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I have diarrhea, and anal pain increases every time I poop. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have diarrhea since yesterday and I have gone many times. It hurts more and more and I reached a point to have a scare to poop. It hurts a lot even after five to ten minutes of pooping.

Answered by Dr. Ajeet Kumar

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

You started to have diarrhea from yesterday. It seems to be acute gastroenteritis. It occurs often due to food poisoning and a sudden burst of a large volume of poop. I suggest you start taking oral rehydration therapy (ORS). Add one sachet of ORS in one liter of mineral water or boiled water. Take 200 to 300 ml each time while having loose bowel. This helps to replenish your salt in the body and it helps to decrease diarrhea. Antibiotics are not needed in cases of acute diarrhea except in cases of blood in stools. You can take tablet Lomotil (Diphenoxylate hydrochloride with Atropine) two tablets thrice a day and do not take them for more than three days.

Treatment plan

Take oral rehydration therapy (ORS). Add one sachet of ORS in one liter of mineral water or boiled water and take 200 to 300 ml each time while having loose bowel. You can take tabler Lomotil (Diphenoxylate hydrochloride with Atropine) two tablets thrice a day.

Regarding follow up

Have a follow-up after 48 hours.

Patient's Query

Thank you doctor,

I am concerned more about the pain. I have been taking ORS but there is pain. Please help.

Answered by Dr. Ajeet Kumar

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I understand your situation. You have pain due to the forceful contraction of the bowel wall. It causes spasms and it is a protective response to remove toxins within your gut. Lomotil works well for pain. It contains an opioid drug that is commonly used as a painkiller. Use ORS with Lomotil (atropine). If you have pain after 24 hours, then you can take Tramadol 100 mg (opiod analgesic). It helps to reduce pain.

Medically reviewed by Dr. Sneha Kannan
Published At May 8, 2020
Reviewed At August 9, 2023

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

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