.
Although the fissure can cause a burning sensation during the day, the pain is usually more severe during the evacuation, due to the passage of the stool. As it is a wound, the risk of infection is higher, which can eventually lead to swelling of the area and very severe pain throughout the day.
What to do: The fissure can heal naturally, without treatment, however, as you have an increased risk of infection, it is advisable to maintain adequate intimate hygiene, so whenever possible, after evacuation, it is very important to wash the area.with plenty of water. Also see how to do a seat bath to relieve discomfort.
The use of healing ointments, such as Xyloproct, the use of pain relievers, such as dipirone, or the use of laxatives, such as lactulose or mineral oil, may also be indicated. and consuming a lot of fluids during the day, to prevent faeces from hardening.
Anal abscess consists of a buildup of pus under the skin, near the anus region, this abscess usually occurs due to obstruction of the glands surrounding the area and, although it can cause a lot of discomfort and pain, is easy to treat with minor surgery.
Anal abscess is characterized by the development of swelling that increases over time and can become red and very painful, and may also be associated with fever. At first, symptoms can be very mild and intensify during evacuation, but it’s common for the pain to occur. worsens, affecting daily tasks, such as sitting and making efforts.
What to do: The only treatment for abscess is to have minor surgery to drain the pus from the inside. Therefore, if an abscess is suspected, it is advisable to consult a proctologist to confirm the diagnosis and schedule surgery. Understand the symptoms that indicate an anal abscess and how treatment is performed.
When pain during evacuation occurs during menstruation or is very severe during this period, this may be a sign of endometriosis in the intestine. Endometriosis is a growth of tissue similar to that of the walls of the uterus, but in other parts of the body. this type of tissue is inflamed during menstruation due to the effects of hormones and therefore, if it is in the intestine, it can cause severe abdominal pain during menstruation, which can worsen during evacuation.
In these cases, in addition to pain, constipation, severe cramps and bleeding in the stool, for example, may also occur. Look for other signs that the pain during the evacuation is endometriosis.
What to do: Endometriosis is usually treated with the use of a birth control pill, to regulate hormone levels and reduce inflammation of tissues within the intestine. However, in the most severe cases, surgery may be required to remove the tissue. Learn more about intestinal endometriosis and how it’s treated.
In most cases, pain during evacuation is not a symptom of a serious problem, but it is always advisable to consult a proctologist to start the most appropriate treatment, especially if symptoms such as:
Although rarer, some types of cancer, such as rectal or prostate cancer, can also cause pain during the evacuation, so it’s always important to make an appointment with a doctor to treat these more serious problems.