Why Does It Burn When I Poop?

• Burning and discomfort during a bowel movement can be attributed to various factors, including constipation, diarrhoea, anal fissures, and inflammatory bowel disease like ulcerative colitis.
  
  
• Healthy habits like regular meals and consistent bathroom routines can help prevent painful bowel movements.
  
  
• While cancer is a rare cause of such discomfort, it's crucial to prioritise digestive health for long-term relief, with topical treatments available for symptomatic relief.

Constipation is a widespread digestive problem in the EU, and it's estimated that over 63 million people are affected by chronic constipation.

Statistics indicate that between 60 and 70 million individuals in the EU have received diagnoses for various digestive diseases in recent years.

If you experience a burning sensation during bowel movements, it can often be a sign of a digestive disorder.

This article will explore painful bowel movements, the conditions that can lead to them, and ways to alleviate digestive discomfort.

Are Painful Bowel Movements Normal?

There are various reasons why you might experience a painful bowel movement. Sometimes, it's a temporary discomfort linked to a short-lived digestive problem. However, if you encounter sharp or persistent pain while passing stool, it could signify a more serious underlying condition.

Temporary discomfort can arise when, for example, your diet lacks sufficient fibre and water. This can lead to the formation of hard stools that are tough to pass. Painful bowel movements due to constipation often resolve when the constipation itself is relieved.

Challenging bowel movements, accompanied by the burning sensation sometimes associated with them, can be inconvenient, but they are typically not a cause for concern. It's essential to pay attention to any additional symptoms you might be experiencing, as this information can assist your doctor in gaining a better understanding of your situation.

Additional Symptoms Associated With Painful Bowel Movements

If you're having difficulty passing a stool, you might also encounter one or more of these symptoms:

• A burning sensation during bowel movements.
  
  
• Difficulty in completely emptying your bowels.
  
  
• A sensation as if there's an obstruction in your digestive system.
  
  
• The necessity to manually remove stool with your finger.
  
  
• Abdominal pain.
  
  
• Stools that are either lumpy or hard.
  
  
• Loose or runny stools.
  
  
• Passing three or more stools in a single day.
  
  
• Passing fewer than three stools in an entire week.
  
  
• Rectal bleeding.
  
  
• Stools with blood in them.
  
  
• Fever or chills.

If you experience any of these symptoms alongside difficulty passing stool, seeking medical attention to determine the underlying cause and appropriate treatment is crucial.

Why Does It Burn When I Poop? Possible Causes

Sometimes, a burning sensation during bowel movements can be alleviated by reducing the consumption of spicy foods. However, if the burning sensation persists even after eliminating spicy foods from your diet, it may be associated with one of the following conditions:

Constipation:

Factors like diet, stress, and hormonal changes commonly influence occasional constipation. However, chronic constipation can lead to a burning sensation when passing stool. While constipation affects millions of individuals, there are effective solutions available. It is advisable to consult a healthcare professional for expert guidance on managing constipation.

Anal Fissures:

Anal fissures, also known as anal tears, occur when there are tears in the lining of the anus or minor cuts near the anus's exit. These fissures typically develop when you pass a hard stool but can also result from chronic diarrhoea. Symptoms of anal fissures may include discomfort, bloody stools, and sharp pains that worsen during and after each bowel movement.

Irritable Bowel Syndrome (IBS):

One of the symptoms of IBS is frequent diarrhoea, which can lead to a burning sensation during bowel movements. Other symptoms of IBS include gas and stomach cramps.

Hemorrhoids:

Haemorrhoids are swollen veins in the anus or rectum. They can be caused by various factors, including chronic diarrhoea, chronic constipation, straining during bowel movements, and stress. Hemorrhoids may manifest as itching, discomfort, and the presence of hard lumps around the anus.

Inflammatory Bowel Disease (IBD):

Inflammatory bowel disease is a group of chronic inflammatory conditions that affect the digestive tract. There are two primary types of IBD:

• Crohn’s Disease: Crohn’s disease impacts the lining and, at times, the deeper layers of the digestive tract. Common symptoms include abdominal pain, diarrhoea, and fatigue.
  
  
• Ulcerative Colitis: Ulcerative colitis is characterised by inflammation and sores on the inner lining of the rectum and the colon (large intestine).

Proctitis:

Proctitis is an inflammatory condition that specifically affects the lining of the rectum. It often results from trauma in this area, which activities like anal sex or the insertion of objects can cause. Symptoms of proctitis may include:

• Rectal pain
  
  
• Diarrhea
  
  
• Rectal bleeding
  
  
• Itching
  
  
• Discharge
  
  
• Frequent urge to have a bowel movement

Diarrhoea:

Diarrhea is characterised by the occurrence of three or more sudden bowel movements per day. During diarrhoea, food moves through the digestive system quickly, and stool may still contain digestive enzymes, stomach acid, and bile, which can potentially irritate or burn the rectal tissue. Factors that can lead to burning diarrhoea include:

• Spicy foods
  
  
• Digestive acids like bile
  
  
• Excessive alcohol consumption
  
  
• Caffeine intake
  
  
• Sweeteners
  
  
• Frequent use of laxatives
  
  
• Fructose (fruit sugars)
  
  
• Food intolerances
  
  
• Food poisoning
  
  
• Medications that induce diarrhoea, such as metformin (used to treat diabetes)
  
  
• Chronic digestive conditions
  
  
• Certain surgeries and therapies, such as radiation therapy

Cancer:

While rare, colon cancer and rectal cancer can sometimes cause a burning sensation during bowel movements. Both conditions typically start with the development of growths called polyps, which can attach to the intestinal wall, potentially leading to blockages and bleeding. Symptoms of colon and rectal cancer may include:

• Changes in bowel habits (e.g., constipation or diarrhoea)
  
  
• Altered stool consistency
  
  
• Anal discharge or bloody stools
  
  
• Growths in the anus
  
  
• Itching, irritation, burning, or pain in or around the anus
  
  
• Abdominal cramps, gas, or other abdominal discomfort
  
  
• Fatigue
  
  
• Unintended weight loss
  
  
• Feeling like you cannot fully empty your bowels

Suppose you experience any of the mentioned symptoms or suspect an underlying medical condition is causing a burning sensation during bowel movements. In that case, contacting your doctor for evaluation and appropriate medical care is crucial.

Sexually Transmitted Infections (STIs):

Sexually transmitted infections (STIs) can lead to painful bowel movements. Some STIs can cause rectal inflammation, a condition known as proctitis. The following STIs are associated with proctitis and may result in a burning sensation during bowel movements:

• Syphilis
  
  
• Chlamydia
  
  
• Gonorrhea
  
  
• Herpes simplex virus
  
  
• Genital warts

STIs that cause a burning sensation during bowel movements can also present additional symptoms, such as rectal discomfort or bleeding, a persistent urge to have a bowel movement, constipation, and anal pain.

Diet And Lifestyle:

Diet and lifestyle choices significantly influence digestive health. It's essential to make choices that support good gut health. Factors that can negatively affect your body's ability to digest food include:

• A diet high in fat and low in fibre
  
  
• Excessive alcohol consumption
  
  
• Inadequate water intake
  
  
• Lack of a regular eating schedule
  
  
• Insufficient exercise
  
  
• Sleep deprivation
  
  
• High levels of stress or anxiety

Making healthier dietary and lifestyle choices can contribute to better digestive well-being.

Treatments For Discomfort

The treatment needed to alleviate the discomfort or pain during bowel movements largely depends on the underlying cause of the burning sensation. Typically, the following approaches are considered:

For issues like constipation, stool softeners and over-the-counter treatments like hydrocortisone or ibuprofen may be used to relieve symptoms.

More severe conditions such as cancer and Crohn’s disease require medical intervention and specialised treatment.

To address diarrhoea or constipation, which can contribute to painful bowel movements, you can consider the following lifestyle and dietary changes:

• Maintain a balanced diet.
  
  
• Manage stress effectively.
  
  
• Establish a regular bowel movement routine, ideally at the same time each day.
  
  
• Stick to consistent mealtimes.
  
  
• Increase your fibre intake in your diet.
  
  
• Stay well-hydrated by drinking enough water.
  
  
• Avoid foods that trigger allergies.
  
  
• Incorporate regular exercise into your daily routine.
  
  
• Consider taking a probiotic supplement.
  
  
• Ensure you get adequate rest and sleep.

Making these adjustments can help improve your digestive health and reduce the discomfort associated with painful bowel movements. However, consulting with a healthcare professional for a proper diagnosis and tailored treatment plan based on your specific condition is crucial.

How To Prevent Painful Bowel Movements

Establishing good bowel habits is essential for preventing conditions such as constipation, diarrhoea, anal fissures, and haemorrhoids. Here are some practices to consider to help you maintain healthy bowel habits and avoid discomfort:

• Consistent Meal Timing: Consume balanced meals at regular times each day to help regulate your digestive system.
  
  
• Caffeine And Sweeteners: Limit your intake of caffeine and artificial sweeteners, as they can sometimes disrupt digestion.
  
  
• Hydration: Stay well-hydrated by drinking adequate water throughout the day.
  
  
• Fiber Intake: Include both soluble and insoluble fibre in your diet. Fiber-rich foods can promote regular bowel movements.
  
  
• Regular Schedule: Establish a routine for bowel movements by going at the same time each day, making it a priority in your schedule.
  
  
• Correct Posture: Consider using a stool or particular "poop stool" to help you achieve the correct posture for more comfortable and efficient bowel movements.
  
  
• Laxative Avoidance: Whenever possible, avoid using laxatives, as they can sometimes lead to dependency and may not address the root causes of digestive issues.

Adopting these practices and building good bowel habits can promote better digestive health and reduce the risk of bowel-related discomfort. If you continue to experience digestive problems or discomfort, consult a healthcare professional for personalised advice and treatment options.

Stay Hydrated:

Consuming approximately eight glasses of water per day is generally recommended to stay adequately hydrated and prevent constipation. However, it's essential to note that simply drinking water may not be sufficient if you don't include insoluble fibre in your diet. Insoluble fibre helps stool retain water, making it softer and more comfortable to pass. Thus, paying attention to your fibre and water intake is crucial to maintaining healthy and pain-free bowel movements.

Enjoy A Balanced Diet:

Eating a well-balanced diet that includes fresh fruits and vegetables, lean protein sources, whole grains, and healthy fats can have several positive effects on your digestive health, such as:

• Strengthening your immune system
  
  
• Regulating your hormones
  
  
• Reducing the effects of stress
  
  
• Making it easier to pass a stool

Prioritise Digestive Health:

Taking proactive steps to prioritise your digestive health is essential for preventing issues related to digestive disorders like chronic diarrhoea, constipation, and discomfort during bowel movements. To promote a robust digestive system, consider the following:

• Calorie Control: Consume appropriate calories to maintain a healthy weight, as excess weight can contribute to digestive problems.
  
  
• Dietary Choices: Reduce your intake of sugar, caffeine, greasy foods, and alcohol, as these substances can sometimes disrupt digestive function.
  
  
• Fermented Foods: Include more fermented foods, such as yoghurt and kimchi, as they contain beneficial probiotics that support gut health.
  
  
• Stress Management: Practice stress-reduction techniques like meditation, deep breathing, or yoga, as stress can affect digestive health negatively.
  
  
• Regular Exercise: Engage in regular physical activity, as it can promote healthy digestion.
  
  
• Adaptation To Routine Changes: Be flexible with your routine, especially when travelling, to minimise disruptions to your digestive system.
  
  
• Time For Comfortable Bowel Movements: Allow yourself enough time for a comfortable bowel movement without rushing.

Sitz Bath:

A sitz bath is a therapeutic practice involving soaking the rectal area in warm water, sometimes with the addition of salt, for ten to twenty minutes daily. Sitz baths offer several benefits, including:

• Pain and Itch Relief: They can alleviate pain and itching.
  
  
• Inflammation Reduction: Sitz baths can reduce inflammation and discomfort.
  
  
• Improved Hygiene: They contribute to improved hygiene.
  
  
• Enhanced Blood Flow: By improving blood circulation, sitz baths can aid in healing, particularly for conditions like haemorrhoids and anal fissures.

Incorporating these practices into your lifestyle can help you maintain and prioritise your digestive health, reducing the risk of discomfort and digestive disorders.

When Should I See A Doctor?

Experiencing a burning sensation during bowel movements can be attributed to various causes, ranging from spicy foods to more serious underlying conditions. While it could result from a harmless meal like hot wings, it's crucial to be vigilant about potential signs of more significant issues. If you continue to have painful bowel movements and notice any of the following symptoms, it's advisable to seek professional medical advice:

• Abnormal anal growths, such as lumps or bumps.
  
  
• Chronic or severe constipation.
  
  
• Anal discharge or bleeding.
  
  
• Unexplained weight loss.
  
  
• An itchy, irritating, or painful sensation in or around the anus.
  
  
• Bloody or black stools.
  
  
• Diarrhoea lasting for three or more days.
  
  
• Severe stomach cramps.
  
  
• Any significant changes in your bowel movements.
  
  
• Symptoms that worsen or do not improve with treatment.

Even if you don't display the severe symptoms mentioned above, consulting a doctor can provide valuable insights into your digestive health and help you prevent future discomfort during bowel movements. Regular check-ups and open communication with healthcare professionals can be essential in maintaining overall well-being.

Mobi Doctor can provide expert guidance and medical advice to address your burning sensation during bowel movements, offering personalised solutions and peace of mind for your digestive health concerns.