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The anus is that part of the intestinal tract that passes through the muscular canal of the pelvis and anal sphincters. It Other probelems with anus the final orifice through which stool passes out of the body.

In adults, the anus is 4 to 5 centimeters long. The lower half of the anal canal has sensitive nerve endings. There are blood vessels under the lining, and in its mid portion there are numerous tiny, anal glands. This article describes four disorders that cause anal pain and irritation:. Anal fissure - An anal fissure, also called an anorectal fissure, is a linear split or tear in the lining "anoderm" of the lower anal canal.

Most anal fissures happen when a large, hard stool overstretches the anal opening and tears the delicate anoderm. Less often, anal fissures develop because of prolonged diarrhea, inflammatory bowel disease or sexually transmitted diseases involving Other probelems with anus anorectal area. Acute short-term anal fissures are usually superficial and shallow, but chronic long-term anal fissures may extend deeper through the anoderm to expose the surface of underlying muscle.

Anal abscess - An anal abscess is a swollen, painful collection of pus near Other probelems with anus anus. Most anal abscesses are not related to other health problems and arise spontaneously, for reasons that are unclear.

They originate in a tiny anal gland, which enlarges to create a site of infection under the skin. In the United States, more than half of all anal abscesses occur in young adults between the ages of 20 and 40, and men are affected more often than women. Most anal abscesses are located near the opening of the anus but rarely can occur deeper or higher in the anal canal, closer to the lower colon or pelvic organs. Anal fistula - An anal fistula is an abnormal Other probelems with anus tunnel-like passageway, which is the remnant of an old anal abscess after it has drained.

It connects the mid portion of the anal canal at the anal gland to the surface of the skin. After an anal abscess has drained either spontaneously or when lanced by a physicianan anal fistula will develop at least half of the time. Sometimes the opening of the fistula at the skin surface constantly discharges pus or bloody fluid.

In other cases, the opening of the fistula closes temporarily, causing the old anal abscess to flare up again as a painful pocket of pus. Hemorrhoids - Hemorrhoids do not ordinarily cause pain. Nevertheless, sometime the blood vessels in a small hemorrhoid at the edge of the anal orifice can clot off "thrombosis". This may be triggered by a period of constipation of diarrhea.

When thrombosis occurs, the external hemorrhoid becomes swollen, hard, and painful, sometimes with bloody discharge. Although all four anal disorders cause some type of anal discomfort or pain, other symptoms vary, depending on the specific anal problem.

Pain in the anal area, often described as sharp, searing or burning, and usually triggered by a bowel movement. Mild rectal bleeding, typically a small amount of bright red Other probelems with anus with a bowel movement or on the toilet paper. Mild pain around the anus, centered in an area where an old Other probelems with anus abscess has either drained spontaneously, or Other probelems with anus been opened surgically by a doctor.

Other probelems with anus of a recurrent anal abscess see abovewhich may develop if the external opening of the fistula becomes clogged and the old abscess reactivates. Other probelems with anus you have described your symptoms, your doctor will ask questions about your medical history and lifestyle that will help in evaluating your anal problem. Depending on your symptoms, the doctor may ask about:. Your medical history, including any history of bleeding disorders, episodes of rectal bleeding, inflammatory bowel disease, sexually transmitted diseases or radiation treatment for cancer.

Next, your doctor will perform a physical examination of your abdomen, followed by an external Other probelems with anus of your anal area Other probelems with anus a digital finger rectal examination.

Usually your doctor will also perform anoscopy insertion of a tube-like instrument into the anus to look inside the anal canal and sigmoidoscopy a short telescope to examine the rectum and lower colon.

Anal fissure - Painful anal fissures can be a recurrent problem in people who suffer from repeated episodes of constipation. Fortunately, superficial fissures usually heal quickly with medical treatment, and most symptoms disappear within a few days to a couple of weeks. Anal abscess - An anal abscess sometimes drains on its own, although it is always safer for a doctor to evaluate the problem. If the abscess does not drain on its own, the doctor may incise and drain the abscess.

After an abscess is drained, the pain is usually immediately better. An anal abscess often turns into an anal fistula even with appropriate treatment. Anal fistula - Without treatment, an anal fistula may continue to ooze blood or pus for prolonged periods. Thrombosed external hemorrhoid - Usually the body will slowly reabsorb the clot in such a hemorrhoid, and the pain and swelling will slowly go away over a period of days to a couple of weeks.

However, when it is very painful, your doctor can remove the clot. You may be able to prevent anal fissures by preventing constipation. To do this, soften your stool by gradually adding more fiber to your diet, and by Other probelems with anus 6 to 8 glasses of water daily. Commercially available fiber supplement powders work well. Although it is not always possible to prevent other types of anal disorders, you Other probelems with anus be able to decrease your risk for these illnesses by:.

A doctor must diagnose the four anal disorders described here. Once the diagnosis is made, your treatment may or may not involve surgery, depending on the specific disorder.

If surgery is necessary, your doctor will use whatever type of Other probelems with anus is appropriate to help prevent you from feeling pain in this very sensitive area. Anal fissure - For an acute fissure, your doctor may recommend that you follow the suggestions Colts pornstar dave angelo official site relieving constipation that are described in the Prevention section above.

He or she also may tell you to apply a medicated ointment to the fissure, and to soak the anal area in warm water for 10 to 15 minutes several times a day "sitz bath". Anal abscess - An anal abscess must be opened or lanced by a doctor to drain the pus. This usually can be done as an outpatient procedure, especially if you are young and generally healthy, and your abscess is close to the anal opening.

Anal fistula - Surgery to unroof the fistula track "fistulotomy"is the most effective therapy. Your doctor opens the infected canal and scrapes away any remnants of the old anal abscess.

The wound is left open to heal from the bottom up. If the fistula is associated with Crohn's disease, treatment is directed toward the Crohn's disease with anti-inflammatory medications combined with an antibiotic.

Thrombosed external hemorrhoid - Usually this will slowly disappear on its own. The process can be hastened by taking a fiber supplement Other probelems with anus soften the stool, as well as by taking frequent warm water soaks "sitz baths". If the hemorrhoid is unusually painful, the doctor may carry out a limited operation under local anesthesia to remove the clotted hemorrhoid.

Call your doctor promptly whenever you have rectal bleeding or any bloody discharge from the anus. Even if you have been treated for a bleeding fissure in the past, it is always safer for your doctor to determine the best course of action.

This is especially true if you are over age 40, when there Other probelems with anus an increase in the risk of rectal bleeding from colorectal cancer and other serious digestive diseases. In most cases, the prognosis is excellent. Almost all acute fissures heal quickly with conservative treatment, and almost all fistulas and chronic fissures can be corrected with surgery. Appropriate treatment of anal strictures will allow stool to pass easily and comfortably.

Most anal abscesses heal after being drained by a doctor. Some develop into anal fistulas. If a fistula does complicate the healing of an abscess, a fistulotomy will totally Other probelems with anus both the fistula and any remaining abscess in most patients.

Disclaimer: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Other probelems with anus Disorders What Is It? Published: October, E-mail Address. First Name Optional.


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