Why Does It Burn When I Poop? An Expert Doctor Explains

Possible reasons it burns when you poop

There are a variety of reasons why you might feel a burning in the bathroom. Here are some common culprits:

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Spicy foods

“Spicy foods that contain capsaicin can cause a burning sensation,” says Dr. Vladic. Capsaicin is commonly found in foods like chili peppers, hot sauces, and spicy seasonings. If you’re sensitive, these fiery favorites might be the culprit behind your discomfort.

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Diarrhea

Experiencing frequent or watery stools can irritate the delicate skin around the rectal area, often causing a burning sensation, explains Dr. Vladic. Check out 9 Home Remedies for Diarrhea.

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Hemorrhoids

“Most people think of hemorrhoids when experiencing a burning sensation with bowel movements,” says Dr. Vladic. Hemorrhoids are swollen veins in the rectum or anus that can become inflamed, often leading to discomfort, itching, or burning. When these veins are irritated—whether from straining, prolonged sitting, or other factors—they can cause a noticeable burning sensation during or after bowel movements.

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Anal fissures

Struggling with constipation? It could be the reason behind that burning feeling. “Constipation can cause small tears called anal fissures around the anus causing a burning sensation and/or pain,” notes Dr. Vladic.

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Inflammatory conditions

Dr. Vladic highlights that inflammatory bowel disease (IBD), which includes Crohn’s disease and ulcerative colitis, can often cause rectal discomfort. These conditions may present with symptoms such as abdominal pain, diarrhea (sometimes with blood), fatigue, and unintended weight loss. If you’re experiencing these signs, it’s important to consult your healthcare provider for proper diagnosis and management.

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Treatments for painful bowel movements

If a burning sensation has you wincing in discomfort, don’t worry—relief is possible. Dr. Vladic recommends these remedies to soothe and heal:

• Gentle cleansing: Use gentle, fragrance-free wipes or warm water to clean the area after bowel movements. Avoid harsh toilet paper.
• Over-the-counter relief: Anti-inflammatory or numbing creams, such as those with hydrocortisone, can provide relief for hemorrhoids or irritated skin.
• Warm sitz baths: Soak in a warm bath for 10 to 15 minutes to calm irritation and support healing of minor tears or fissures.
• Hydration: Drink plenty of water to keep stools soft and minimize irritation from constipation or diarrhea.
• Dietary tweaks: A fiber-rich diet promotes smooth, regular bowel movements and reduces straining. Add high-fiber foods or consider a fiber supplement, and avoid spicy foods that can exacerbate irritation.
• Stool softeners: For those experiencing constipation, over-the-counter stool softeners can make passing stools easier and reduce discomfort. Make sure to follow the dosage instructions.

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How to prevent it burning when you poop

Prevention is key to avoiding the discomfort of a burning sensation during bowel movements. Dr. Valdic notes how to keep your digestive health in check:

• Eat a balanced diet: Include plenty of fiber from fruits, vegetables, and whole grains to ensure smooth digestion.
• Stay hydrated: Drinking adequate water can prevent hard stools and ease bowel movements.
• Avoid irritating foods: Limit spicy, greasy, or acidic foods if they tend to upset your digestive system.
• Practice good hygiene: Keeping the anal area clean and dry can prevent irritation.

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When to see a doctor for painful poops

Says Dr. Vladic: “You should see a doctor about painful or burning bowel movements if the pain lasts for more than a few days,” and is associated with the following:

• Persistent pain or burning that doesn’t improve with home remedies
• Rectal bleeding or blood in your stool
• Unexplained changes in bowel habits
• Symptoms of infection, such as fever or swelling
• Abdominal pain
• Weight loss
• Lesions, lumps, or discharge from or around the anus

In most cases, your primary care physician can evaluate your symptoms and recommend treatments. However, if the issue is more complex, you should be referred to a gastroenterologist for specialized care.

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• Irritable Bowel Syndrome: 9 Symptoms and Risk Factors You Need to Know
• 7 Natural Remedies That Make You Poop Immediately, From a Gastroenterologist
• Here’s How Often You Should Have a Bowel Movement, Says a Gastroenterologist