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Lower abdominal pain radiating to legs
I had chronic fissure & bleeding for 6 years . So I underwent kshara sutra thinking it's less painful. But the thread changing sessions went on for 2 months & even after that there was lot of pain & didn't seem like it was healing. So I underwent another fissure tissue removal surgery 4 months ago. I had followed everything doc had told. I was getting better. But I have had pain & can't manage a day without 2 sitz bath. Moreover even after following all that, I've been having a strange lower abdominal pain & further the whole lower body starts paining. More like pulling & burning .I even have the anal pain. There's no bleeding or pus. But pain.I really have no energy to undergo another surgery.This is my 5th surgery & I have other health probs too. Already lost 20kgs coz of previous surgeries.Feeling more weak now. Also want to mention that in college, i had eaten lot of slate pencils for 3 years.Is that the reason?Now i don't eat. I can't quit my job too.Please help & guide 😭 painful
Answers (13)
Since you still have anal pain 4 months after surgery along with lower abdominal pain radiating to the legs, burning/pulling sensations, weakness and significant weight loss, please follow up with your colorectal surgeon/proctologist soon. Persistent pain does not necessarily mean you need another surgery—the cause should be assessed first.
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Your symptoms after multiple surgeries and significant weight loss need a proper colorectal/gastroenterology reassessment before considering another surgery. Persistent burning, pulling and anal pain can sometimes be associated with pelvic-floor muscle overactivity, but this needs an examination to confirm.
If no active surgical complication is found, pelvic-floor physiotherapy can be a useful non-surgical option for muscle relaxation, pain management and bowel coordination. Given your weakness and history, I would recommend an individualized assessment rather than starting exercises on your own.
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As a musculoskeletal physio i ll suggest first check your muscle and joint assessment with any experienced physio
Specially check hip flexors, quards and lower abdomen muscles ,
By fixing this and strengthening your lower limbs you ll feel better
If all above condition is good
Then you should consult good physician who will atleast listen your problem and the give solution
Next Steps
Consult expert physiotherapist
Health Tips
Dont bend forward
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Hey there!
Anal fissure can be solved by many simple methods.
Talk to gastroenterologist doctor.
Take enough water and stool softener as given by doctor.
Prefer home cooked food..
Maintain good hygiene.
And sitz bath helps to reduce spasms around anal muscles.
Kindly book online appointment with me so that I can guide you few muscle relaxation exercises and pain relief exercises.
Regards
Your physio
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Thank you for sharing your detailed history
At-Home Relief Strategies:
Diaphragmatic Breathing: 10 minutes of deep belly breathing twice daily while resting in a reclined or knees-bent position to lower pelvic tone.
Sitz Baths: Continue warm sitz baths (10–15 mins) to promote local blood flow and ease sphincter spasms.
Stool Management: Keep stools soft and effortless using a high-fiber intake or osmotic laxatives as prescribed by your physician. Avoid straining during bowel movements; use a footstool to elevate your knees above your hips while sitting on the toilet.
Postural & Work Adaptations: Avoid standing or sitting static for prolonged periods at work. Use a cutout cushions/donut pillows if sitting provokes discomfort.
Next Steps
Consult a Specialist
Health Tips
Your pain is real, but it does not mean you need another surgery.
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Persistent anal pain four months after surgery, along with lower abdominal pain radiating to the legs, significant weight loss and weakness, requires proper examination. Possible causes include incomplete healing, infection, pelvic-floor muscle spasm, nerve irritation, bowel-related or gynaecological conditions. Physiotherapy may help if pelvic-floor dysfunction is confirmed, but surgical complications must first be excluded.
Next Steps
Please consult your colorectal surgeon or seek a second opinion from another colorectal specialist promptly. A physician/gynaecologist assessment may also be required. Tests such as CBC, iron profile, vitamin B12, vitamin D and other investigations should be decided after examination. Eating slate pencils previously may represent pica, sometimes associated with iron or zinc deficiency, but it cannot alone explain the current symptoms.
Health Tips
Continue sitz baths and stool-softening measures only as advised. Maintain hydration and avoid constipation, straining, prolonged sitting and self-prescribed exercises. Seek urgent medical care for fever, increasing abdominal pain or swelling, vomiting, inability to pass stool/urine, new bleeding or pus, leg weakness/numbness, or loss of bladder/bowel control. Persistent anal symptoms should be assessed by a colorectal specialist.
Dr Abhimanyu Kumar (PT)
Co-Founder, Maple Physiotherapy
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