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What Holding in Your Poop Does to Your Body

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Hello, hot sauce, goodbye getting-rid-of-it pain.
Tonight, those spicy wings, or the extra hot sauce on your tacos taste amazing. A little later on, and maybe even tomorrow, the feeling on the other end isn't so amazing.
If you're one of those people for whom the aftermath of a fabulously spicy meal is a burning sensation when you poop, there's hope. You can still fill up on spice without uncomfortable, burning regret later.
Here's what's going on: When you consume spicy foods, the compounds that give them heat move through your body relatively unchanged. Since they aren’t nutrients, your body doesn’t absorb them, says Luigi Basso, M.D., a specialist in coloproctology and laparoscopic surgery at Sapienza University of Rome in Italy.
That leaves your poop laced with spicy particles, and helps explain why it burns when you poop. “Since the last part of your anal region—your rectum and anus—is lined by cells similar to those in your mouth, spicy foods can burn just as much on the way out as on the way in,” says Dr. Basso. Ouch.
This burning poop sensation can happen to anyone, but it's often worse in people who have certain gastrointestinal issues to begin with. So "make sure you don't have other things going on that would predispose you to being more sensitive," says Bruno P. Chumpitazi, M.D., a spokesperson for the American Gastroenterological Association and director of the neurogastroenterology and motility program at Texas Children's Hospital.
"A lot of people with irritable bowel syndrome can be overly sensitive to foods," he says. So spicy foods can engender pain and discomfort. Hot foods can also be challenging for people with hemorrhoids or anal fissures, says Dr. Chumpitazi. Those fissures are just like they sound—little tears which tend to be caused by constipation and sometimes even by diarrhea.
Of course, not eating spicy foods is one way to go. But if you're not going to do that (we're with you on that), try these strategies:
Limit spicy foods that are both spicy and fatty, like chicken wings or quesadillas smothered in hot sauce. Excess fat can be a problem because the bile salts your body uses to digest them can irritate the skin around your anus, says Brooks D. Cash, M.D., a professor of medicine at the University of South Alabama.
If you’re not giving up wings any time soon, soak up some of the fatty acids in your gut by taking a fiber supplement before or right after you eat to avoid burning poop, Dr. Cash suggests. That helps bind the spice up into your poop so it won't burn so much on the way out, explains Sameer Islam, M.D. , a gastroenterologist in Lubbock, Texas (who also hosts popular talks about poop on his YouTube channel ).
Even better, have a diet that's consistently high in fiber, says Dr. Chumpitazi. Not only is it good for your health in so many ways, it may prevent constipation, anal fissures, and even hemorrhoids, which may be at the root of the burning poop or burning diarrhea issue. And until the fiber works, some people find relief from fissures and hemorrhoids by sitting in a warm bath (no soap needed).
This sounds totally counterintuitive, but one way to reduce (eventually) the burning sensation when you poop is to actually eat more spice. If you only eat spicy foods for a couple days, you induce “rectal hypersensitivity”—that burning pain, plus the frequent urge to go number two, says Sutep Gonlachanvit, M.D., chief of the division of gastroenterology at Chulalongkorn University in Bangkok, Thailand.
“But continuous [spicy food] ingestion for greater than 3 weeks can induce desensitization—which in turn can reduce rectal sensation,” he says. In his research, people who consumed 2.1 grams of hot pepper per day—that's about 1.25 teaspoons of cayenne pepper—experienced this benefit. Dr. Islam recommends that you try this hot pepper boot camp for your butt for a week. "Have one spicy hell week," he says. "Go crazy and develop that tolerance." Once you train pain receptors in your gut to cope with the spices better, they become tolerant of them.
The receptors are on the inside of your GI tract, so putting something on the outside is unlikely to help in the long run. But as a short-term fix, you could apply a soothing cream to a clean butt—use one such as Calmoseptine ointment , which contains calamine to reduce itching and burning. You can also try Desitin, recommends Dr. Islam. "And make sure you don't use a hemorrhoid cream with a steroid or Prednisone, because that could make your irritation worse," he says. (This may also help during your spicy hell week.)
“Just apply a dab the size of a dime to the anal opening and create a thin smear,” advises Arnold Wald, M.D., a professor of gastroenterology and hepatology at the University of Wisconsin-Madison.
One more thing: If discomfort lingers after you've taken a burning poop, see your doctor. Pain in your butt can be a symptom of more serious problems like an infection, abscess, or cancer, says Steven D. Wexner, M.D., director of the Digestive Disease Center at Cleveland Clinic Florida.

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Sometimes when I eat something that doesn't agree with me, my stool turns a bit acidic and it burns coming out, but than again, it doesn't help having hemmies when that happens either! lol Did you take a peek down there to see if there is anything such as hems or a cut of some kind? Are you having solid stool, straining at all when you go? A possible fissure perhaps?

That happens to me if I eat spicy foods. Did the french toast have cinnamon on it? That might have caused the burning. Could also be a hemorrhoid if you've been straining a lot.

Definitely take a look and see what's going on. If it's red, could be a mild yeast infection or maybe just irritation from the kind of toilet paper or soap you're using. q

It's hard to take a look at your own rectum, your anus you can check out but the rectum is just inside the anus and would be difficult to look at.

LOL....d'oh!!! speculum please....LOL!!! good observation pb4.. I was meaning the obvious of check outside and the anus, that it could still be a hemmie or yeast infection or fissure. But if a rectum is burning...and if it continues with urgency, I'd lean towards a flare. You could try the suppositories during the day and the enemas at night. q

hehehehehe...of course I knew what you meant, but just wanted to clarify for newbies cuz IBD is hard to wrap your head around let alone when you're new to the disease. Lots of times people mean to say anus but they type rectum instead and sometimes vise-versa so just wanted to clarify incase of any confusion.

Was it maple syrup or pancake syrup? real maple syrup is great stuff. Pancake is maple flavored syrup and it's some pretty nasty stuff. My standards aren't too high but I wouldn't eat that stuff. Be careful and always ask if it's real maple syrup when you go out. The most burning I've ever felt was from my fissure. Does it burn durng or after a BM? The fissure hurts during but burns like heck after, sorry TMI. Spicy food can cuase burn. Did you eat spicy cuurry or something similar?

If you went to the bathroom several times, especially if it was D, that could have caused the irritation. If it's your anus that's burning, you could try A&D ointment to soothe it. You can find it near the baby wipes and baby lotion in the store. Otherwise, if it really is the rectum maybe call your GI and ask.

Interesting. I'm glad you were able to get into the doctor and that you found a great new GP as an added bonus! That is always a good feeling. I think I've had a similar burning feeling now that you explained it more, but mine always went away on its own in a few days.

No, I never did anything. I'm not sure if it's the same as yours though or as bad, but I do get irritation there sometimes for seemingly no reason and I think it would hurt when I would urinate, like you said. Good plan on the TP. haha. I have wet wipes in my glove compartment -- just in case. lol.

Candida overgrowth. It produces what I refer to as "lava poop". My wonderful doc gives me oral nystatin (the same stuff they use for thrush) and it clears it right up.

After a couple sore bums I now always carry my wipes in my purse. I always have a small travel pack or extras in a baggy! For future irritations another cream that works really well is Calmoseptine. It is my lifesaver sometimes. It can be found behind the pharmacy counter or in some pharmacies in the incontinence aisle. It is to protect skin like diaper cream, but it also promotes healing and is the best thing I have found.

Always a sign to me that my intesintal flora is off-track. When that happens I stop anything new, I curtail the junk/treats and get back to the healing foods. Slippery slope UC is, responding to this warning sign with the strongest possible measures is better than allowing the beginnings of inflammation to take hold. The reason you feel it is because the mucous membrane diminishes there as it changes to regular skin again. This means its very acidic in the entire colon and we just do not 'feel' the burn there.

For me it does not, it always feel very soothing and a little cooling. I think it is a minimal amount. But again that is my bum. I have had times where things feel so irritated verging on raw that I can't wait until I am done going so I can put some on. A lot of folks on the Crohn's board swear by this stuff, I have never heard of any problems. But probably good to proceed with caution! If you do decide to get some, Walgreens usually is the one that keeps it in stock the best without having to order it for you.

Curcumin is a great blood thinner, not a clot buster but a great thinner. I take it every day.

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I don't really understand it. I've been in remission and feeling great.
Then yesterday, I had some french toast with maple syrup (first time ever in ages), and then I had lots of resulting bm's (no blood, a little urgency, normal otherwise), and then since then my rectum feels like it's on fire and it burns like hell.
Could it be the french toast with maple syrup (does it contain HFCS?) ?
I did a canasa suppository last night, but it still feels like the same.
Is there anything else that could be going on?

I couldn't take the burning pain anymore, because each time I urinated it made it much, much worse on top of everything else , so I decided to go to my GP. As it turned out, my GP refused to see me (I've had it with him, and I was going to look for another one with a better attitute anyway), but I was able to find an excellent GP who saw me today. She looked at my anus and rectum, and saw some abrasions and lots of irritated and red tissue.
She told me to use some bacitracin cream to prevent infection and told me to also use some cream with lanolin to help with the healing of the abrasions, and suggested I use wipes that contain no alcohol and only aloe vera. She said it should go away in a few days. I sure hope so!
I figured it out, as a result of the french toast, I had to make an unexpected stop of the local supermarket bathroom yesterday, and their toilet paper was very, very rough on my bum! When I told her about it, she said she felt that was the cause.
Anyway, I'm happy to have found a great GP now.

I'm going to keep a spare roll of my toilet paper in the car - so I will be prepared for next time, lol.
I think I've had a similar burning feeling now that you explained it more, but mine always went away on its own in a few days.
Did you do anything, i.e. cream or such to make it go away?

Thanks, I'll check into the Calmoseptine Ointment - 4 oz tube. I see it contains menthol, would that not add to the burn?

Also I heard of using Burt's Bee Recovery on the go. It has Comfrey in it which is soothing. I haven't tried it yet. You put it around the anus and a little inside.
Maybe a litle slippery elm power in a paste too? That's suppose to help healing as well.

Always a sign to me that my intesintal flora is off-track.
Yes, you're probably right, never thought of it that way. All due to the crappy food I've indulged in :(
BTW, the GP I had a problem with refused to see me because I had a concern yesterday about a possible blood clot in my leg. I had woken up at 5am with incredible pain in my lower left leg, and I noticed the veins were bulging where it hurt. I did an internet search and it said "warm to touch" which it was. Just to backtrack a little, about 10 days ago, the car door slammed on my leg and it hurt, but I didn't think anything of it until the pain and bulging veins yesterday - and I remembered your experience with the blood clot. Anyway, so I called my GP and told him about the episode and asked him to give me script for a venous doppler to check about the clot, and he said he couldn't see me for a few days and IF I felt it was that much of an emergency, I should go straight to the ER. I told him I couldn't afford it - I have a $12K deductible. So I got fed up and started looking for another GP.
I'm glad I came across this new woman GP - she was kind and very knowledgeable. She looked at my leg and sent me for a venous doppler pronto. And called me with the results yesterday - no blood clot (what a relief), but she told me it revealed either a nodule or a cyst behind my knee and I should get an MRI of it. I can't afford it, so I'll just wait it out for now.
Slippery elm powder paste ... great idea, I have it on hand as I take it orally every day anyways, so I could try it from the other end, haha...

Curcumin is a great blood thinner, not a clot buster but a great thinner. I take it every day.

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Misleading...although I can see their view, too.
I was expecting this to be an documentary about the swashbuckling adventures of Rudy at the Hunan Garden Chinese restaurant near the airport. After all, he did exclaim the very same thing when the waiter brought him another plate of General Tso spicy chicken. Alas, it was not to be. This is a movie (not starring Rudy, thankfully) about women who have anal sex for so long, it FEELS like their asses are, appropriately enough, on fire. Now, granted you certainly can't call the movie "Stop! We've Engaged In Anal Intercourse For So Long That My Ass Has Unfortunately Become Quite Irritated!", but still...it's a bit of a scam, I think. Actually, that might just be the name of the movie in Japan. Who knows? An IMDb reviewer said in his illuminating review, "Don't be put off by the title". Now, if you're into seeing asses expanded to the size of a half dollar, by all means..to each his own. But, if you're looking for a little bit more sensitivity and depth in your adult viewing fare, one needn't look any further than the poignant, yet provocative classic "Booty Talk 3: F*cking Hoodrats & Top Notch Hoes!".
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