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I've been experiencing itching on my anus and inside my anus with the rectal tissue. It has been previously diagnosed as sort of a byproduct of my IBS-C that I have by a dermatologist. I've had to have numerous steroid ointments, antifungal topicals, nitroglycerin ointment (Rectiv 0.4%), and even some antibiotic ointments for the area before on the anus and the rectum areas both.

There is also discomfort during bowel movements as my anus will sometimes feel like it is burning and sore because of how hard I have to strain to get it all out. The bowel movements can take up to 45-60 minutes sometimes and I have had several times where I've had hemorrhoids and blood in my stool in the past few year's time.

Currently, I am finding some relief with a high fiber diet especially with almonds and bananas. The constipation is still bad, but I get some stomach discomfort with psyllium, bad gas with Dulcolax, so Miralax is about all that works for me.

Nitroglycerin gives me headaches.

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replied January 4th, 2019
Digestive and Bowel Disorders Answer A64721
Welcome to e health forum

It is possible that your symptoms can be due to chronic constipation.

With the limited history and lack of physical examination findings, it would be difficult to provide proper advice or information.

But it is possible that your symptoms (stomach and backache and difficult bowel movements) can be due to chronic constipation.

For the time being, you can try over the counter laxatives and stool softners to relieve your symptoms. But for long term improvement of your symptoms lifestyle and dietary changes as suggested below should be undertaken.

Constipation in adults is due to a stressed lifestyle with lack of proper eating habits ,having more junk and processed food, rather than freshly prepared whole foods, low intake of dietary fiber and inadequate amounts of fluids.

You might consider adding enough fiber in your diet. Vegetables with high-fiber content (peas, beans, apricots, prunes, peaches, pears, plums, spinach), fresh fruits, dried fruits, and whole wheat, bran, or oatmeal cereals are excellent sources of fiber. To reap the benefits of fiber, drink plenty of fluids to help pass the stool.

Include a lot of whole grain bread, corn bran, cereals, buns, muffins, bran flakes, whole wheat cereals, whole grain pasta, and brown rice in your daily diet.
Whole grains - help to enhance the digestive system.

Regular exercise (abdominal contraction exercises and leg raises) are also important in establishing regular normal bowel movements.

Follow healthy eating habits including eating at regular intervals and avoiding skipping of meals.

Taking time to have a bowel movement when you need to. Visit the toilet for 15 minutes in the morning, even if you are unable to have a bowel movement. This relaxes and stimulates your digestive system.

Following the measures suggested above might be very helpful to resolve your condition.

In case, the above measures are not helping, consulting a doctor for a examination and rule out obstructive defecation disorders.

I hope this helps.

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