What should I do if my butthole hurts and bleeds after pooping

If your anus hurts and bleeds when you poop, you may want to consider whether it is caused by anal fissures. Usually anal fissures or hemorrhoids may cause this symptom of bleeding in the stool, but we also need to pay attention to clarify the cause before treating it.

1. Anal fissure is more likely. Although the bleeding from anal fissures and hemorrhoids is bright red, they each have distinct characteristics. The former is small in amount and painful, usually with blood on toilet paper, with only a few drops at most; the latter is large in amount and painless, with bleeding usually exceeding 10 drops.

2. Anal fissure is a common anal canal disease that often occurs in young and middle-aged people. Typical symptoms are pain, constipation, and bleeding. During defecation, dry and hard feces directly squeeze the ulcer surface and stretch the fissure, causing severe pain. The pain is temporarily relieved after the feces are discharged, but after a few minutes, the sphincter reflex spasm causes a longer period of intense pain. Therefore, patients with anal fissures are afraid of defecation, which makes constipation worse, forming a vicious cycle. There may be a small amount of bleeding when the wound surface is broken, and bleeding may occur on the surface of the stool or after defecation.

3. Keep bowel movements smooth every day to prevent constipation: eat more vegetables and fruits, increase water intake, and correct constipation. You can take laxatives or paraffin oil orally to make the stool soft and lubricated to facilitate defecation. ?

4. Local sitz bath: Use hot water or potassium permanganate warm water for sitz bath, the temperature is 40℃～50℃ (2～3 times a day, each time for 20～30 minutes. Warm water sitz bath can relax the anal sphincter, improve local blood circulation, promote inflammation absorption, relieve pain, and clean the local area to facilitate wound healing. After sitz bath, you can apply anti-inflammatory and analgesic drugs to relieve symptoms.