Pain in stool – causes, treatment & help

Pain during bowel movements

When both women and men are temporarily or permanently under Pain during bowel movements suffering, this can lead to an enormous restriction of well-being and quality of life.

Table of Contents

What are pain during bowel movements??

Pains in bowel movements are more common than many people assume. Unfortunately, for reasons of shame and embarrassment, they usually remain hidden and those affected suffer in silence. Basically, the pain in bowel movements in medicine have a great importance. Pains in bowel movements occur when the intestine is emptied when the feces exit the anus.

The pain is sometimes so unbearable that it prevents the patient as long as possible to go to the toilet. Under these conditions pain during bowel movements can cause further sequelae, which affect the general condition more or less.


Going to the toilet is a natural necessity that can be associated with painful bowel movements in various health conditions. In the majority of cases, the affected patients contracted injuries to the anus. These lead in the form of so-called anal fissures to extreme pain during bowel movements.

In addition, abscesses in the area of ​​the anus, existing hemorrhoids or excessively solid feces are the causes of pain during bowel movements.

Different organic diseases of the rectum are also characterized by pain during bowel movements. Sometimes the formation of thrombosis, small blood clots in the vessels of the anus, causes pain during bowel movements. Anal cancer, rectal cancer, some venereal diseases, as well as diarrhea or constipation cause pain during bowel movements.

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Diseases with this symptom


At the beginning of the pain during bowel movements, these are only occasionally observed. An agonizing itching, however, indicates existing impairments of the anus and rectum. In the course of time, with more hard stool or when the causative triggers exist, more and more pain occurs during bowel movements.

In the anal region sufferers feel a burning and stinging pain during bowel movements, which makes the discontinuation of feces almost impossible and this can only be realized under severe discomfort.


Pain in bowel movements in many people ensure that the urgency of the stool is restrained. However, this can lead to far-reaching complications. On the one hand, keeping the chair ensures that it is thickened further. This creates a blockage. The squeezing out of hard stools again causes pain.

Hard, large masses of excrement can lead to another complication: the emergence of so-called anal fissures. By this one understands smallest tears in the anus mucosa. These can be so tiny that they need not be visible to the naked eye. Nevertheless, they can lead to very great pain while pressing.

Anal fissures are also a reason why people consciously or unconsciously try to maintain the normal urge to stool. If one gets used to this behavior over a longer period of time and only licks off small quantities of faeces, a chronic obstruction develops as a complication. This can also result in so-called mud flats. By this one understands stone-like hardened Kotmassen, which remained over a longer period in the intestine.

If necessary, they must be surgically removed. Such complications can be prevented by discussing the bowel habits with a specialist at the first sign of pain during bowel movements. If the problem is new and occurs only for a short time, gentle laxatives can also help prevent complications such as constipation, fissures and feces.

When should you go to the doctor?

Pain in bowel movements is a taboo subject for many sufferers. A doctor’s visit is gladly delayed or even completely avoided. In fact, the walk to the family doctor is not always necessary. For example, if the cause of the painful bowel movement is constipation, this problem often resolves either by itself or with the help of classic home remedies.

Sometimes stool (especially if it is a regular occurrence) causes hemorrhoids, thrombosis of the anal veins or anal fissure, accompanied by sharp pain and bleeding. Here, the visit to the family doctor makes sense. This clarifies, possibly with the help of a referral to the proctologist or internist, the cause of pain during bowel movements exactly. Subsequently, a further visit to the doctor is often not necessary.

Only when complications occur is the advice and possibly the therapy by the physician recommended. Such events include the painful anal venous thrombosis, which is manifested by a bluish, crunchy nodule on the anus, or poorly healing fissures. An analareg abscess that causes pain during bowel movements or when sitting should also be briefly opened under sterile conditions by the specialist, in order to give the patient a quick and effective relief. Painful hemorrhoids, which must be pushed back by hand into the anal canal, should also be discussed with the doctor.

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treatment & therapy

The pain during bowel movements can be treated in the context of conventional and alternative healing methods. Which forms of treatment those affected want to use depends on their individual attitude and the extent of the complaints. If the pain during bowel movements is so intense that it permits a bowel movement only under the highest agony, then usually operative measures after an appropriate diagnosis can be necessary.

If the cause analysis within the scope of the diagnostic possibilities results in an existing constipation, then drugs are administered which prevent pain during bowel movements by liquefying the stool. An ample intake of fluids and a high-fiber diet as well as physical activity are often recommended during therapy.

As an external application against pain during bowel movements are fast acting and soothing ointments. These combat the inflammation and relieve the pain during bowel movements locally. As extremely gentle and extremely effective drugs, which bring about an early alleviation of the pain during bowel movements, apply antibiotic drugs, cortisone, lidocaine or witch hazel. It is also recommended to use sitz baths with appropriate additives that help to alleviate pain during bowel movements in a natural way.

In addition, clysters and suppositories are also considered a successful treatment for pain during bowel movements. Other treatments, depending on the diagnostic results, include sclerotherapy of hemorrhoids, surgical removal of abnormal nodules, and chemo or radiation treatment for pain-causing tumor tissue. These usually occur on the rectum and show different symptoms, which include pain during bowel movements.

view & forecast

The exact course of pain during bowel movements can only be predicted very inaccurately, since the cause must first be clarified. If the pain is caused by a too strong bowel movement, then it can lead to an anal fissure in case of non-treatment. These are cracks in the anal area, which in rare cases can even be difficult to ignite. If it comes to the formation of an abscess, then a visit to a doctor is inevitable. Otherwise, there is a risk of blood poisoning, which can even lead to death.

By taking appropriate medication, the stool can be changed in its consistency, so that the pain should subside within a very short time. In particularly severe cases, the pain can also be triggered by a tumor in the intestine. Do not expect the worst, but watch the pain and consult a doctor if it is long-lasting and not triggered by a fissure or intolerance.

If the pain during bowel movement is triggered by a food intolerance, the course is very simple and simple: Once the digestion process of the corresponding food is completely completed, then the pain should disappear completely. As a rule, this process takes a maximum of 24 hours.

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Pains in bowel movements are extremely unpleasant and can be avoided by a healthy lifestyle. When it comes to morbid causes, a preventative measure is an immediate clarification of the pain of defecation by a proctologist.

A balanced diet, within which a lot of fiber is absorbed, stimulates the bowels and promotes the painless evacuation. With a sufficient supply of fluids no solidification of the faeces occurs in the form of constipation.

A sensible intimate hygiene through wet paper and the use of a non-irritating toilet paper prevent injury to the anus and thus pain during bowel movements.

You can do that yourself

Unfortunately, stool pain is not uncommon in the Western world and is related to nutrition. They are usually due to blockages, because hard stool causes understandable pain in bowel movements. For quick relief, it is recommended to take a handful of plums. This softens the chair, which is why not too many plums can be eaten at once. A gentle laxative in low dose can also be tried. However, drugs should not become the rule.

Permanently helpful against pain during bowel movements is a change in diet. Less fat and ready meals, but more fiber from fruits, vegetables and freshly prepared food ensures a healthy consistency of the chair. However, it can take several weeks before a change in diet has a noticeable and lasting effect, as the metabolism must first get used to the changed circumstances. Soon, however, the pain during bowel movements becomes much less and occurs less frequently. In general, it should be mentioned that it is always important to ensure adequate fluid intake. This promotes easier and faster removal of the chair.

In the emergency room, it can help to squat in the toilet because it tightens the right muscles. In practice, this can be done by putting on the knees. It can also help to try a different posture, leaning sideways for example. However, you should not lean forwards or backwards, as these are definitely not healthy postures for bowel movements.

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Christina Cherry
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