Pain in the anus in men
Pain in the anus in men occurs with proctological diseases, some andrological pathologies. It can be short-term, long-term, permanent, insignificant, moderate, strong, dull, acute, burning, pressing, pulling, bursting, cutting, pulsating. It may be combined with itching, burning, tenesmus, constipation, diarrhea, mucous or bloody discharge. To establish the etiology of the pain syndrome, a survey, external examination, ultrasound, rectoromanoscopy, anoscopy, laboratory tests are performed. Treatment regimens include antibiotics, anti-inflammatory, analgesics, enveloping drugs, local procedures.
Why does pain in the anus appear in men
External causes
Hemorrhoids
Anal crack
Proctitis
Proctalgia
Traumatic injuries
Neoplasms
Other proctological pathologies
Constipation and diarrhea
Male diseases
Diagnostics
Treatment
Help before diagnosis
Conservative therapy
Surgical treatment
Prices for treatment
Why does pain in the anus appear in men
External causes
Pulling pain in the anus is noted when wearing tight underwear and trousers. Unpleasant sensations sometimes bother drivers, which is explained by a long stay in a sitting position, constant vibration. Less often, similar complaints occur in men of other “sedentary” specialties. The soreness is aggravated by the overflow of the colon.
Hemorrhoids
Enlargement of hemorrhoids is one of the most common proctological causes of pain in the anus. Uncomplicated hemorrhoids are manifested by burning, bursting at the time of bowel emptying, often supplemented by non-intense dull aching or pulling pain. All symptoms persist for no more than a few hours.
In patients with thrombosis, the symptom increases, becomes permanent. The connection with the act of defecation is lost. With the addition of inflammation, the pain increases even more, persists at night, becomes pulsating. Inflamed thrombosed nodes increase, they feel like a foreign body in the area of the anus. Possible deterioration of the general condition, hyperthermia.
Hemorrhoidal node prolapse occurs several years after the manifestation of chronic hemorrhoids, at first it proceeds asymptomatically or with a short-term feeling of interference in the anus, which disappears after self-correction of the nodes. Pain and itching join when the nodes stop being set on their own, begin to fall out outside the act of defecation. The manifestation of the inflammatory process is characterized by sharp pains, subfebrility.
Anal crack
Acute anal fissure is manifested by spasm, intense pain that occurs during defecation and persists for a long time after its completion. Because of the pain, men try to postpone bowel emptying, which leads to constipation and exacerbates the problem. With the chronization of the crack, the symptom decreases somewhat, but does not disappear, the spasm becomes more persistent. Both forms of the disease are accompanied by itching, the appearance of small smears of blood on toilet paper or streaks of blood in the stool.
Pain in the anus in children
Proctitis
Acute proctitis is characterized by false urges, stool disorders, general hyperthermia, severe pain in the anus, which increases during defecation, gives into the scrotum, lumbar region. The clinical picture differs somewhat depending on the type of proctitis:
Catarrhal. Symptoms are mild or moderate.
Erosive. It is more severe than catarrhal, there is a release of blood and mucus.
Ulcerative. Even more severe form. Accompanied by the release of a large amount of blood.
Radiation. Develops during or after the completion of radiation therapy. The manifestations are quite variable.
In men suffering from chronic proctitis, the severity of symptoms decreases. The pain is not intense, dull, pulling or aching. Periodically, relapses occur with a clinic resembling an acute form of the disease.
Proctalgia
Pain syndrome is caused by a spasm of the anus, develops a second time against the background of other pathologies or is formed independently due to mental and physical overloads. Painful sensations are intense, stabbing, cutting, spastic in nature, appear suddenly at any time, regardless of the act of defecation. The duration of an attack of proctalgia does not exceed several hours. Sometimes the symptom disappears after emptying the intestines or a warm sedentary bath.
Traumatic injuries
The cause of injury can be sexual intercourse in passive homosexuals, the introduction of various objects for the purpose of masturbation, with mental disorders, improper conduct of procedures prescribed by a doctor, an attempt at self-treatment using folk remedies. Microtrauma, superficial burns of the mucous membrane are more often noted. Sometimes tears and tears are revealed.
Foreign bodies enter the intestine not only through the anus, but also through the digestive tract. Men sometimes swallow toothpicks, small fish bones, other sharp objects that dig into the mucous membrane, cause sharp pain, frequent urges. Blunt foreign bodies and fecal stones provoke a feeling of heaviness, bursting, pressing pain.
In case of injury to the mucous membrane, the occurrence of an inflammatory process, all symptoms increase, fever, weakness, and bruising are possible. Sharp excruciating pain indicates a violation of the integrity of the rectal wall and the exit of a foreign object into the pararectal fiber. Unbearable cutting pain, followed by symptoms of an acute abdomen, indicates the penetration of a foreign body into the abdominal cavity.
Neoplasms
Dull pain in the anus can be provoked by large villous tumors, rectal polyps. Sometimes the appearance of pain syndrome indicates erosion or injury of benign neoplasia. Melanomas of the anorectal zone, rectal cancer are initially asymptomatic, then accompanied by rapidly increasing pain, false urges, bleeding, mucus separation.
Other proctological pathologies
The list of other diseases of the anus and lower colon with pain syndrome includes:
acute and chronic paraproctitis;
inflamed epithelial coccygeal course;
pararectal dermoid cyst;
inflammation of the crypts.
In addition, pain attacks in men can develop due to infringement of the fallen rectum. Sometimes sudden painful sensations at the time of defecation are observed in people with fecal incontinence against the background of chronic diseases, after injuries, proctological operations.
Constipation and diarrhea
The likelihood of pain with diarrhea correlates with the duration and severity of the disorder. In the acute form, the symptom has a spasmodic character or occurs against the background of overstretching of the sphincter. In patients with a chronic form of itching, burning, pain may indicate the formation of secondary perianal dermatitis.
Pressing, bursting painful sensations, combined with a feeling of intestinal overflow, often bother men with chronic constipation. After defecation, pain syndrome is formed due to damage to the anus by too hard feces.
Male diseases
Pain in the anus with inflammation of the prostate gland is of an irradiating nature. It is not a mandatory sign of pathology. Features of pain in the anus in men depend on the form of prostatitis:
Sharp. Irradiation into the anus is sometimes determined at the second stage of the disease, some time after increased urination, the appearance of pain in the sacrum and perineum.
Chronic. Some patients are concerned about minor soreness during defecation.
Calculous. Dull aching pain prevails in the scrotum, sacrum, coccyx, and anus area. Pain attacks are possible during defecation, prolonged walking, shaking driving, physical exertion, sexual acts.
Stagnant. Painful sensations are constant, localized in the perianal zone, perineum, penis, scrotum. They radiate into the coccyx, lower back, along the inner surface of the thighs.
In prostate cancer, which has arisen against the background of chronic prostatitis, soreness is also caused by irradiation, combined with pain in the perineum, pelvis, above the pubis. In patients with colliculitis, discomfort, dull pain, and the sensation of a foreign object in the anus are poorly expressed, slowly progressing. Involuntary ejaculation during defecation is possible.
Proctological examination
Diagnostics
The definition of the etiology of pain in the anus is handled by a specialist proctologist. Men with prostate pathology are examined by an andrologist. According to the survey and physical examination, the patient is prescribed such diagnostic manipulations as:
Proctological examination. It includes an assessment of the state of the anus, examination in rectal mirrors, finger examination, and other techniques. It makes it possible to detect cracks, fistulas, signs of hemorrhoids, foreign objects, neoplasia, inflammatory infiltrates.
Rectal examination of the prostate. It is indicated for suspected prostatitis, prostate cancer. During the procedure, the doctor determines the shape, size and structure of the prostate, identifies signs of inflammation, bulky formations.
Ultrasound methods. Patients are referred for transrectal ultrasound of the rectum to diagnose cancer, polyps, hemorrhoids, cysts, fistulas, injuries. Ultrasound of the prostate can be performed transrectally or transabdominally, confirms inflammatory changes, calcification sites, echostructure changes characteristic of a cancerous tumor.
Endoscopic techniques. Rectoromanoscopy and anoscopy are highly informative for erosions, ulcers, inflammatory processes, polyps, malignant tumors, fistulas, internal hemorrhoids. It is possible to take material for subsequent morphological examination.
Anal manometry. The technique is recommended for proctalgia, fecal incontinence, and other conditions accompanied by a decrease or increase in the tone of the anal sphincter.
Laboratory tests. A general coprological examination is prescribed to detect signs of inflammation and bleeding, and to detect parasites. According to the results of sowing, the etiology of the inflammatory process is determined. According to cytological or histological examination, the nature of tumors is established.
Other methods. In diseases of the colon, OBP survey radiography, colonoscopy, biochemical analysis of feces are performed. In some cases, diagnostic laparoscopy is required. Men with suspected prostate cancer are shown a PSA study.
Treatment
Help before diagnosis
To prevent pain arising from the action of external stimuli, you should choose comfortable underwear, take regular breaks during sedentary work, adjust the diet, it is enough to move to prevent constipation. You can reduce the likelihood of accidental injuries by giving up non-traditional sexual practices and self-medication.
Drug therapy is not indicated until the cause of the pain is determined. With general hyperthermia, intense pain, abundant blood separation, it is urgently necessary to consult a proctologist. If the pain in the anus is supplemented by urination disorders, you need to make an appointment with a urologist-andrologist.
Conservative therapy
To create conditions conducive to the treatment of proctological diseases, a man is prescribed a special diet. It is necessary to exclude fatty, fried, salty. With a tendency to constipation, it is necessary to increase the amount of plant fibers, to ensure the possibility of comfortable bowel emptying at a certain time of the day.
With frequent diarrhea, it is recommended to abandon products that stimulate motor skills, enhance fermentation and gas formation. Preference should be given to steamed dishes. The following medications are included in the scheme of drug therapy for pain in the anus:
Rectal suppositories. Candles with analgesic, anti-inflammatory and emollient effects reduce the severity of symptoms. Enveloping components provide protection of the mucosa from injury during the passage of feces.
Antibacterial agents. They are prescribed for acute inflammatory diseases, exacerbation of chronic inflammatory pathologies. Medications are selected taking into account the sensitivity of the pathogen.
Hormonal drugs. To quickly eliminate edema and inflammatory phenomena, men with severe proctitis, complications of hemorrhoids are prescribed medications from the corticosteroid group.
Phleboprotectors. They are used for chronic hemorrhoids. Strengthen the walls of blood vessels, slow down the progression of the disease, reduce the likelihood of thrombosis and bleeding.
Local procedures. In the acute phase, microclysms with painkillers, anti-inflammatory and emollient solutions are performed to increase the effectiveness of treatment. After the elimination of acute phenomena, baths with potassium permanganate, a perineal shower are used.
Physical therapy. To eliminate burning and pain syndrome, men are given a board for laser therapy, diadinotherapy, ultrasound.
Medical treatment of prostatitis provides for long-term antibiotic therapy. Prostate massage, ultrasound, laser exposure, microclysms are prescribed among non-medicinal products. For prostate cancer, radiotherapy, chemotherapy, hormone therapy are possible.
Surgical treatment
Men with diseases of the anus and rectum perform the following surgical interventions:
Hemorrhoids. At the initial stages, minimally invasive techniques are used: electrocoagulation, sclerotherapy, laser coagulation, infrared coagulation. With the progression of the disease, ligation with latex rings and open operations are recommended.
Anal fissure. In chronic cracks with signs of scarring, but without pronounced muscle spasm, infrared, laser or radiofrequency coagulation is performed. Deep cracks with widespread scarring, significant spasm are subject to surgical excision.
Foreign bodies, neoplasms. Foreign objects, coprolites, polyps, villous tumors are removed in an open way or using endoscopic techniques.
Malignant tumors. Extensive surgical interventions are indicated – partial or complete removal of the rectum with the reduction or imposition of a stoma.
Rectal prolapse. In an emergency, the reduction is carried out. To eliminate the pathology, the intestine is fixed by rectopexy, performing operations of Zerenin-Kümmel, Altmeyer, Delorme.
Diseases of the pararectal area. In acute paraproctitis, an opening of the abscess is performed. Fistulas are excised using various techniques (depending on the type of fistula course). Dermoid cysts are removed.
Men suffering from andrological diseases may be shown such operations as:
Prostate cancer: radical prostatectomy, testicular enucleation to eliminate hormonal induction of tumor growth.
Prostatitis: installation of a cystostomy with acute urinary retention, transurethral or transrectal opening of the abscess during the formation of an abscess.
Colliculitis: transurethral resection of the seminal tubercle with frequent relapses, obstruction of the seminal ducts.
