Pain is one of the most common problems with the perianal area.

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A lot of people have problems with the perineum, which is the area around the anal canal. This is especially true for women after giving birth. But patients often don’t go to the doctor because they are too shy or embarrassed to talk about it. Most people think that perianal problems are either piles or haemorrhoids, and they look for relief through word-of-mouth and the internet, which they know how to use. you can take treatment from best Plastic Surgeon in Jaipur and from Best Cosmetic Surgeon in Jaipur.

In this post, I’m not going to talk about diseases that affect the perianal area. Instead, I’m going to talk about one of the most common symptoms: pain, what it might mean, and when to see a doctor.

Painful defecation

Stools can cause pain that can last from a few minutes to a few hours. Sharp pain that feels like a knife when you poop means there is an injury at the anal outlet. This problem is called an anal fissure. It is a piece of skin that is cut at the opening of the anal canal and goes into the anal canal. The cut in the skin at the anal opening, called an anal fissure, is very painful and makes the muscle spasm. When you try to go to the bathroom during this spasm, you hurt the cut skin on your bottom over and over again.


The only way to make sure that the cut will heal is to take away the pain and break the cycle of pain, trauma, and pain. This can be done with Sitz baths, which are warm water soaks in a tub, and local creams that your doctor will give you. Taking laxatives also makes sure that stools come out easily and without straining. This keeps the cut from getting hurt as much when you go to the bathroom. You might be given painkillers to help you get through the acute phase. The most important piece of advice, though, is to make important changes to your lifestyle to make sure you have healthy bowel habits and keep this from happening again. These are getting enough water, staying away from spicy foods (like red and green chillies), eating a diet high in fibre, and doing moderate amounts of physical activity. Your doctor will tell you how long you need to do the treatment. If you stop it too soon, you might have a relapse that won’t be helped by medication. If the problem doesn’t get better even when good advice is followed, the only other option is a surgery called lateral sphincterotomy. It’s a quick procedure that involves cutting the muscle to stop the spasm and let the crack heal.

Pain in the genital area with local swelling

This can happen if there is bleeding under the perianal skin or if a perianal gland is infected. The bleeding is actually happening inside a pile mass under the skin. This causes the blood to swell and clot at the site, making a very painful lump. The medical term for this is a thrombosed pile. Pain from a thrombosed pile comes on quickly, is very bad, and lasts all day. It usually goes away on its own, but sometimes surgery is needed. Check out how you can tell if you have piles.

An infection is the second most common cause of this kind of pain. As the infection gets worse over a few days, the pain gets worse. This infection could be in a gland in the perianal skin, but it is more likely to be in a gland in the anal canal. The infection quickly gets worse and pus forms. This is called a perianal abscess. A perianal abscess can be as mild as a small, painful lump that bursts and drains pus, or it can be so bad that the pus spreads to the whole perineum and causes an infection that could kill the person. This condition can only be treated by draining it with surgery.

Ischemic piles

All that is needed for pain relief is supportive care in the form of cold compresses, local gels, and oral painkillers. Laxatives can also help so that you don’t have to strain when you poop. If the pain is unbearable, a short surgery to remove the clotted blood can help relieve the pain right away. If conditions allow, it might be possible to take care of the haemorrhoids at the same time. If you have haemorrhoids, you should get surgery once the thrombosed pile goes away.

Perianal abscess

The main treatment is surgery, and you should see a doctor right away. The pus needs to be drained, and then the wound needs to be dressed every day while it heals. Most of the time, an anal fistula forms after the condition.

Other causes of pelvic pain: These are not as common as the causes we’ve already talked about. One of them is coccidodynia, which is the medical term for painful arthritis of the tail bone. A doctor does a medical exam to find out what’s wrong. When I sit, the pain gets worse, but when I stand up or lie down, it gets better. The pain is also caused by a spasm of the levator ani, which is a large muscle in the perianal area. Pain can be so bad that it wakes you up in the middle of the night. Levator ani syndrome (LAS) is found when other causes of perianal pain have been ruled out. Rectal pain can also be a symptom of gynaecological problems like endometriosis, tumours of the rectum, spine, or pelvis, and some other conditions. In these cases, the pain lasts for weeks or months and gets worse over time. If you have the same kind of pain, you should see a doctor.

Coccidodynia can be treated.

The main treatments for coccidodynia and LAS are hot fomentation, painkillers, a Sitz bath, and physical therapy. The conditions are long-term and may get better or worse over time. When symptoms get worse, supportive care is needed.


Common conditions that cause pain in the perineal area can be quickly and effectively treated if they are caught early. Pain that gets steadily worse over a long time should not be ignored. So don’t try to treat yourself and put off getting help. All hospitals have specialists who can help with these conditions.

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Emma Thompson
Emma Thompson
Emma Thompson is a certified health coach and a fitness enthusiast. She is dedicated to helping people improve their overall health and well-being by adopting healthy habits and making positive lifestyle changes. With over 7 years of experience in the field, Emma has written extensively on a wide range of health topics, including nutrition, fitness, stress management, and holistic health. Her mission is to empower and inspire others to take charge of their health and transform their lives. In her free time, Emma enjoys hiking, practicing yoga, and experimenting with healthy recipes in the kitchen.