székletkín

Székletkín is a Hungarian term describing pain associated with defecation. It is not a disease itself but a symptom that can occur with a variety of anorectal and gastrointestinal conditions. The pain is typically felt during stool passage and may be sharp, tearing, burning, or throbbing; it can be accompanied by bleeding, itching, or a feeling of incomplete evacuation. The term is more commonly encountered in colloquial speech or older medical texts, while modern clinical practice often uses more specific diagnoses such as anal fissure, hemorrhoids, or proctitis.

Common causes include anal fissures, hemorrhoids, proctitis or inflammatory bowel disease, rectal ulcers, infections, and constipation with stool hardening or impaction. Diarrhea-related irritation and recent anal surgery can also produce defecation-related pain. Less commonly, pain may signal more serious conditions such as colorectal neoplasia or spine-related referred pain, especially when associated with other alarming symptoms (weight loss, anemia, persistent fever, or nocturnal pain).

Evaluation typically involves a medical history and physical examination, including a digital rectal exam and, if indicated, anoscopy, colonoscopy, or imaging to identify underlying disorders. Treatment targets the underlying cause: increasing stool softness with fiber and fluids or laxatives for constipation; topical analgesics and anti-inflammatory agents or nitrates/calcium channel blockers for fissures; hemorrhoid-relief strategies for hemorrhoids; appropriate treatment for infections or inflammatory diseases. In cases of persistent or recurrent székletkín, referral to a gastroenterologist or colorectal surgeon is advised.

Prevention focuses on maintaining regular, soft stools through adequate hydration, dietary fiber, physical activity, and avoiding excessive straining during defecation.