Anal swelling can be caused by a variety of reasons, including hemorrhoids and anal fissures. Some causes of anal swelling may be temporary, while others may be more severe and require medical attention.

The anus is located at the end of the rectum and is surrounded by muscles. Depending on the cause of the swelling, additional symptoms may occur such as pain, itching, burning, and bleeding around the anus.

This article lists possible causes of anal swelling and explains how doctors diagnose and treat these symptoms.

An anal fissure is a small tear in the inner wall of the anus. Tears can occur if the lining of the anus is damaged or if the anus is overstretched during a bowel movement.

An anal fissure is very common When you have dry, hard bowel movements. However, it can also be caused by diarrhea, inflammatory bowel disease, or childbirth.

Although less common, infections or tumors can cause lacerations.

Other symptoms of anal fissure include:

Perianal abscess is a collection of fluid in the glands near the anus.in in most casesan abscess occurs as a result of an infection.

Some people notice fluid or drainage coming from the perianal abscess. Other symptoms include:

Hemorrhoids are general Causes of anal swelling.

Hemorrhoids are swollen veins that occur in the anus and lower rectum. They can be external, appearing around the skin of the anus, or internal, occurring on the lining of the anus or rectum.

Hemorrhoids are more common in older people, people who eat low-fiber diets, people who strain to defecate, and people who are chronically constipated. It is also more likely to occur during pregnancy.

Other symptoms include:

  • anal itching
  • rectal bleeding
  • pain
  • palpable lump near the anus

Proctitis is a disease that involves inflammation of the anal canal. people frequent Anoritis is mistaken for hemorrhoids.

Inflammatory bowel disease (IBD), infections, and chronic diarrhea can cause proctitis. However, the most common cause is a diet high in acidic or spicy foods such as coffee, citrus fruits, and spices.

Other symptoms of antitis include:

  • Bleeding with defecation
  • pain when defecating
  • anal itching

An anal fistula is a large tear or tunnel that develops under the skin and connects the end of the intestine to the anus or abscess.

According to the American Association of Colorectal Surgeons, anal fistulas occur at the following ages: up to 40% People with abscesses.

People with hemorrhoids may experience the following symptoms:

  • pain
  • drainage of body fluids from the skin
  • rectal bleeding

Crohn’s disease is a type of inflammatory bowel disease that causes inflammation anywhere in the gastrointestinal tract, including the anus.

Perianal Crohn’s disease It represents a more severe disease and may be difficult to manage.

Symptoms include:

  • swelling around the anus
  • heat
  • fecal incontinence
  • Drainage from the anus, vagina, or scrotum

Anal symptoms can also be caused by anal cancer, but this disease is anal cancer. quite rare.

The American Cancer Society Approximately 9,760 Number of new cases of anal cancer in the United States in 2023. Anal cancer is less common than colon and rectal cancer.

Symptoms are similar to those of other anal diseases and include:

  • anal bleeding
  • anal itching
  • pain
  • Fullness in the rectal area
  • abnormal discharge
  • Changes in bowel movements

Friction of the anus from sexual activity can irritate the sensitive tissue around the anus, causing swelling, small tears, and bleeding.

Anal sex is mostly safe, but there is a risk of bacterial infection, so you need to consider the risks.

Learn how to practice anal sex safely here.

Doctors usually begin their diagnostic evaluation with a detailed medical history and physical exam.

In some cases, a doctor can diagnose anal disease by visual inspection or by using a digital test by inserting a gloved finger into the anal canal.

However, use other tests to investigate internal issues, such as:

  • Anoscopy: An anoscope is a lighted tube used by doctors. examine Lower rectum and anal lining.
  • Flexible sigmoidoscopy: Your doctor performs a flexible sigmoidoscopy using a flexible tube with a light and camera at the end. look inside Rectum and lower colon.
  • colonoscopy. A colonoscopy also requires a long, flexible tube with a light and camera. This tube is called a colonoscope and is used by your doctor. look An examination of the rectum and colon is usually used to screen for colorectal cancer.

Treatment depends on the underlying cause of anal swelling.

anal fissure

Home treatment options for anal fissures include:

Chronic anal fissures may require surgical repair.

perianal abscess

perianal abscess often need Surgical drainage, especially in people with weakened immune systems or diabetes. After surgical drainage or antibiotics, it may take up to 8 weeks to fully heal.

hemorrhoids

hemorrhoid treatment include:

  • high fiber diet
  • over-the-counter painkillers
  • drink more water
  • Take a warm or sitz bath several times a day
  • Avoid straining during defecation and avoid sitting on the toilet for long periods of time.

Prolapsed or internal hemorrhoids may require treatment such as laser treatment or surgery.

anal inflammation

Treatment of antitis it will depend About the root cause. Treatment is required if the cause is inflammatory bowel disease or an infection.

Other treatments include:

  • Dietary changes, such as eating more foods high in fiber
  • Stress management such as deep breathing and meditation
  • Apply ice or ice packs
  • Topical medications to reduce inflammation and pain

anal fistula

What is surgery? almost always Necessary for the treatment of anal fistulas.

Perianal Crohn’s disease

The treatment for perianal Crohn’s disease is often multifactorial May include:

  • Antibiotics
  • Immunosuppressants such as azathioprine (Imuran)
  • surgery

anal cancer

When deciding how to treat anal cancer, doctors consider: several factorsThe type of tumor and how far into the body it has spread. It also takes into account a person’s age and overall health.

Treatment plans for anal cancer may consist of a combination of chemotherapy, radiation therapy, and surgery.

Below are some frequently asked questions regarding anal swelling.

Can anal swelling heal naturally?

Some causes of anal swelling may resolve on their own, including: hemorrhoids or anal fissure.

However, depending on the cause of anal swelling, medical professional intervention or treatment may be required, such as prescription drugs or surgery.

Does your anus swell when you poop?

Excessive stretching or damage to the lining of the anus can occur during defecation, especially if you have frequent loose stools or dry, hard stools. This damage can cause swelling.

How long does it take for a swollen anus to heal?

Healing time depends on the cause of the anal swelling. For example, hemorrhoids may be cured. within a few daysthe laceration may heal within a day. several weeks.

Other causes, such as abscesses and anal fistulas, require treatment and may take longer to heal.

Although anal swelling can be very uncomfortable, the cause is often temporary and poses no long-term risks.

Home remedies for anal swelling include warm baths, a high-fiber diet, hydration, and topical medications.

If symptoms such as pain, bleeding, or changes in bowel habits persist, you should consult your doctor.

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