What causes episodic anal pain?

Dec 29, 2022 Source: Cainiu Health
Dr. Cheng Yicheng
Introduction
Anal paroxysmal pain may be caused by hemorrhoids. Generally, patients with hemorrhoids do not experience anal pain. However, when severe pathological changes occur—such as incarcerated internal hemorrhoids or thrombosed external hemorrhoids—anal pain may appear. Upon examination of the affected area, there may be hypertonic, mass-like tissue. Palpation typically causes significant pain, and local temperature may be elevated.

Although living conditions have improved for most people today, various diseases continue to rise due to multiple factors—anal pain being one of them. While anal pain is not life-threatening, it significantly disrupts and affects daily life. So, what causes episodic anal pain?

What Causes Episodic Anal Pain?

Episodic anal pain may be caused by hemorrhoids. Generally, patients with hemorrhoids do not experience anal pain. However, when severe pathological changes occur—such as incarcerated internal hemorrhoids or thrombosed external hemorrhoids—anal pain may develop. Upon examination, the affected area might reveal highly tense, nodular tissue. Touching this area typically causes significant pain, and local temperature may be elevated. Without prompt treatment, the affected tissue may become ischemic and necrotic, potentially leading to tissue collapse and other complications.

If experiencing episodic anal pain, avoid consuming spicy fruits such as durian and lychee, as well as spicy foods like chili peppers and wine, strongly flavored dishes, heavily spiced meals, fatty, sweet, greasy foods, high-salt foods, and high-fat, high-protein foods. Otherwise, symptoms of anal pain may worsen. It's essential to strictly limit salt intake when suffering from anal pain, as overly salty foods can lead to water and sodium retention, impairing circulation around the anus and exacerbating swelling and pain. Additionally, it's best to minimize consumption of high-fat and high-protein foods, as they can slow bowel movements and cause constipation, further intensifying anal pain during defecation.

When a patient experiences episodic anal pain, timely medical consultation and proper treatment are crucial—do not use medications blindly. We hope this information helps you. Wishing you good health and a happy life.

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