Pain after a bowel movement


Pain that occurs immediately after or during a bowel movement can arise for a variety of reasons. Depending on the cause, the symptoms can be harmless or they can be symptoms of a serious illness. Which illness is responsible for the pain in the individual case can best be determined by a treating doctor. A visit to a doctor is recommended, especially if the pain occurs repeatedly, is felt very strongly or if symptoms other than the pain occur.
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The Pain that occurs after a bowel movement, can have different characteristics depending on the cause. The place where the pain occurs can be very different from person to person. The pain can be felt all over the lower abdomen and rectum. In addition to the localization, the Type of pain crucial. Different illnesses also have different pain characteristics. Pain that is very strong but occurs in bursts is typical for certain diseases, while pain, which is always present, occurs in other diseases.

In addition to pain, other symptoms can be critical in diagnosing the underlying condition. Blood that appears in the stool is important for a number of diseases of the gastrointestinal tract.

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Pain in the bowels after a bowel movement

Pain after a bowel movementthat are related to the intestines can be caused by different causes. In most cases where the pain is related to the bowel movement, constipation and gas are responsible for the discomfort. Hemorrhoids and anal vein thrombosis can also lead to pain. Different types of colon cancer can also cause pain. The so-called irritable bowel syndrome can also cause pain, which can be felt in the entire intestinal area. The so-called diverticulitis is a disease of the large intestine, which can also lead to pain in the lower abdomen. This is an inflammation of pouches in the large intestine.

There are a number of other intestinal diseases that can be responsible for pain. On the one hand, however, these are very rare, or it is less typical that the pain occurs in connection with bowel movements. In order to obtain certainty about the individual diagnosis, a comprehensive analysis by a treating doctor is recommended.

Figure large intestine

Fig.Location of the digestive organs in the body cavity (red large intestine)
  1. Large intestine, ascending part -
    Ascending colon
  2. Appendix - Caecum
  3. Appendix -
    Appendix vermiformis
  4. Right colon bend -
    Flexura coli dextra
  5. Large intestine, Cross section -
    Transverse colon
  6. Left colon bend -
    Flexura coli sinistra
  7. Large intestine, descending part -
    Descending colon
  8. Large intestine, s-shaped part -
    Sigmoid colon
  9. Rectum - Rectum
  10. Bulges in the colon wall
    Haustra coli
  11. Liver - Hepar
  12. Stomach - Guest
  13. Spleen - Sink
  14. Gallbladder - Vesica biliaris
  15. Small intestine - Intestine tenue
  16. Esophagus - Esophagus

You can find an overview of all Dr-Gumpert images at: medical illustrations

Left-sided pain after defecation

The location of the pain that occurs after defecation important for the diagnosis. A rough assessment of whether the pain is more likely to be on the right or left can rule out certain diseases. If the pain is very severe and / or recurs, a comprehensive diagnosis must be carried out, which analyzes the cause of the pain in more detail. The most common cause of pain felt in the left lower abdomen is constipation or gas. Intestinal disorders can also occur on the left side. Diverticulitis, in which pouches in the large intestine become inflamed, is more noticeable on the left side of the lower abdomen through pain. Pain caused by the stomach can usually also be felt on the left side.

Right-sided pain after defecation

Pain that occurs in connection with bowel movements in the lower or upper abdomen can occur both on the left and on the right. The most common causes of pain that can be directly related to bowel movements are constipation and gas. These are pains that arise from these causes, can sometimes be very strong, but the condition itself can be classified as harmless. However, other clinical pictures can also come into question if the right stomach is painful. A number of different bowel diseases can be the cause of the pain. Typically on the right side is the inflammation of the appendix. This is usually on the right side of the lower abdomen and can lead to severe pain if inflamed. Liver or gallbladder diseases can also lead to severe pain in the right lower and upper abdomen.

Pain in the anus after defecation

The anus, or anus, represents the last part of the intestine and the intestinal opening. This extends from the opening of the intestine to about 2-4cm in the direction of the rectum. Pain in the course of bowel movements occur at this point can be caused by a variety of different diseases. In most cases the causes are harmless. This area is one of the most common areas where irritation occurs due to the sensitive skin of the anus Pain during and after a bowel movement are responsible. Irritation occurs particularly when the stool is either too hard (constipation) or too soft (diarrhea). Skin irritation can also occur from activities such as hiking or cycling. In the case of skin irritation in the area of ​​the anus, one is recommended Consultation with a dermatologist or family doctor as well as care of the skin in the anus area.

Hemorrhoids or anal vein thromboses are also common causes of pain in the area of ​​the anus. These can be caused by frequent constipation and the associated straining during bowel movements. In rare cases Anal fissures or certain types of cancer responsible for the pain. If the pain persists, a doctor should be consulted for clarification.

Irritation is a common cause of pain after a bowel movement.

Pain in the lower abdomen after defecation

Pain that im Lower abdomen occur can be due to different causes. If the pain is directly related to the bowel movement, both initially constipation and Flatulence as to exclude causes.

Rare causes can be both Diseases of the intestine as well as organs of the lower abdomen. Inflammatory bowel diseases such as Crohn's disease or Ulcerative colitis, one Appendicitis, Kidney disease, a Inguinal hernia, Diverticulitis or Reproductive system diseases come into question. In order to determine which cause is responsible for the complaints in the individual case, a doctor should be consulted and a detailed examination of the person affected should be carried out.

Post-bowel pain in the rectum

The term “rectum” includes the last section of the human intestine and comprises about 20 cm of the large intestine. The rectum ends in the anus. Pain emanating from this part of the intestine can be caused by various causes. Some examples of diseases of the rectum that can lead to pain are: constipation, hemorrhoids, abscesses, anal fistulas, Anal fissures, Pelvic floor subsidence, inflammatory bowel disease and fecal incontinence. A doctor should be consulted to find out what the cause of the individual complaints is.

Pain in the abdomen after a bowel movement

The lower abdomen is the colloquial term for the organs that are located in the pelvis. Pain, which in the abdomen can occur so from organs of the Urinary system, of the Genital organs or des Intestine be evoked.

If it always after this Bowel movement causing pain there is a connection with organs of the urinary system and the genital organs at least unlikely.

When there is pain in the lower abdomen, a wide variety of bowel diseases can be responsible for the pain. Constipation and gas can also cause pain in this area. In order to find out which disease is behind the pain, a doctor should be consulted.

Pain in the Prostate gland of the man, which is located below the bladder and immediately in front of the rectum, may indicate inflammation of the organ (Prostatitis) indicate.

Also a benign one Enlargement of the prostate, which affects many men as they get older, can be caused by a Relocation of the urethra and one resulting urine build-up that cause pain. The increased pressure in this region when defecating triggers or exacerbates the symptoms.

Other causes of pain after defecation, which are only felt in the area of ​​the prostate without this being the cause of the pain, are also possible. Also a chronic pelvic pain syndrome due to a prolonged inflammatory reaction, mainly in the area of ​​the prostate be felt. In comparatively very rare In some cases, the pain in the prostate after a bowel movement is the first sign of a malignant disease. In order to rule out this possibility or at least to be able to initiate therapy in good time, a urologist should be consulted.

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Pain in the tailbone after defecation

The pain after defecation is accurate on the tailbone localized, this can have various causes. Especially after a fall on the buttocks or a bruise in this area, pain may occur during or after a bowel movement. That's because of the anatomical proximity to the rectum.

Another possible option is Cause of painthat does not start from the tailbone itself, but is only felt there. Again, these are the general causes of pain after a bowel movement, such as, for example Constipation, hemorrhoids or a Blood clot in a veinthat lies on the outer wall of the rectum (anal vein thrombosis).

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Pain after a bowel movement in children

If children have pain after a bowel movement, are other causes to be considered as in adults.

However, the pain is also most often triggered by a constipation. A total of about 5 percent of the children. The constipation, in turn, can have various causes and is mostly not organic.

A wrong diet but also one Unusual surroundings or one Separation from parents can be the trigger. Anatomical faults or one Bowel twist are essential less common but can have serious consequences.

For other causes of pain after a bowel movement, as in adults, the same can be said Localization of the pain (for example left or right, lower or upper abdomen) give advice. However, children are more often less able to localize their pain. Small children in particular can usually only express the pain by crying during or after a bowel movement. In any case, the child's complaints should be followed up and the Go to the pediatrician or family doctor respectively.

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Pain after defecation after giving birth

In the process of childbirth, it is the woman's body extreme loads exposed. The organs and tissues are enormous Compressive and tensile forces exposed. As a result, an inflammatory reaction can lead to pain, which occurs especially after a bowel movement.

For relief it is possible after consultation with a doctor Painkiller to use. During pregnancy there is an increased risk of developing hemorrhoids and Perianal vein thrombosiswhich, however, may only appear after delivery or cause pain.

Pain after a bowel movement that lasts longer or even gets worse should be clarified promptly by your gynecologist or family doctor.

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Back pain after defecation

Back pain is a general one frequent suffering in the population with a variety of causes (often excessive and improper stress).

Due to the strong pressure conditions, which occur in the entire abdomen when defecating, it is possible that back pain is triggered or exacerbated.

In rarer cases, the pain after a bowel movement may be a Symptom of bone metastasis be in the back due to a possibly undetected cancer. Even if a harmless explanation is much more likely, to be on the safe side, a doctor should definitely clarify the situation.

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There are a variety of different causes to consider Pain after a bowel movement being able to lead. The focus is initially on harmless things such as constipation and flatulence, as well as irritation of the anus. If the symptoms persist for a long time, very severe pain or other symptoms occur, a comprehensive examination and clarification of the cause should take place. In general, almost any disease that occurs in the gastrointestinal tract can be responsible for the symptoms.

Pain after a bowel movement during pregnancy

Many women suffer from during and after pregnancy Pain after defecation occur. In most cases this can be achieved with a Change in digestion explain during pregnancy. Thus, pregnant women often suffer from constipation or Flatulence. Also common in pregnant women are hemorrhoids and anal vein thromboses, which can be responsible for the pain. Since the diseases are not dangerous, but therapy is successful in many cases, a visit to the doctor for clarification is also recommended for pregnant women.

After pregnancy, pain is often due to injuries and irritation that occurred during childbirth.

Pain after defecation caused by hemorrhoids

A common reason which to Pain after a bowel movement is the so-called hemorrhoid disease. Here, the vessels, which are located in a ring on the rectum, are abnormally enlarged. The enlarged vessels can cause problems with bowel movements. In addition to pain, bleeding and smeared stools are common symptoms of the disease. Hemorrhoidal disease is not dangerous, but it can be treated well, so a visit to a doctor is recommended.


Therapy for pain that occurs after a bowel movement is based on the disease that is responsible for the symptoms. Especially when the pain is not particularly severe and can be related to digestive problems wait and see attitude and possibly one Diet change respectively. Serious illnesses may require drug or surgical therapy. Which therapy makes sense in individual cases can best be discussed with the attending physician after a final diagnosis.


Pain that occurs after a bowel movement should be examined by a doctor. This is especially true if the symptoms recur, are very severe or if there are other symptoms in addition to the pain. In addition to a detailed patient history and physical examination, imaging tests can help identify the cause of the symptoms. An ultrasound of the abdominal cavity in particular often provides information about the correct diagnosis. Blood tests and a colonoscopy are also among the methods of diagnosing this type of complaint.


The prognosis at Pain that occurs after defecation is very good in the majority of cases. Digestive problems are usually the cause of the symptoms and can be caused by a Fixed change in diet become. Nevertheless, dangerous diseases can also be behind the symptoms, which is why a comprehensive diagnosis is recommended, especially if the symptoms persist. In general, most diseases have a better prognosis if they are discovered early.


A general prophylaxis, which Pain after a bowel movement prevent, does not exist due to the multitude of different causes that come into question. Since a digestive problem is usually in the foreground of the problem, a balanced diet rich in fiber help prevent the symptoms. They are also helpful for optimal digestion adequate exercise and hydration.

Particular attention should be paid to these recommendations, as in addition to constipation itself, diseases such as hemorrhoidal disease are caused by excessive and frequent pressing and can thus be prevented by softer stools.