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There are several diseases and conditions that can affect the anal sphincter. In anal stenosis, the anal sphincter becomes narrowed, to the point where it is difficult to have a bowel movement.

Other symptoms include pain and bleeding. Anal stenosis can occur after surgery—especially hemorrhoid removal—or be associated with laxative overuse or infections.

Anal Crohn's disease: Because Crohn's disease can affect any part of the digestive tract from the mouth to the anus, it can also affect the anal sphincter.

People with Crohn's disease may develop disease in the anal sphincter, including:. Almost anyone can develop a hemorrhoid, and they are a special problem for pregnant women, people with IBD, anyone who experiences chronic constipation or diarrhea, and people over the age of Incontinence: Some people with IBD experience incontinence, or the involuntary release of stool from the rectum.

Fecal incontinence can be very distressing for patients, and getting the inflammation from IBD under control is important to prevent it.

Complications involving the anal sphincter are more common in people with IBD than they are in people who do not have Crohn's disease or ulcerative colitis.

However, in many cases, there are treatments available that can help. Patients may be uncomfortable discussing incontinence with physicians, but it is an important sign of disease and it can often be managed with treatment.

If incontinence is never discussed, of course it won't ever get treated. Perianal Crohn's disease can be challenging to treat, and seeing a physician or at least getting a consult with a physician that specializes in IBD can be helpful in managing it.

Gas pain? Stool issues? Sign up for the best tips to take care of your stomach. The clinical and therapeutic approach to anal stenosis.

Ann Ital Chir. Perianal Crohn's disease: challenges and solutions. Clin Exp Gastroenterol. Gastrointestinal motility and absorptive disorders in patients with inflammatory bowel diseases: Prevalence, diagnosis and treatment.

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