Woman suffering from anorectal disorders such as hemorrhoids

Anorectal disorders affect the area where stool is passed and can cause a range of uncomfortable symptoms. From pain to irritation, these conditions can disrupt daily life. Here’s a closer look at the most common anal disorders and how to recognize them.

  1. Anal Fissure – An anal fissure is a tear in the skin lining of the lower anal canal, often caused by passing large or hard stools. Acute fissures are typically shallow, but chronic ones can extend deeper, causing more intense pain. They can also develop from diarrhea, inflammatory bowel disease, or infections.
  2. Anal Abscess – An anal abscess is a painful, swollen collection of pus near the anus, usually due to an infection in an anal gland. These abscesses can occur without an underlying health problem, and they are more common in young adults.
  3. Anal Fistula – An anal fistula is a narrow tunnel that forms after an anal abscess has drained. It connects the anal canal to the skin surface. Fistulas can lead to persistent discharge of pus or blood and may cause recurrent abscesses if they become clogged.
  4. Hemorrhoids – Hemorrhoids are swollen blood vessels around the anus. While they are typically not painful, they can become thrombosed (clotted), which causes swelling, pain, and sometimes bleeding, especially after constipation or diarrhea.

Though these conditions can cause discomfort, their specific symptoms may vary:

  • Anal Fissures: Sharp, burning pain during or after bowel movements, along with mild rectal bleeding (often bright red).
  • Anal Abscesses: Tenderness, swelling near the anus, and sometimes fever or chills.
  • Anal Fistulas: Mild pain, persistent discharge of pus or blood, and the possibility of recurrent abscesses if the fistula becomes blocked.
  • Hemorrhoid Thrombosis: Painful swelling at the anus and occasional bloody discharge if the hemorrhoid ruptures.

To learn more about anal disorders, check out this helpful article from Harvard Medical School: Harvard Medical School – Anal Disorders. If you’re experiencing any of these symptoms, it’s important to consult with a healthcare provider for proper diagnosis and treatment.

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