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I have had a J Pouch for 6 years. Since last night I have been experiencing severe pain in my anus after going to the toilet, it's an extreme sharp pain and also once last night after being on the toilet the toilet paper was covered with fresh blood. Does anyone know what could be causing this and what I could do to ease the pain? 

Original Post

This sounds like an anal fissure. They are generally treated with nitroglycerin, nifedipine, or diltiazem applied to the sore area. While you are waiting to see your doctor, sitz baths may help. Try not to let your stool get hard, and try not to strain on the toilet. It can take a lot of patience to get through this - good luck!

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