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The last segment of the alimentary canal is called the rectum, which is about 4-5 inches in length. The stool from the colon enters the rectum just before defecation. Despite its short length, the rectum can be a source of significant discomfort in a variety of diseases. In fact, diseases that affect the rectum are quite common, and can cause itching, pain, and rectal bleeding. Rectal discomfort may also result from changes in the bowel movements (such as diarrhea).
Some symptoms, such as itching and pain in the rectum, can be easily described. However, not all symptoms are as straightforward. In some cases, one may feel an uncomfortable sensation in the rectum that one cannot describe accurately. Such sensations of discomfort in the rectum may worsen upon prolonged sitting or during defecation. However, the rectal discomfort may persist even in the absence of these conditions.
There are a variety of causes for sensations of rectal discomfort. One of the most common cause is inflammation. When a tissue gets injured, an inflammatory response ensues. Inflammation is characterized by pain, swelling and redness in the area of the injury. In the early stages of inflammation, a sensation of discomfort may arise. In some cases, rectal discomfort may occur even without inflammation in the rectum.
Such sensations are usually caused by problems within the nervous system. Rectal discomfort may also be caused by pressure exerted on the rectum by the surrounding tissues.
The causes of vague rectal discomfort may overlap with the causes of itching, pain, burning sensations, and rectal bleeding. In the majority of cases, the causes of rectal discomfort are mild conditions that can be readily treated. Changes in diet and other lifestyle measures may also help in preventing rectal discomfort.
Poor anal hygiene is a common cause of rectal discomfort. Improper cleaning of the anal and perianal area after defecation causes feces to stick to these regions, leading to skin irritation. At the other extreme, aggressive wiping of the anal area after defecation may also cause skin irritation that leads to rectal discomfort.
Trauma or injury to the anus or rectum could occur due to several reasons. Some common causes of trauma include scratching and vigorous wiping or washing of the anal area. These actions can cause injury even in the rectum. Colonoscopy can also cause some irritation in the rectum. This irritation may persist for some time after the procedure. Other potential causes of rectal trauma include rough insertion of anal suppository and anal intercourse.
Also known as piles, hemorrhoids refer to inflamed and swollen blood vessels in the rectal and anal regions. Constipation is one of the main causes of hemorrhoids. Sitting in the toilet for a long time and straining too hard during bowel movements may also contribute to the occurrence of hemorrhoids. Piles can be a chronic condition with intermittent periods of acute symptoms. Anal itching, rectal discomfort and bleeding are common symptoms of hemorrhoids.
Diarrhea is a common condition with a variety of causes. Acute cases of diarrhea are typically associated with infections. Rectal irritation can occur in diarrhea due to repeated excretion of watery stool and the more frequent wiping after a bowel movement. This can injure the anus. Rectal discomfort in such cases usually worsens after defecation.
Fecal impaction is characterized by hard and dry stools that are difficult to pass out during defecation. This can cause obstruction in the colon or the rectum. Fecal impaction is typically associated with constipation. The condition is associated with a feeling of something being stuck in the rectum. Laxatives and stool softeners are often used to treat fecal impaction. If these methods don’t work, the impacted stool may need manual removal by a medical professional.
A variety of diseases that affect the bowels may also cause rectal discomfort. Examples of some bowel diseases that can also affect the rectum include proctocolitis, inflammatory bowel disease (abbreviated as IBD), colorectal cancer, and diverticulitis. Most of the time this is related to the alteration of bowel habit (diarrhea or constipation) that occurs with these diseases but may also be due to the disease process that inflames the rectum.
Rectal discomfort can also be caused by problems outside the rectum. In men, the prostate gland is located in close proximity to the rectum. Enlargement of the prostate gland can exert pressure on the rectum and cause rectal discomfort. The rectal discomfort caused by the enlargement of the prostate gland worsens when the rectum is filled with stool.
Rectal prolapse is characterized by the protrusion of a part of the rectum through the anus. Stretching of the rectum in the absence of adequate support can lead to rectal prolapse. There could be a variety of abnormal sensations that may cause rectal discomfort in cases of rectal prolapse. However, the condition may not be associated with severe pain.
Since rectal discomfort can be due to a variety of causes, the exact treatment for the condition depends on the nature of the underlying cause. Therefore, treatments for rectal discomfort can vary widely on a case-to-case basis. Treatments may be done through medications, surgery, or just lifestyle changes. The severity of the symptoms of rectal discomfort do not always correlate with the seriousness of the underlying condition.
Mild symptoms may occur due to life-threatening conditions, whereas severe symptoms may not be due to any serious cause. Therefore, it is best to get the cause of rectal discomfort diagnosed by a qualified doctor. Regardless of the underlying cause of rectal discomfort, the following lifestyle measures may help in easing the discomfort:
These measures do not replace medical treatments for rectal discomfort. Rather, they may help in preventing some cases of rectal discomfort.
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I t's officially not weird to check out your own butthole . In fact, doctors recommend it as a way to get to know more about one of your most intimate body parts. But if a new level of familiarity has left you uncomfortably acquainted with the way your anus smells, you might be having a few less-than-pleasant thoughts. Fear not—if you're wondering, w hy does my butt smell, and how do I stop my bum from smelling, an anal surgeon can explain everything you need to know.
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Here's a fun fact: Evan Goldstein, DO , anal surgeon and founder of Future Method , explains that as far as odors go, your anus smell is similar to your armpit . "They're both hard-to-reach areas, there's not a lot of air, there's hair, and there's moisture," he says. "So all of those things combined with sweat glands in the area can affect the smell." Body parts that aren't exposed to air are more likely to have a scent (if you think about the B.O. hot spots on your body, they all have that in common), and it just so happens that both the armpit and butt area are hotspots for pheromones, your body's natural scent.
Of course, there's one big factor that makes the anus smell different than an armpit: Poop comes out of it. "When you think about smell [from the butt], everyone's minds go right to poop," says Dr. Goldstein. So it's understandable (though unnecessary) if you're feeling a bit squeamish while asking, H ow do I stop my bum from smelling? If it's a hygiene issue that you're worried about, Dr. Goldstein recommends either using a bidet or taking a shower post-poop to maintain the freshest scent and best overall butt health.
Speaking of poop, here are some foods that can help ease constipation if you're in a pinch:
If you want to use those showers for the sake of an exceptional smelling derriere, consider opting for a body or butt scrub to slough off dead skin cell buildup and debris—but be careful with any other products you apply to the area in the name of eliminating anal smell. "A lot of people augment smell with different oils or lotions, and I am all for that," says Dr. Goldstein. He's a huge proponent of a nighttime shower combined with regular use of a gentle exfoliant. "The purpose of a body scrub is to create a really good environment for healthy tissue, but also for a really good lingering smell."
Outside of the shower (read: on the day-to-day), you'll want to be sure to keep the area as dry as possible, which is where your underwear choice comes into play. "Moisture can be trapped if you're wearing older underwear," says Dr. Goldstein, who stresses that aeration is key for a better smelling anal area. "The purpose of many of the newer pairs of underwear is aeration, which allows things to dry— especially if you're sweating," he says. Dryness is important because moisture can lead to a buildup of bacteria or fungus... which will not smell great. Change your breathable underwear frequently, especially post-gym. Or better yet—consider going commando . "Some people don't wear underwear at all, and the aeration is better, especially during summer months where there's so much moisture in that area that this smell may dissipate."
And, while this might sound like a given, it's perfectly reasonable to evaluate your hygiene habits to make sure you're cleaning yourself correctly. For instance, you should wipe front to back using several wads of toilet paper if necessary, but resist the urge to use wet wipes, Dr. Goldstein previously told Well+Good . "People tend to use wet wipes and then pull up their pants, so what happens is that the moisture sits there," said Dr. Goldstein. "The moisture just festers, and it causes a change in bacteria and leads to irritation." This is basically the opposite of what you're after.
And, if you're noticing a sudden change in how your bum smells—if there's a fishy or foul-smelling order accompanied by discharge—or if you're dealing with other issues like pain, fever, and gastrointestinal issues, you might need to chat with a doctor to rule out hemorrhoids, inflammatory bowel disease, or other health conditions.
Never even considered how your butt smells? Fair. Butts aren't supposed to smell like daisies, and doing nothing for the sake of bettering your anal smell is a-okay too. "There are so many different camps of people," says Dr. Goldstein. "Some people don't use deodorant, and they love their natural scent. A lot of people like to be able to smell their partner and understand their natural smell." In other words: To each their own.
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