[41M] With sharp anal pain and fever

What might be happening

Based on the information you provided, the following conditions could be causing your symptoms:

• Anal Fissure: This is a small tear in the thin, moist tissue (mucosa) that lines the anus. Anal fissures are often caused by passing hard or large stools during a bowel movement. They typically cause pain and bleeding with bowel movements.

  • Treatment usually involves measures to soften stools, including dietary changes like increasing fiber intake, and using stool softeners. Topical pain relievers may also be recommended.

• Hemorrhoids: These are swollen veins in the lowest part of your rectum and anus. Sometimes the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop. Hemorrhoids can be internal or external.

  • Treatment often involves over-the-counter creams or suppositories, and lifestyle changes like eating more fiber and not straining during bowel movements.

• Proctitis: This is inflammation of the lining of the rectum. It can cause discomfort, bleeding, and the frequent urge to have a bowel movement. It's often related to sexually transmitted diseases, but can also be due to other types of infection or inflammatory conditions.

  • Treatment typically involves antibiotics or antiviral medications, depending on the cause.

• Anal Abscess: This is an infected cavity filled with pus near the anus or rectum. However, you did not report any pus or discharge, which are common symptoms of an abscess.

  • Treatment usually involves surgical drainage of the abscess, followed by antibiotics.

What you can do

1. Over-the-counter treatments: There are numerous over-the-counter products available at pharmacies for the relief of mild symptoms. These include creams, ointments, and suppositories.

2. Dietary changes: Increasing your fiber intake can help soften your stools, reducing the strain during bowel movements. This can be achieved by eating more fruits, vegetables, and whole grains, or through a fiber supplement.

3. Hydration: Drink plenty of fluids, but avoid alcohol and caffeine, which can lead to dehydration and constipation.

4. Warm baths: Sitting in a tub of warm water for 15 minutes, especially after bowel movements, can help relax the anal muscles and relieve irritation.

However, given the severity of your pain and the presence of fever and chills, it's important that you seek medical attention as soon as possible. These symptoms could indicate a more serious condition that needs immediate treatment.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe pain that doesn't improve with at-home treatments
• Heavy rectal bleeding or blood in your stool
• Increasing fever or chills
• Signs of infection, such as redness, swelling, or pus

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.