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I had a large bowel movement that tore my ...three weeks

I had a large bowel...
I had a large bowel movement that tore my asshole...three weeks ago...i have eaten mostly soft foods, drank a lot of water, and have just been careful in general, but it is only getting worse...the tear reopens every time i have a bowel movement no matter if the stool is large or small or hard or soft and it feels as if the tear is getting bigger because the pain gets worse every time i have a movement...during the worst pain, up to a couple hours after each movement, it almost feels as if there is acid burning the tear....also....about a month ago i think i might have gotten a hernia at work while lifting, but i didn't think of it until now....could a possible hernia be affecting the tear by letting stomache acid pass through the GI tract, or just not properly digesting other substances in each bowel movement??? or is the tear just not repairing for its own reasons??? i would apply cream or something to help it heal, but it is inside my anus by at least a couple of inches....
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Answered in 38 minutes by:
8/19/2007
Nurse Susan
Nurse Susan, Nurse (RN)
Category: Health
Satisfied Customers: 1,091
Experience: RN, BSN, MSN-ED, Nurse Educator whose passion is helping people understand their health and wellness
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HelloCustomer

I am sorry to hear of your pain, and hopefully I can offer you some advice and guidance. A hernia is when the intestines form a bulge or an outpocketing...and you are correct in that heavy lifting can be a cause of them. The hernia doesnt let the intestinal contents pass through the GI tract as you fear, and so that by itself wont make the cut on your anus worse. However, there are concerns that present with a hernia. IF the hernia was to become strangulated, that is to say if the blood supply to it is cut off by stool or the tissue itself pressed upon itself. The bowel can die, and that is a true medical emergency.

Hernias need to be examined by your provider. If it is reducable, it still needs to be repaired, but some providers will elect to monitor it instead, depending upon its size. If it can NOT be reduced, it absolutely has to be repaired, or else it CAN become strangulated. A hernia that strangulates usually causes intense pain in the hernia followed by marked tenderness. Because of the intestinal obstruction, there is abdominal pain and vomiting.

Here is a useful website on Hernias: www.emedicinehealth.com/hernia/article_em.htm

Now to your other issue: the anal tear. I am not there, so cant state with 100% certainty that this is what you have, but from what you describe, it could be an Anal Fissure. This is actually common in children and infants, but happens as well to adults. Normally they heal on their own, but as you have experienced, at times they do not. It is these times that they do not that they need medical attention. If they last too long...over 6 weeks...they can become chronic, and that means you will have them repeatedly. Repair of this is by surgery.

You should be seen by your provider as you have had this for three weeks and have intense pain after a bowel movement. The acid feeling you feel is likely your stool as it CAN be acidic, and it IS irritating the cut anus. Those are two signs that you need some outside help to heal this...the fact you have had this for 3 weeks and your intense pain. Your provider as well will look for things that may have caused the anal fissure...irritable bowel diseases can make the anus prone to tear as the anal and intestinal tissue changes due to the disease.

You are doing the right thing by keeping your stools soft. You can also take a sitz bath...essentially soacking your buttucks in warm water. That will make you feel better and improve blood flow to the area. Exersize also helps improve both tone and blood flow. You can also use Preparation H to ease the discomfort.

Here is a useful website on anal fissures: www.mayoclinic.com/health/anal-fissure/DS00762/DSECTION=1

In both cases...your hernia and your potential anal fissure, you need to be evaluated and treated by your provider, and I urge you to do so as soon as you can.

I hope I was able to help and if you have any other questions please ask.

Sincerely

Susan

Nurse Susan
Nurse Susan, Nurse (RN)
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Customer reply replied 10 years ago
Thank you very much! That answer was very informative! I am planning on going in to the clinic asap.....if the pain gets worse than Preparation H and Advil, then I might end up going to the ER....another thing I thought about was, what if there is actually some stool inside the fissure, and that's what is slowing the healing process...like getting food inside a canker sore in your mouth....you have to get the food out first before it can heal....it seems like that is what is happening baecause I have recovered from an anal tear a couple of times in the last 2-3 years very quickly...well, the doctor will figure all that out soon. Thanks again for your help!

HiCustomer

That absolutely could be true, that stool in the fissure can slow the process. It IS like a canker sore, or any cut that has food or dirt in it...may not heal well, and even may be infected if it really doesnt heal well. I am glad you are going to have this checked out.

Please do NOT press accept on this answer cause if you do, you will be charged again.

Im so happy I was able to help you.

Sincerely,

Susan

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