Reasons Behind Pain after Bowel Movement

Reasons Behind Pain after Bowel Movement

Constipation is one of the common conditions that is indicative of poor digestion. It is characterized by infrequent bowel movements, incomplete evacuation of bowel, and straining throughout defecation due to hardening of the stools. Rectum is the opening at the end of the digestive tract through which the stool passes, whereas rectum is the terminal end of the digestive tract, and is connected to the anus. Pain after bowel movements could be attributed to medical conditions affecting these structures.

Contributing Elements


  • Hemorrhoids, also called piles, is a condition that is characterized by the presence of swollen and inflamed veins in the rectum and lower rectum.
  • It might occur due to severe or chronic constipation in which the affected person has to frequently strain during defecation.
  • It could also affect pregnant women due to the increased pressure on these veins.
  • It could be internal, which means the swollen veins could be located inside the rectum.
  • It could be external, which implies that inflamed veins might develop under the skin around the anus.

Anal Fissures

Pain during and after defecation is one of the common symptoms of anal fissures. An anal fissure is a tear in anoderm, which is a specialized tissue that lines the anal canal. The tear runs from the anus to the anal canal. It could occur in individuals affected by chronic constipation. Considering that this area includes a large number of nerves, trauma to this area can cause pain. Passing a big, difficult stool might be the reason behind the development of an anal fissure. Repeated episodes of diarrhea could also be a contributing factor. Often, women could establish a fissure after giving birth.

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Anal Fistula

An anal fistula results from anal abscess, which might form when the glands located in the anus become blocked and contaminated. An anal fistula is a small channel that joins the infected gland within the anus to an opening on the skin near the anus. People affected by Crohn's disease, sexually transmitted diseases, injury, diverticulitis, etc., are more likely to develop an anal fistula. It can give rise to signs such as pain with bowel movements, discomfort around the anus, irritation of the skin around the anus, bleeding, fever, tiredness, etc.

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  • Proctitis Swelling of the Lining of the Rectum is Medically Described as Proctitis

    It might be caused due to sexually transmitted infections, inflammatory bowel diseases (ulcerative colitis or Crohn's disease), trauma to the anorectal region, etc. The symptoms of this condition include discomfort in the rectal and anal location, periodic rectal bleeding, pain throughout and after bowel movement, diarrhea, discharge from the anal area, etc.

    • Inflammatory Bowel Disease Crohn's disease and ulcerative colitis are placed in the category of inflammatory bowel diseases.
    • Ulcerative colitis is identified by the development of ulcers and swelling of the lining of the colon and the rectum.
    • It gives rise to stomach pain, urgency to have a bowel movement, cramping, rectal bleeding, loss of appetite, weight loss, fatigue, etc.
    • Crohn's disease is also characterized by inflammation in the lining of the gastrointestinal tract.
    • It generates symptoms such as stomach pain, cramping, diarrhea, blood in stool, weight loss, loss of appetite, anal fissures, etc
    • On a concluding note, pain during and after defecation could be caused by a number of medical conditions.
    • Thus, it is essential to look for medical assistance for the proper diagnosis and treatment of the underlying cause.

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