IBS- Anal Pain after BM

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Hi, I'm new to the site and hoping to find anyone with any similar symptoms/advice?

It has been almost two years now, I have been suffering with bloating, cramps, and constipation. My doctor took a blood test and stool sample. Results clear. I was diagnosed with IBS. Shortly after I kept getting Anal pain after BM and assumed I had piles or a fissure as a result of constipation. I was taking daily stool softener to help. Doctor examined me and no visible signs of piles but treated me for them as possible internal, treatment failed so next i was treated for a fissure, I used GTN cream and again treatment failed. It has been ongoing for so long and really affecting my life, I have just had a sigmoidscopy four weeks ago and the results were clear. The consultant said it is muscle spasm related.

He wants me to try Amatriptaline medication but I'm really reluctant too and would rather try a natural/healing way if possible.

My anal pain is only after a BM and lasts for the duration of that day. I wake up the next day and the pain has gone. I usually have BM every 2-3 days so almost have a day pain free but then on days that i go I then suffer anal pain. As you can imagine this is causing anxiety and depression and feel stuck in a rut.

Anyone have similar symptoms or experience?

Thanks

0 likes, 4 replies

4 Replies

  • Edited

    hi Laura, it sounds like your doctor's have missed something, this shouldn't have gone on for too long. what bowel softener are you taking? maybe you should ask for a different one? you shouldn't take amitriptyline at all, that won't help bowel pain i don't think. have you asked about other causes of this pain? i just wonder if you've trapped a nerve or something. keep asking for something else to deal with the pain.

    • Posted

      I take a movicol sachet but only when i feel constipated.

      The doctor says that they have done all tests and it is IBS related. The anal pain is only triggered when i have a BM as im pain free on the days when i don't go to the toilet.

      I'm at a loss really and doc says there is no alternative than to take Amatriptyline for pain management?

    • Edited

      hi Laura, hmm what rubbish! your doctor is offering pain relief to put money in to the back pockets of the pharmaceutical companies as far as I'm concerned! why don't you try to take the sachets often to keep your bowel soft and try to stay as stress free as possible. try asking a totally different doctor about a coeliac blood test.

  • Edited

    Hey, I have the same problem. I tried researching a bit and heard that kegel and reverse kegel exercises can work depending on whether the muscle is in spasm or not.

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