Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment Home Care pain in adults pain in children skin wound warning signs Complications Underlying Cause Anatomy

Rectum Pain after Injury Home Care

Home care for anal injury includes:

Rectum Pain after Injury Pain in Adults

Medications commonly used to control pain and inflammation in adults with an anal injury include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Rectum Pain after Injury Pain in Children

Common medications used at home for pain in children with an anal injury include:

Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.



Rectum Pain after Injury Skin Wound

Open wounds or puncture wounds to the anus require immediate medical care.

Initial care includes:

  • Control bleeding with direct pressure.
    • Use a gauze or clean cloth directly on the wound.
    • Maintain the pressure for at least 10 minutes.
    • Do not keep looking at the wound.
  • Clean the wound with mild soap and water.
    • Running water can help remove dirt.
  • You may gently dab the wound with hydrogen peroxide to remove clotted blood or debris.
    • Do not scrub or re-injure the wound.
  • Apply an antibiotic ointment and a dry dressing.
  • Cover the wound with gauze or elastic bandage.
  • Keep the wound clean and dry.

Ongoing care for minor wounds includes:
  • Abrasions may be cleaned 2-3 times a day with a mild soap such as dilute baby shampoo.
  • Dry the wound gently, and completely, with a clean towel or gauze.
  • Apply an antibiotic and a dressing as needed.

Tetanus Considerations
Tetanus shots (boosters) can be given up to three days after an injury, as long as you have had all your tetanus shots in the past. A tetanus booster seldom needs to be given right at the time of the wound. This is not an emergency and can be done in the doctor's office or clinic.

A tetanus shot is necessary right away if you have not had three tetanus shots at any time in your life.

You need a tetanus shot within three days for:
  • A dirty wound and you have not had a tetanus shot in the last five years
  • A clean, minor wound and you have not had a tetanus shot in the last ten years

Rectum Pain after Injury Warning Signs

Notify your doctor for an anal injury and any of the following:

Continue to Rectum Pain after Injury Complications

Last Updated: Nov 29, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Rectum Pain after Injury References
  1. Abou-Zeid AA. Preliminary experience in management of fecal incontinence caused by internal anal sphincter injury. Dis Colon Rectum. 2000 Feb;43(2):198-202. [10696894]
  2. Ameh EA. Anal injury and fissure-in-ano from sexual abuse in children. Ann Trop Paediatr. 2001 Sep;21(3):273-5. [11579868]
  3. Nichols CM, Gill EJ, Nguyen T, Barber MD, Hurt WG. Anal sphincter injury in women with pelvic floor disorders. Obstet Gynecol. 2004 Oct;104(4):690-6. [15458887]
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