Abscesses produce throbbing pain that can feel like the intense pain of a fissure, but in this case, fever and general aching and fatigue are also present. The amount varies; often there are just small streaks of blood on the outside of the stool or on the paper used for wiping. This helps avoid irritation.
Rectal bleeding can occur with other diseases, including colorectal cancer and anal cancer. The anus and rectum have two functions: They range from excessive moisture and poor hygiene to skin disorders such as psoriasis and contact dermatitis , infections pinworm in children or adults exposed to their infected kids, yeast in diabetics, viruses in people who practice receptive anal sex , hemorrhoids, fissures, medications such as laxatives and antibiotics , foods such as spices , and mental stress. More complex problems require more sophisticated treatment. Men are spared the most common cause, pregnancy, but they are affected by low-fiber diets, constipation, and excessive straining to defecate. The same is true even if a few drops of blood produce a red tinge throughout the water in the toilet. These lie inside the rectum. Usually they cannot be seen or felt, and so often go undetected until they bleed. Prompt medical attention is mandatory if bleeding is copious or if the entire stool is bloody, maroon, or black. Infections begin in the mucous glands around the anus, but bacteria can rapidly track into the deep tissues. Anal fissures Although they are nothing more than small, superficial tears in the tissue of the anus, anal fissures are the most common cause of severe rectal pain in adults. The causes range from excessively liquid stools to disorders of the nerves and muscles that control defecation. The majority of hemorrhoids, however, are internal, developing an inch or more above the anus. Apply zinc oxide paste or powder or petroleum jelly to ease defecation and soothe itching. People with chronic anal infections are at increased risk. And although it may seem paradoxical, bulk agents and fiber can help some patients with diarrhea by providing stool texture that improves control. These maladies require their own forms of treatment. There are several ways to do this, including ligation tying them off with a rubber band ; injection of a chemical solution that shrinks the vein; laser surgery; and in severe cases surgical removal in a hospital. Because bowel movements are terribly painful, constipation is typical, and it adds to the cycle of straining, spasm, and pain. Other types of bleeding, however, should be reported promptly and evaluated thoroughly see below. These are under the skin around your anus. Several options are available: Sometimes blood may pool in an external hemorrhoid and form a clot thrombus that can result in severe pain, swelling, inflammation and a hard lump near your anus. Creams or suppositories that contain hydrocortisone may do a better job, but they are best suited to short-term use. But treatment is much more difficult for persistent fissures. This office procedure is the first-line surgical treatment for medium to large internal hemorrhoids that don't settle down with conservative treatment. The first step in diagnosis is a digital rectal exam.
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