Patient Question: Female, 25 years old, every morning after pooping, sitting in the office at work, I feel anal swelling, always want to poop, go to the toilet and do not come out, go home from work and walk will be better. It has been going on for more than half a month. I’ve been constipated all the time, and I had a gastroscopy this year, but the results were fine. What is the cause and what can be done about it? What are the causes and what are the solutions? Patient Question: Thank you for your help. I have had pain in my abdomen before, sometimes on the right side, sometimes on the left side, and it hurts after each intercourse, but it gets better the next day. I’ve had a gastroscopy and a colonoscopy, and I’ve heard doctors say that they can only check the colon, and that the rectum and anus can only be checked by anoscopy. I’m not sure if it’s a good idea to have a separate one. Chengdu Anorectal Specialist Hospital, Department of Anorectal Yuan Xue Gang replied: Hello, the problem of pain in the small abdomen you mentioned, especially pain after intercourse, may be related to pelvic stasis; colonoscopy can clarify the problems of the entire colon, but because the colonoscopy operator is mostly not an anorectal specialist, the focus of their observation is different. To find out if there are problems with the anus and lower rectum such as sinusitis and anal fissures, it is best to visit an anorectal specialist!