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Chronic anal pain

Chronic anal pain

CHRONIC ANAL PAIN: DEFINITION AND SYMPTOMS

Chronic pain may be defined as pain characterised by an intensity normally lower than acute pain and its persistence beyond the normal healing times of a lesion or inflammation. Chronic anal pain affects the anus-perineal area and may vary by its location, intensity, frequency and duration but, regardless of these factors, the influence it has on the daily life (social and working) of patients is often high.
 

DISEASES RELATED TO CHRONIC ANAL PAIN

Chronic anal pain can be directly linked to many causes and diseases, some of which easier to identify than others:

  • abscess;
  • haemorrhoids;
  • ulcerative colitis;
  • dermatitis;
  • anal fistula;
  • anal fissures;
  • Crohn’s disease;
  • sexual intercourse;
  • injury caused by sexually transmitted diseases;
  • coccydynia (levator ani spasm syndrome);
  • colorectal or anal tumour.

The connexion with urinary and gynaecological disorders is also frequent. It is possible, however, that chronic anal pain can be seen even in the absence of a known and identifiable cause: in these cases, we speak of chronic idiopathic anal pain. Not infrequently, in these cases, psychological factors can also favour, accentuate or be themselves the cause of the disease.
 

CURES FOR CHRONIC ANAL PAIN

Chronic anal pain, in addition to physically affecting those who suffer from it, also greatly damages the emotional sphere. The intensity and, above all, the persistence of pain, which is sometimes incessant, is a source of strong stress and gives rise to the patient’s fear of being a carrier of a malignant disease. The first thing to do when you suffer from anal pain is to ask a proctologist who will be able to analyse your general state of health, symptoms, previous diseases and therapies, work activity, sport activities and sexual habits. By means of specific instrumental investigations, the specialist will therefore be able to ascertain and assess or, if necessary, exclude possible pathologies and proceed with an appropriate therapeutic plan. Especially in cases of chronic idiopathic anal pain, the psychological approach is of particular importance and reassuring the patient can already lead to a first improvement of symptoms.

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