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Pain After Bowel Movement & Itchy Anus

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Old 10-29-2009, 02:21 AM   #1
Join Date: Oct 2009
Location: CA
Posts: 1
cha286 HB User
Pain After Bowel Movement & Itchy Anus


For about the past 5 years I have had increasing pain after some bowel movements. It now happens every time I go to the bathroom, so this past summer I finally went to a GI specialist. I feel like I got nothing solved and the issue still exists.

I should first say I am a very healthy person, 23 y.o. male, who exercises daily and eats a very healthy diet, also filled with fiber. I have a lot of gas on a daily basis as well and I am not sure if that has something to do with it all.

In any case, my bowel movements are like clockwork and I go at least once, if not twice even thrice a day. I will always go about 5 minutes after I wake up in the morning. It can be slightly painful when I go, but usually it is very relieving to pass the stool. The pain oddly enough comes immediately after. The pain is internal and feels like crampy, nauseating pressure & burning. Sometimes, I feel like I have to just curl into a ball until it subsides, which always lasts one to two hours. Then, I will be fine! IT's very strange to me.

Lately, my anus has been very itchy and seems to be discharging a little, somewhat slimy liquid around the anus. I should also mention, I often have blood spotting on the paper when I wipe. When I have inspected my anus post BM, I have some tearing. I'm assuming I have fissures....but not sure?

When I went to the doctor this past summer, I actually did everything. I had a stool sample taken, tried different medications for my intestines, had a colonoscopy, a small intestine/bowel follow-thru with a barrium solution. Everything was okay, which is good so it seems. But nothing has really changed with my pain or itching. I am glad I don't have cancer or Crohn's, but I feel lost in knowing how much longer this pain will last.

The doctor did hypothesize that my intestines are possibly contracting too much, and after my bowel movements, are continually contracting. I'm not sure what to think.

In any case, sorry to rant, but was trying to be thorough. Does anyone have any advice as to what this could be? Also, any suggestions on how to subside the pain post BM and fix this itchy anus situation once and for all?

I really appreciate your help! THANK YOU!!

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Old 10-31-2009, 08:45 AM   #2
Join Date: Oct 2009
Location: Virginia
Posts: 1
Lynn123108 HB User
Re: Pain After Bowel Movement & Itchy Anus

I googled my symptoms (As I'm sure most of us do) and found this thread.

I have the same thing as you, Cha286. Exactly the same, as far as I can tell. I'm 20 and for the last several years I've had painful BM and blood on the toilet paper. Only recently (as in this month) have I gotten the itch. The Itchy anus can be so bad at times, and not just after a BM. It has woken me up at night more than once (Although, I haven't been sleeping well anyway).

I haven't been to the doctor for this yet. I don't have health insurance anymore, and when I did I was too embarrassed (and still kinda am; Thank you Mr. Anonymous-Internet).

This is the first time I've ever asked *anyone* about it, but if the replies are urgent enough, I'll just have to go to the Doctor and deal with the costs myself.

Old 11-01-2009, 07:45 PM   #3
Junior Member
Join Date: Nov 2009
Posts: 11
goddesspits HB User
Re: Pain After Bowel Movement & Itchy Anus

What about internal hemorrhoids? Have they checked you for that?

Old 01-23-2010, 06:41 PM   #4
Join Date: Jan 2010
Location: boston
Posts: 1
markcuk HB User
Re: Pain After Bowel Movement & Itchy Anus

Hello guys. I am a bit frustrated with people posting answers without understanding the problem.

I went to a my primary care physician then to GI. So far all test have returned normal (blood tests, stool tests - for bacterial infection, colonoscopy), and now I began rethinking the pain. Did a bit of search which I will give the Docs on monday and hopefully they can figure out what to do with it.

Here is what I found :

Levator Syndrome (Google Levator ani syndrome pelvic myalgia)

This basically means the pain comes from a stuck nerve or perhaps an unconscious straining of the anus. I have read that some people successfully beat this with muscle relaxants, warm pads, and therapy. Look for pelvic floor muscles and problems that come with them.

Good luck to all of you. And please post (PLEASE POST) if you have discovered an alternate answer to this. It has been frustrating to find a million questions and almost no answers.

< edited >

Lets hope we dont have to go through for the rest of our lives.

Last edited by hb-mod; 01-24-2010 at 12:08 AM. Reason: Please do not post disallowed Internet websites, per Posting Policy. Thanks!

Old 01-24-2010, 02:07 PM   #5
Senior Member
Join Date: Nov 2009
Posts: 122
wantrelief HB Userwantrelief HB User
Re: Pain After Bowel Movement & Itchy Anus

sounds like you have an anal fissure and you are experiencing spasms after have b.m.s. you need to go to a Colon and Rectal Surgeon to get properly diagnosed.

i first went to my ob/gyn and she couldn't see anything wrong. i did my homework and asked for a recommendation to a top rated long time practicing colon and rectal surgeon and hour away. it took only a few days to get me in and he immediately saw several acute superficial cuts in my rectum.

he told me to take metamucil twice a day and colace at bedtime. i tried that for a few weeks, but nothing got better. i was then scheduled for lateral internal sphincterotomy surgery (LIS).

it's been almost 4 weeks since i had it done and i am so glad i did. i had been living with painful bowel movements and uncomfortable itchiness for over 2 years before seeing the colon and rectal surgeon. i was too embarrassed for the longest time to go see anyone about it. i wish i wouldn't have been and would have gotten then surgery a heck of a lot sooner.

please don't wait too long to see a doctor. try googling anal fissure at home treatment and try those methods for a few weeks, but if it's been more than 4 months you probably aren't going to heal without surgery. some people are prescribed special creams and sometimes people get botox shots as well that will heal the fissures, but i just wanted it to be over and done with and LIS surgery has an almost 100% success rate if done by a colon and rectal surgeon.

Old 01-28-2010, 03:45 PM   #6
Join Date: Apr 2009
Location: salem oregon
Posts: 8
smoki HB User
Re: Pain After Bowel Movement & Itchy Anus

Hi - I have been diagnosed with the pelvic levator symptom. My soas muscle is very contracted & phys. therapist who has relaxed this by going internally (she is a PT Dr.). The massage helps, but does not last. My gyno. is going to try a trigger point shot. In the meantime, I now have anal burning after a b.m. This has happened to me before & had all sorts of medication, cortisone, etc., and it went away for about 8 mos. Now it is back. Is this related to the levator symptom, since the gastro. did not find anything wrong in the anal-rectal area. Would appreciate a response & thanks.

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