I feel an anal heat, especially when I sit down. What can it be?

Dr., I've been feeling an anal rash about 3 months ago, especially when I sit down. I went to the proctologist, he did an anuscopy and said he had nothing, just said that the anus was irritated and passed some remedies to see me and an ointment. I passed everything, but the blaze continues. What can be if I have nothing.
Expert answer:

Anal burning can be a sign of anal fissure hemorrhoid, or other diseases. If it is a anal fissure, in addition to blazing, you can also present the following symptoms:

  • Intense anal pain during and shortly after a bowel movement;
  • Bleeding, usually observed on toilet paper;
  • Itching in the anal region and around.

Already the hemorrhoids can cause burning and symptoms as:

  • Anal itching;
  • Bleeding, also perceived in underwear or toilet paper;
  • Pain or burning during or after bowel movement;
  • Palpable prominence in the anus.

What to do in case of anal burning?

If the cause is a anal fissure, the treatment usually consists of:

  • Sitz bath in warm water for about 10 minutes, 2 or 3 times a day or sit on a bag of warm water. Heat increases blood flow and helps heal the wound;
  • Avoid effort to evacuate, as it can reopen a fissure that is already cured or cause a new fissure;
  • External application of glycerin trinitrate to stimulate blood circulation and relax the anal sphincter;
  • Application of steroid cream to reduce discomfort;
  • Botox injection to temporarily paralyze the anal sphincter and improve spasms;
  • Surgery, when conservative treatment did not work.

In case of hemorrhoid, the treatment is done through:

  • Changes in food, with elimination of foods that can make the table worse, such as alcohol and pepper, and fiber inclusion;
  • Do not hold the urge to evacuate;
  • Bathing with warm water instead of using toilet paper;
  • Avoid force to evacuate;
  • Surgery in cases of external hemorrhoids or when repeated episodes of thrombosis, pain or bleeding occur.

For a more thorough investigation of your case, consult a physician or proctologist or a gastroenterologist.