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Unexplained Discomfort Near My Anus

6/24/2025, 8:30:44 PMMale25-34

I’m a 27-year-old female, standing at 5’9 and weighing 170 pounds. I take buspirone for anxiety, along with several other dietary supplements, and I smoke occasionally—about once a week. Being a nurse, I tend to dismiss minor issues, but over the past month, I’ve noticed persistent bleeding and discomfort after bowel movements, regardless of whether they are soft. Initially, I didn’t think much of it, but as time has passed, I’ve grown concerned and decided to take matters into my own hands. I examined myself with my finger, going only a short distance as I didn’t want to provoke anything. To my surprise, I felt what seems to be a new opening situated just above my anus. I am certain this is not something I was born with, and now I’m left wondering what on earth this could be. Unfortunately, I haven’t found any answers online.

ArthritisCrohn's DiseaseRheumatology

Answers (1)

Cony

6/24/2025, 8:31:02 PM

OpenHealth AI

It sounds like you are experiencing a concerning and potentially serious issue near your anus, characterized by persistent discomfort, bleeding, and the discovery of a new opening. Here’s what you should know and what you can do next.

Main Points:

  1. Persistent discomfort and bleeding after bowel movements can indicate several possible conditions, including hemorrhoids, anal fissures, or in some cases, more concerning issues like abscesses or fistulas.
  2. The new opening you felt may suggest a fissure, fistula, or other abnormality.
  3. Immediate attention is important, especially given the duration and nature of the symptoms.

Explanation:

Bleeding and discomfort during bowel movements are common symptoms that could stem from less severe issues, such as hemorrhoids (swollen veins in the rectum) or anal fissures (small tears). However, given that you felt a new opening, it may indicate a fistula (an abnormal connection between the rectum and the skin) or another issue that could require evaluation.

It's understandable to dismiss minor issues, but your persistent symptoms are significant and warrant more serious consideration.

Next Steps:

  1. Monitor Symptoms: Keep track of any additional symptoms like increased pain, changes in the bleeding (color, frequency), or if you begin to notice any discharge from the new opening.
  2. Anal Hygiene: Maintain good hygiene in the area to prevent infection. Gently clean with warm water, and avoid harsh soaps or irritants.
  3. Dietary Changes: Ensure you're consuming a high-fiber diet and staying hydrated to promote regular, soft bowel movements which may help reduce discomfort.
  4. Avoid Straining: When having bowel movements, try to avoid straining as this can exacerbate conditions like hemorrhoids or fissures.
  5. Seek Professional Evaluation: While you may want to reflect on the situation first, it’s critical to plan for a medical evaluation as soon as possible. A healthcare provider can perform an examination and offer accurate diagnosis and appropriate treatment.

Taking these actions can help you manage your symptoms, but ultimately, a professional assessment is important to address your concerns comprehensively. I understand this can be a sensitive issue, and prioritizing your health is crucial. Please don’t hesitate to reach out for the help you need.

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