Home Digestive systemDiseases of the anus Stitches and Pulls Inside the Anus: Causes

Stitches and Pulls Inside the Anus: Causes

by Alivia Nyhan
Published: Last Updated on

Several diseases can have the leading cause of pain and pull in the anal area. Generally, these are produced by the inflammation of the tissue that covers this area, and, apart from the pests, there can also be fatigue and pain when getting up from the seat. It is always important to remain attentive to all the symptoms since they can reveal the suffering of some condition or injury that requires immediate medical treatment.

In this FastlyHealarticle, we explain the diseases that can cause you throbbing and pulling inside the anus and how to treat them.


Hemorrhoids are pads of tissue where the veins and arteries of the anal canal meet; when these are excessively dilated, they become varicosities. This disease can be caused by constipation, excessive pressure when defecating, congenital tissue weaknesses, pregnancy and childbirth, or liver cirrhosis.

Hemorrhoids are painless unless blood clots form, but watch out for symptoms such as anal itching, pain while sitting, and easy bleeding when you have a bowel movement. This disease occurs mainly in people between the ages of 45 and 65.

Although cortisone creams are usually used to treat hemorrhoids, they do not have scientific evidence, but they can help reduce inflammation. However, prolonged use of it should be avoided. You should also make changes in your lifestyle; having a diet high in fiber will improve intestinal transit; drink eight glasses of water a day, use cotton underwear and avoid toilet paper, especially those that are perfumed; instead, use baby wipes. Taking chamomile sitz baths in warm water or witch hazel can help relieve itching.

Anal fissure

crack in the mucosa lines the anus; it can occur in babies, men, and women. Anal fissures cause painful bowel movements and bleeding, and they can also cause throbbing and pulling inside the anus. Regarding the causes, they can appear suddenly due to an extreme activity in the contraction of the muscles of the anus produced by constipation, prolonged diarrhea, Crohn’s disease, or childbirth.

Most anal fissures do not require treatment, they can heal on their own, but we must take some precautions to avoid them. Again, the change in diet is essential; consuming fruits, vegetables, and foods high in fiber will help with constipation. In the case of children, the concern to avoid pain at the time of evacuation can lead them to avoid them, resulting in even harder stools. You can use ointments to relieve pain, but if the fissures do not disappear, you should consult your doctor to evaluate other treatments.


Proctitis is the inflammation of the rectum lining and can also cause stitches and pricks in the anus. The most common causes of this condition are sexually transmitted diseases, generally among people who practice anal sex, inflammatory bowel diseases such as Crohn’s disease and ulcerative colitis, and drug and food allergies.

Suppose you have constipation or a feeling of urgent evacuation and pain or discharge of mucus and blood in the stool. In that case, you should go to the doctor for an evaluation, which will be done through a stool exam or procedures such as sigmoidoscopy to see the inside of the rectum and the colon.

The treatment of proctitis varies according to the origin; if it is due to a sexually transmitted disease, antibiotics will be prescribed; if it is due to intestinal infections, anti-inflammatories will be administered, in the same way with allergies the foods or medications that are causing it will be suspended.

perianal fistula

Another possible cause of punctures in the anus and feeling pain in that area is the so-called perianal or anal fistula. It is an abnormal duct or abscess that forms in the rectum and fills with fluid and purulent material, generating itching, stinging, and sharp or intense pain at the time of bowel movements. It is also possible that the stool is accompanied by blood.

Once diagnosed, an anal fistula requires surgical intervention. In addition to this, the patient must follow a diet rich in fiber, take care of the hygiene of his intimate area, and perform physical activity regularly. You can get more details about this condition by consulting the Perianal article fistula: causes, symptoms, and treatment.

When to consult the doctor?

If you have rectal bleeding, pain begins in the area, and this spreads or is accompanied by chills, fever, and anal discharge, do not hesitate to consult a doctor or gastroenterologist immediately.

This article is merely informative, at FastlyHeal .com we do not have the power to prescribe medical treatments or make any type of diagnosis. We invite you to see a doctor in the case of presenting any kind of condition or discomfort.

If you want to read more articles similar to Stitches and pulls inside the anus: causes, we recommend that you enter our Digestive system category .

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