How to treat spasmodic anal pain
Nov 15, 2025
Source: Cainiu Health
Dr. Li Jingxiang
Introduction
In general, the treatment methods for spasmodic anal pain mainly include conservative management, local physical therapy, pharmacological treatment, traditional Chinese medicine, biofeedback therapy, etc. In addition, patients should follow medical instructions strictly during treatment and must not adjust medication doses on their own. It is important to maintain a regular daily routine and avoid spicy foods that may irritate the anal area. If symptoms such as increased pain, more frequent episodes, or rectal bleeding occur, prompt medical attention is recommended.
In general, the treatment methods for spasmodic anal pain mainly include general management, local physical therapy, drug therapy, traditional Chinese medicine (TCM) treatment, and biofeedback therapy. Specific details are as follows:
1. General Management
Maintain cleanliness around the anus; gently rinse with warm water after each bowel movement and avoid vigorous wiping that may irritate the anal sphincter. Avoid prolonged sitting or standing in daily life, and wear loose, breathable cotton underwear to reduce friction. Eat a light diet rich in dietary fiber, drink plenty of water to soften stools, and prevent constipation from triggering or worsening spasms. Avoid excessive straining during defecation and develop regular bowel habits.
2. Local Physical Therapy
This approach uses gentle stimulation to relax the spastic anal sphincter. Commonly used methods include warm sitz baths and infrared irradiation. Perform warm sitz baths 1–2 times daily, using water at approximately 40°C for 15 minutes per session. This improves blood circulation in the anal area and relieves muscle tension. Infrared irradiation helps soothe local tissues, reduce inflammatory responses, and alleviate pain and spasms.
3. Drug Therapy
Drug therapy is a common method for relieving spasmodic anal pain and works by relaxing the sphincter muscles and reducing inflammation. Under medical guidance, patients may use medications such as glyceryl trinitrate ointment, nifedipine sustained-release tablets, or ibuprofen capsules. These drugs target smooth muscle spasms and pain symptoms respectively.
4. Traditional Chinese Medicine (TCM) Treatment
According to TCM, spasmodic anal pain is often associated with excessive heat in the blood and dryness in the intestines, or stagnation of qi and blood stasis. Treatment focuses on clearing heat, moistening dryness, promoting qi flow, and relieving pain. Patients may take proprietary Chinese medicines such as Huaijiao Pills, Danggui Longhui Pills, or Zhiyanxiaozhi Tablets under medical supervision. Additionally, acupuncture at specific points like Changqiang (GV1) and Chengshan (BL57) can regulate qi and blood flow, help relax the anal sphincter, and relieve pain.
5. Biofeedback Therapy
Biofeedback therapy uses instruments to monitor anal sphincter activity and provides real-time feedback signals, guiding patients to consciously control muscle contraction and relaxation. Through training, this method enhances patients' ability to regulate their sphincter muscles, reducing the frequency of spasms. It is particularly suitable for patients with chronic, recurrent spasmodic anal pain.
In addition, during treatment, patients should strictly follow medical advice regarding medication and must not adjust dosages on their own. Maintain a regular lifestyle, avoid spicy foods and other anal irritants. If symptoms such as increased pain, more frequent episodes, or rectal bleeding occur, seek timely medical attention to adjust the treatment plan and ensure stable recovery.
