What is your most painful menopause symptom

Hemorrhoids: Ailments are often confused

For most of those affected, pain in the anus is not only uncomfortable, but also embarrassing. Serious illnesses can be behind complaints.

Anal eczema is one of the most common diseases of the rectum. This is an acute or chronic inflammation of the anal region. Itching is characteristic of this eczema. In the worst case, the skin can look like raw meat, oozing and bleeding. If these symptoms occur, those affected should see a doctor immediately.

Sitz baths and creams help

According to the professional association of coloproctologists in Germany (BCD), anal eczema is triggered by damage to the skin by secretions from the anus. This is the case with a fistula or fecal incontinence. Incorrect personal hygiene, hyperhidrosis (profuse sweating) or anatomical malformations can also trigger the disease.

As part of the diagnosis, the doctor first clarifies what caused the eczema. Doctors often recommend Sitz baths or creams. These quickly lead to the regression of eczema. In the case of an allergic cause, according to the BCD, skin tests are necessary to clarify the cause.

Anal fissure is extremely painful

An anal fissure is one of the most painful diseases in the rectum. The pain occurs mainly when defecating and often lasts for a long time. The trigger is usually a visible tear in the mucous membrane in the area of ​​the anus, which is also noticeable through bleeding. To prevent symptoms from getting worse, see a doctor.

Overstretching the anal skin causes pain. Hard stools can be responsible for this, but also intestinal diseases such as Crohn's disease or ulcerative colitis. Chronic diarrhea and sedentary work also promote the disease. Doctors differentiate between an acute and a chronic anal fissure. According to the BCD, the acute form heals in many cases after a few days with ointments or anal tampons. If not, a chronic fissure can develop, in which scarring and thickening of the anus form and become inflamed again and again. Often an operation then has to be carried out. The entire scar tissue is removed. The wound then remains open and heals within a few weeks.

Anal thrombosis and hemorrhoids: how they differ

If those affected feel sudden pain in the anus after defecation and the ability to walk is restricted, there may be a thrombosis in the anal veins. The cause of this is a congestion of blood at the anus. A blood clot forms and blocks a vein in or around the anus.

Anal thrombosis is often confused with hemorrhoids. But both rectal diseases can be clearly distinguished from each other: An anal thrombosis is always on the edge of the anus, is painful and does not bleed. Hemorrhoids, on the other hand, cause no pain and bleed, at least initially. In addition, they only occur within the anus and, in contrast to the nodes of anal thrombosis, are not covered with normal skin, but with mucous membrane.

When to have surgery

The treatment of an anal thrombosis depends on the size of the lump and the symptoms. If you experience mild pain or a feeling of pressure, your doctor may prescribe a pain reliever or topical anesthetic ointment. In most cases, suppositories and hip baths can help and have a decongestant effect. If the pain is severe and if the thrombus threatens to burst, surgical intervention is necessary. It is usually done under local anesthesia. The surgeon either removes the anal vein thrombosis as a whole or cuts the knot so that the thrombus can empty.

Don't wait too long

As a general rule, if bleeding in the anus does not go away or even gets worse after two to three days despite treatment with creams or ointments, you should consult a doctor. Medical treatment is also essential if you have diarrhea or gas for several days or if you have larger hemorrhoids protruding from the anus.

Important NOTE: The information is in no way a substitute for professional advice or treatment by trained and recognized doctors. The contents of t-online cannot and must not be used to independently make diagnoses or start treatments.