I'm constantly feeling the urge to pee and poop. It's really frustrating because when I try to pee, I have to push really hard and only a tiny bit comes out. When I poop, its incredibly painful because my anus is really swollen and inflamed. I'm stuck in the bathroom and it's becoming unbearable. What's going on with me? Can you help?

Dr Anshul Maheshwari

General Practitioner

• MBBS
• 5+ Yrs

Consult Now

Possible Diagnoses*

1. Urinary Tract Infection (UTI): Frequent urination, straining while urinating, and minimal urine discharge are common UTI symptoms.
2. Prostatitis: Inflammation of the prostate gland can cause urinary symptoms, including frequent urination and straining.
3. Proctitis: Inflammation of the rectum can cause painful bowel movements, swelling, and inflammation around the anus.
4. Anal Fissure: A small tear in the lining of the anus can cause painful bowel movements, bleeding, and swelling.

Treatment Advice

1. Seek Medical Attention: Consult a doctor or a gastroenterologist to determine the underlying cause of your symptoms.
2. Urinalysis and Stool Tests: Your doctor may order these tests to check for infections, inflammation, or other conditions.
3. Antibiotics: If a UTI or prostatitis is diagnosed, your doctor may prescribe antibiotics to treat the infection.
4. Pain Management: Your doctor may recommend pain relief medications, such as acetaminophen or ibuprofen, to manage discomfort during bowel movements.
5. Stool Softeners: To reduce straining during bowel movements, your doctor may recommend stool softeners, such as docusate or psyllium.
6. Warm Sitz Baths: Soaking in a warm bath can help reduce inflammation and discomfort around the anus.
7. Dietary Changes: Increasing fiber intake, staying hydrated, and avoiding spicy or irritating foods can help manage symptoms.

When to Seek Emergency Medical Attention

1. Severe Abdominal Pain: If you experience sudden, severe abdominal pain, seek immediate medical attention.
2. Vomiting Blood or Black Tarry Stools: If you vomit blood or pass black, tarry stools, seek emergency medical attention.
3. Fever Above 101.5F (38.6C): If you have a fever above 101.5F (38.6C), seek medical attention.

Answered 04/07/2025