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Normal |
Abnormal |
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This is a cut (ulcer or Laceration) inside
the anus. The usual cause is trauma to the anus because of a
strained bowel movement, hard bowel movement, or high
internal sphincter tone (the area that allows stool to pass
stays tense, obstructing proper
passage).
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- Severe tearing pain during a bowel
movement
- Throbbing pain in anus following a
bowel movement
- Blood on toilet paper or around the
bowel movement
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- Constipation
- Constant irritation from stool in
diapers of babies or constant wiping in all others
- Scratching due to infections (e.g., pinworm) or skin conditions (e.g., dry skin, Eczema)
- Straining
- High internal sphincter tone
(explained above)
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- Visual inspection by
physician
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- Sitz baths
- Fiber supplements
- Stool softeners
- Topical anesthetics (Mesalamine
suppositories)
- Topical nitroglycerin Ointment
(this is at 10% the strength used for angina) -- relaxes the
internal sphincter
- Botulism toxin
injection -- also relaxes the internal sphincter
- Partial lateral internal
sphincterotomy -- the sphincter is partially cut in order to
relax it
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