Comments on: Perianal pain http://bernardchan.net/2006/12/05/perianal-pain/ What's next along this river of life? Mon, 01 Dec 2008 20:35:52 +0000 http://wordpress.org/?v=2.2.1 By: Anal Sex Anal Fist Indian Anal http://bernardchan.net/2006/12/05/perianal-pain/#comment-48432 Anal Sex Anal Fist Indian Anal Sun, 30 Dec 2007 09:28:06 +0000 http://bernardchan.net/2006/12/05/perianal-pain/#comment-48432 <strong>Anal Sex Anal Fist Indian Anal...</strong> I can not agree with you in 100% regarding some thoughts, but you got good point of view... Anal Sex Anal Fist Indian Anal…

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]]> By: taffy http://bernardchan.net/2006/12/05/perianal-pain/#comment-44514 taffy Wed, 05 Dec 2007 12:06:40 +0000 http://bernardchan.net/2006/12/05/perianal-pain/#comment-44514 Also, I wake up during the night in pain and unable to sleep, needing to break wind. It's not easy to get it out and I have to pull my knees up to my chest. The pitch of the wind isn't necessarily very high, although is sometimes. Am so knackered from lack of sleep now! Also, I wake up during the night in pain and unable to sleep, needing to break wind. It’s not easy to get it out and I have to pull my knees up to my chest. The pitch of the wind isn’t necessarily very high, although is sometimes. Am so knackered from lack of sleep now!

]]> By: taffy http://bernardchan.net/2006/12/05/perianal-pain/#comment-44404 taffy Tue, 04 Dec 2007 13:54:50 +0000 http://bernardchan.net/2006/12/05/perianal-pain/#comment-44404 I go to the toilet three times a day - after eating generally. I'll go once, straight away, then ten mins, again, and 10 mins more or so again. I still don't feel satisfied though. I always feel like I've just "taken the edge off it" as it were. My stools are usually very soft (I eat quite a high fibre diet and drink plenty of water). There isn't any discharge as far as I'm aware. I reckon if I could have a good crap first thing I'd be fine! One doctor, last year suggested fybogel to give my system something to work against, but I felt terribly constipated with this and passed really thin unsatisfying stools, and felt so bloated I gave it up after a couple of days. Sometimes, say, two or three times per month, I'll have a day or two when I really get bad diarrhea - watery explosions - several in succession - I guess this really doesn't help things - may be connected to my menstrual cycle (which is pretty normal I think - have never consulted a GP about menstrual problems - also am not on the pill). I'm 43 by the by and still having very regular periods. My GP asked if this happened during sex - it doesn't, but then being in so much pain hasn't made me feel like it lately anyway to be honest. I don't have anal sex by the way. Of course, being in lots of pain isn't exactly conducive to relaxation! I'm not actually worried too much about the problem as such (other than it's disturbing my life and preventing me from doing as much as I'd like) but I suppose it can't be anything serious as there has been some improvement. Pain seems to occur as its worst when i need to break wind/use the loo. When I'm preparing lunch, at say 11.00/11.30, it'll start hurting. Breaking wind helps to ease the pain, and then more or less as soon as I've eaten I'll need the loo. Driving is particularly uncomfortable. Sometimes the pain/ache seems to be my whole coccyx area. I don't pass blood as far as I am aware., but in the past have had one or two small spots on the loo paper. I'm going to see my GP in a couple of weeks again (he said to come back to update him on what's happening). Does this make things any clearer? I go to the toilet three times a day - after eating generally. I’ll go once, straight away, then ten mins, again, and 10 mins more or so again. I still don’t feel satisfied though. I always feel like I’ve just “taken the edge off it” as it were. My stools are usually very soft (I eat quite a high fibre diet and drink plenty of water). There isn’t any discharge as far as I’m aware. I reckon if I could have a good crap first thing I’d be fine! One doctor, last year suggested fybogel to give my system something to work against, but I felt terribly constipated with this and passed really thin unsatisfying stools, and felt so bloated I gave it up after a couple of days. Sometimes, say, two or three times per month, I’ll have a day or two when I really get bad diarrhea - watery explosions - several in succession - I guess this really doesn’t help things - may be connected to my menstrual cycle (which is pretty normal I think - have never consulted a GP about menstrual problems - also am not on the pill). I’m 43 by the by and still having very regular periods.

My GP asked if this happened during sex - it doesn’t, but then being in so much pain hasn’t made me feel like it lately anyway to be honest. I don’t have anal sex by the way.

Of course, being in lots of pain isn’t exactly conducive to relaxation! I’m not actually worried too much about the problem as such (other than it’s disturbing my life and preventing me from doing as much as I’d like) but I suppose it can’t be anything serious as there has been some improvement.

Pain seems to occur as its worst when i need to break wind/use the loo. When I’m preparing lunch, at say 11.00/11.30, it’ll start hurting. Breaking wind helps to ease the pain, and then more or less as soon as I’ve eaten I’ll need the loo.

Driving is particularly uncomfortable. Sometimes the pain/ache seems to be my whole coccyx area. I don’t pass blood as far as I am aware., but in the past have had one or two small spots on the loo paper.

I’m going to see my GP in a couple of weeks again (he said to come back to update him on what’s happening).

Does this make things any clearer?

]]> By: Bernard http://bernardchan.net/2006/12/05/perianal-pain/#comment-44080 Bernard Sat, 01 Dec 2007 10:42:17 +0000 http://bernardchan.net/2006/12/05/perianal-pain/#comment-44080 Perhaps the problem worrying you is the anus itself... It would be helpful to know what your toilet habit is like... when do you go to toilet? How long? What makes you go? Do you feel satisfied after going? I wonder whether there's any discharge in the surrounding area. Perhaps the problem worrying you is the anus itself…

It would be helpful to know what your toilet habit is like… when do you go to toilet? How long? What makes you go? Do you feel satisfied after going?

I wonder whether there’s any discharge in the surrounding area.

]]> By: taffy http://bernardchan.net/2006/12/05/perianal-pain/#comment-42895 taffy Fri, 23 Nov 2007 10:54:32 +0000 http://bernardchan.net/2006/12/05/perianal-pain/#comment-42895 I keep getting pain in my anus, but apparently don't have anal fissure - have seen the GP who says my sphincter is really tight and he gave me glyceryl trinitrate. The pain has been so bad it has made me cry. Currently, it's a bit better, but there is quite a lot of pain when I need to break wind and also before I need to use the loo. My GP reckons it's anxiety. Also, he examined my abdomen and reckoned I'm constipated, despite the fact that I eat loads of fibre. My stools are mostly very loose, and I get bouts of diarrhea about 2 or 3 times per month. I'm getting really sick of the pain and inconvenience. I don't have any real worries - have a great marriage, lovely grown up daughter, no money worries. Help! I keep getting pain in my anus, but apparently don’t have anal fissure - have seen the GP who says my sphincter is really tight and he gave me glyceryl trinitrate. The pain has been so bad it has made me cry. Currently, it’s a bit better, but there is quite a lot of pain when I need to break wind and also before I need to use the loo. My GP reckons it’s anxiety. Also, he examined my abdomen and reckoned I’m constipated, despite the fact that I eat loads of fibre. My stools are mostly very loose, and I get bouts of diarrhea about 2 or 3 times per month. I’m getting really sick of the pain and inconvenience. I don’t have any real worries - have a great marriage, lovely grown up daughter, no money worries. Help!

]]> By: mott http://bernardchan.net/2006/12/05/perianal-pain/#comment-3530 mott Thu, 07 Dec 2006 12:06:52 +0000 http://bernardchan.net/2006/12/05/perianal-pain/#comment-3530 thanks doc!!! will check both out!!! thanks doc!!! will check both out!!!

]]> By: Bernard http://bernardchan.net/2006/12/05/perianal-pain/#comment-3529 Bernard Thu, 07 Dec 2006 11:45:04 +0000 http://bernardchan.net/2006/12/05/perianal-pain/#comment-3529 <strong>mott</strong>, i forgot... there's another post about piles which talks about <a href="http://med97um.net/publicinfo/?p=3" rel="nofollow">preventing piles</a>. mott, i forgot… there’s another post about piles which talks about preventing piles.

]]> By: George http://bernardchan.net/2006/12/05/perianal-pain/#comment-3427 George Wed, 06 Dec 2006 05:20:48 +0000 http://bernardchan.net/2006/12/05/perianal-pain/#comment-3427 Eve there are many cases as such! Assumptions are a sum of sins! wow just realised your hosba article had 500 over hits. Now people know how beautipul kedah is! Eve there are many cases as such! Assumptions are a sum of sins!

wow just realised your hosba article had 500 over hits. Now people know how beautipul kedah is!

]]> By: Bernard http://bernardchan.net/2006/12/05/perianal-pain/#comment-3424 Bernard Wed, 06 Dec 2006 04:45:53 +0000 http://bernardchan.net/2006/12/05/perianal-pain/#comment-3424 <strong>Firehorse</strong>, welcome anytime. "hypochondriacs" included. <strong>nyonya</strong>, that is called "faecal incontinence", meaning loss of control of the bowel movement. It's a difficult problem to treat. A "sphincterotomy", meaning division of the sphincter does risk incontinence. The risk is reduced by performing a very conservative (as little as possible) division AND avoiding this procedure in patients with high risk of underlying sphincter problems (e.g. history of multiple deliveries or delivery by forceps etc.) <strong>just me</strong>, no larr... a fissure is actually more of a bother than a danger. it's just that treating it is more satisfying if the correct diagnosis was made. <strong>jonzz</strong>, right on! that's the actual reason why people just give the diagnosis rather than a complaint... to avoid the doctor from examining them. <strong>eve</strong>, thanks for sharing this. what a sad situation. once you see this kind of patient, you'll never forget. Firehorse, welcome anytime. “hypochondriacs” included.

nyonya, that is called “faecal incontinence”, meaning loss of control of the bowel movement. It’s a difficult problem to treat.

A “sphincterotomy”, meaning division of the sphincter does risk incontinence. The risk is reduced by performing a very conservative (as little as possible) division AND avoiding this procedure in patients with high risk of underlying sphincter problems (e.g. history of multiple deliveries or delivery by forceps etc.)

just me, no larr… a fissure is actually more of a bother than a danger. it’s just that treating it is more satisfying if the correct diagnosis was made.

jonzz, right on! that’s the actual reason why people just give the diagnosis rather than a complaint… to avoid the doctor from examining them.

eve, thanks for sharing this. what a sad situation. once you see this kind of patient, you’ll never forget.

]]> By: eve http://bernardchan.net/2006/12/05/perianal-pain/#comment-3421 eve Wed, 06 Dec 2006 03:11:25 +0000 http://bernardchan.net/2006/12/05/perianal-pain/#comment-3421 i had a patient , 27 yrs old, pregnant , complaining of piles..was treated everywhere and given Daflon for abt 6 months..n still complaining of bleeding every time at stool..she came to see me for the pregnancy actually...which i did a scan n bb was alright..i referred her to UMMC , n they found her to have cancer of the rectum...the patient was advised to terminate her pregnancy..which she refused..n has since gone home to Sarawak..i don't know what happen to her after that....bleeding n pain does not necessarily mean piles..i agree w u bernard.... i had a patient , 27 yrs old, pregnant , complaining of piles..was treated everywhere and given Daflon for abt 6 months..n still complaining of bleeding every time at stool..she came to see me for the pregnancy actually…which i did a scan n bb was alright..i referred her to UMMC , n they found her to have cancer of the rectum…the patient was advised to terminate her pregnancy..which she refused..n has since gone home to Sarawak..i don’t know what happen to her after that….bleeding n pain does not necessarily mean piles..i agree w u bernard….

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