Rectal Pain Treatment

Call 911 if:

  • You have significant bleeding or bleeding won’t stop.
  • Pain gets much worse.
  • There is discharge, fever, or chills.

1. When to Seek Medical Care

See your doctor if:

  • Pain is persistent.
  • You have bloody stools or a small amount of persistent bleeding from anus or rectum.

2. Relieve Pain

  • Soak in warm baths.
  • After bowel movements, gently pat area with moist toilet paper or pads.
  • Take acetaminophen (Panadol, Tylenol) or ibuprofen (Advil, Motrin, Nuprin) for pain.
  • If you know you have hemorrhoids, use over-the-counter hemorrhoid cream.
  • If you have fissures (cracks or splits in anal opening), use an over-the-counter hydrocortisone cream.

3. Follow Up

If you see a doctor, the next steps depend on the cause of pain.

  • The doctor will do an exam and may prescribe creams or suppositories.
  • The doctor may recommend lifestyle or dietary changes.
  • In some cases, surgery or other treatment may be necessary.

Sources

  1. https://www.webmd.com/first-aid/rectal-pain-treatment
  2. American College of Gastroenterology: “Common Disorders of the Anus and Rectum: Hemorrhoids and Fissures."
  3. FamilyDoctor.org: “Elimination Problems."
  4. FamilyDoctor.org: “Hemorrhoids: Reducing Pain and Discomfort."
  5. Marx, J. Rosen’s Emergency Medicine: Concepts and Clinical Practice, Mosby Elsevier, 2009.
  6. Rectal Pain Information from eMedicineHealth.

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