Butts Bleeding From Pooping and I Have to Go to the Bathroom Again Im Scared
Permit'southward get super honest: Few things in life feel as expert, as satisfying, and as downright cleansing as a good poop. Most of the time, your daily number two instantly makes yous feel lighter, happier, more than relieved, and less bloated (praise effing exist).
But uh, what if your time in the bathroom doesn't feel good? What if...it really hurts?
"This is a pretty common complaint," says Rabia De Latour, MD, gastroenterologist and assistant professor of medicine at NYU Langone Health. "Unfortunately, many women feel embarrassed talking about these symptoms, and so they go underreported and untreated. But trust me, information technology's not uncommon at all."
And then, whew for that—but that still doesn't explain why your poops injure so damn much. Here'southward what might be going on if you legit dread going to the bath. (And, as always, see your md or snag a gastroenterologist's opinion if you're experiencing any of this stuff on the reg.)
1. You take hemorrhoids.
There are ii kinds of hemorrhoids: internal and external. "A hemorrhoid is essentially a vein that's inside your rectum and becomes dilated," explains Dr. De Latour.
While both internal and external hemorrhoids can happen for many reasons, the most common reasons are weight gain and pregnancy, both of which lead to increased force per unit area and stress above the vein. "When the pressure level builds in that surface area, the sparse-walled veins effectually the rectum get dilated," she says.
"Internal hemorrhoids shouldn't exist painful, though they may drain," she says. "But external hemorrhoids, which y'all'll find on the border of the anus, can be exquisitely painful and itchy."
What to practise:
The key to preventing hemorrhoids is to maintain a good for you weight, avoid rapid weight gain, and include enough of fiber in your diet. The adept news is that usually hemorrhoids aren't serious or dangerous, and topical creams tin can assistance treat symptoms of external hemorrhoids (yous'll have to see your gastroenterologist for internal ones).
2. You have fissures.
A fissure is a tear in the skin of the anus. And if it sounds painful, well, that's considering information technology is. "That surface area of the torso is very sensitive," says Dr. De Latour.
These anal fissures can happen later on local trauma, due to anything from passing a hard bowel motility, to engaging in anal sexual practice, to giving birth vaginally, or even administering an enema incorrectly.
What to do:
You'll know you have an anal fissure if you experience pain during or afterwards your bowel movements (poop passing by an open up wound—serious ouch), if yous run across bright red blood accompanying your stool or on your toilet paper, or if you can visibly run into a crack or tear in the pare surrounding the anus.
Although, information technology may be easier to enlist a doctor or very, very shut loved 1 to appraise the expanse for y'all, every bit it's a tough region to audit yourself. The best way to prevent fissures is to consume plenty of fiber and then y'all take regular, easy bowel movements.
three. You're constipated.
Constipation is well-nigh ofttimes caused by dietary factors: Either you're non eating enough fiber or you're not drinking enough water and are dehydrated.
"If you're dehydrated, your colon is going to suck upwardly all the water from the stool it'south forming," says Dr. De Latour. "As a result, you lot're going to accept hard, painful poops. And when that happens, it's harder for them to pass through the anal culvert." When that happens, information technology can cause strain on the muscles in your pelvic area, resulting in hurting.
What to do:
Again, the primary solution is eating plenty cobweb and drinking plenty of water. If you've been backed up for a while and need a more intense intervention, stool softeners can help, she says (Dr. De Latour recommends Colace and Miralax), but they're not a long-term solution.
4. You have proctitis.
Proctitis is a scary-sounding word for an inflamed rectum. It can be caused by ulcerative colitis or Crohn'southward disease (both inflammatory bowel diseases), sexually transmitted diseases like syphilis and chlamydia, or inflammation from an enema you didn't respond well to. The rectum is the last part of the colon earlier the anus, then when information technology's inflamed, it'due south harder for stool to pass through.
What to practise:
"The treatment depends on the cause," Dr. De Latour says, and then yous'll need to see a md to figure out why you're experiencing inflammation. "With inflammatory bowel diseases, nosotros may care for with anti-inflammatory medications," she explains. "But if you have an infection, we'll need to treat the infection itself, oftentimes with antibiotics."
5. You take food sensitivities.
Also called food intolerances (think lactose intolerance, gluten sensitivity or fructose sensitivity), these can cause painful poops, says WH counselor Samantha Nazareth, MD, a gastroenterologist in New York City.
What to do:
Lactose and fructose intolerance can be diagnosed through a breath exam administered in a doctor's function. Gluten intolerance is a little trickier to identify. Sensitivity ordinarily comes to low-cal later a person eliminates gluten for at least iii weeks and reintroduces information technology to see if they accept a reaction. Once you know if y'all have an intolerance, "avoid the offending agent," says Dr. Nazareth.
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6. You lot take skin issues.
Pare issues similar psoriasis and eczema tin can occur effectually the anus (ouch), making it painful when poop passes your irritated, flaky and inflamed skin, says Dr. Nazareth.
What to practise:
These peel issues require the same kinds of treatment that they would anywhere on the body, says Dr. Nazareth, then encounter a dermatologist to get diagnosed. Topical creams and medications can brand the peel surrounding the area less irritated.
7. Yous have an inflammatory bowel disease.
If you lot accept ulcerative colitis, Crohn's disease, or even irritable bowel syndrome, you probably experience excessive diarrhea. And thank you to a constant catamenia through the anal canal, you're likely to end up with irritation and pain.
What to do:
"Your gastroenterologist will want to give you an exam to test for abscesses and pus, which tin can be very painful," Dr. De Latour says. If you're diagnosed, at that place are various medication options you tin can try to ease IBS symptoms.
viii. You're but pooping a whole lot.
"Anybody, at some betoken, gets diarrhea," Dr. De Latour says. "And if yous accept lots of bowel movements in a short menstruation of time, yous're constantly wiping and cleaning the anal expanse, which volition become irritated and sensitive."
What to do:
In this instance, she says to avoid topical creams and instead use a lot of water to keep the surface area clean. Excessive wiping will lead to farther irritation (think of a infant getting diaper rash—this is the grown-up version of that), and so be actress gentle with the area. (Now may be the time to hitting up Amazon and invest in a bidet attachment for your toilet—seriously; it cuts down on wiping and cleanses the area with water. Win-win.)
ix. You accept endometriosis.
If you experience severely painful bowel movements during your menstrual cycle, that may be a sign of endometriosis.
What to do:
"If this is the instance, run across your gynecologist," Dr. De Latour says. "Some women with endometriosis have endometrial implants in their colon, which leads to pain and bleeding. Information technology's not that common, but it can happen." In this instance, your medico is likely to prescribe medicine that can ease symptoms and recommend surgery to remove the foreign tissue from your colon.
10. You had anal sex recently—or unprotected anal sex fifty-fifty once.
If you're new to anal sex, you may simply be sore from penetrating an area that'southward new-to-you in the penetration department.
Only Dr. De Latour says she sees "a fair share of patients" who contract rectal STDs from engaging in anal sexual practice. "It tin look similar inflammatory bowel disease—then I detect out they had unprotected anal sex and got chlamydia or syphilis," which tin cause localized inflammation, she says.
What to do:
Basically, "always use protection, know your partner's STD status, and avoid painful situations," Dr. De Latour says. "If you feel hurting, you lot may be causing trauma, so know and respect your limitations." And if you're experiencing IBS-like symptoms merely not testing for information technology, mention any recent anal sexual practice to your doc.
11. You have HPV, anal cancer, or rectal cancer.
First, yous probably don't. So don't skip reasons i through 10 in a higher place and immediately assume your painful poop is a sign of cancer. But, Dr. De Latour says, at that place has been a recent increment in the United states of america of younger patients—ones in their thirties—presenting with rectal cancer. (And HPV can crusade both cervical and anal cancer.)
What to do:
"It'due south a concerning epidemic, so proceed your Spidey senses up," Dr. De Latour says, and watch out for other symptoms with your painful poop, like noticeable weight loss, that might exist a sign of a greater issue, and talk with your doc about any worries.
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Source: https://www.womenshealthmag.com/health/a23287691/why-does-it-hurt-when-i-poop/
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