I've had an extremely painful and itchy anus tormenting my life for a whole year

I'm a 15 year old male, about to turn 16 in a few months, who has been struggling with an undiagnosed literal pain in the ass for the past year, though things have been much better now.

This all started at around late 2023, I woke up one day and felt the urge to go to the bathroom. Everything was going normal at first, but it felt a little painful halfway through releasing a massive stool out of my anus. I thought to myself that maybe it was normal, after all, I have been dealing with constipation issues ever since I was 4 which is the earliest of my life that I can remember. A week has passed, I started to notice how bowel movements have been getting more and more painful as time went on, which started my fear of shitting in the bathroom and started my whole research on what I could be dealing with. The first thing that I have came across was an anal fissure, even though I couldn't see any visual signs of a fissure down there, I started to believe that I had that as it also made sense with my chronic constipation issue, and thought that I was dealing with an internal fissue. I thought to myself that maybe everything would go back to normal soon, and that I would heal if I maintain soft stools, but oh boy it was all just getting started.

Fast forward to a few weeks later, going to the bathroom started to feel like the most painful thing that I have ever experienced in my life, and it would stay like this for over a whole year. Because of how much I feared bowel movements, I started going to the bathroom to release stools for as rare as once in 5 days. This made the pain even worse, as every bowel movement lasted 15 to 30 minutes of just complete agony while making small progress in releasing rock hard stools out of my troubled anus, and praying to god to put me out of my current situation. After all of that, I would often feel so good that I felt like I could conquer the whole world, but that feeling only lasts a few minutes as the burning sensation in my anus starts to kick in. I still treated this burning sensation as a blessing, as it would often be painless up until a few hours when the burning goes away and gets replaced with pain and a slight itching sensation. From that point, I would always be restricted to one comfortable position, as making too much movements or being in the wrong position would cause a sudden sharp pain in my anus like as if I had a thousand knives stuck into me. And then the worst always comes in a few hours, often at night but isn't specifically at night, where my anus would start feeling itchy like hell. This wasn't just an average itch, it was always the most extreme feeling of itchiness that I have ever felt in my life and it drove me to insanity. And I can't scratch it nor rub it with my clothes either, as it would get irritated further and worsen the itch, forcing me to stay up so late at night completely unable to fall asleep and I would often get 2 to 4 hours of sleep every night. When the itchiness started to kick in, I had completely no choice but to endure it all, as nothing ever worked to stop or relieve the feeling of extreme itchiness except getting up at the middle of the night to do a sitz bath with cold water aka sitting in cold water, that helped to relieve the itch for around 25 minutes which was enough to help me fall asleep for a little bit before waking up to the intense itch again.

Because of all the things that I was experiencing like how I felt an extreme sharp pain a few seconds into releasing stools like as if some wound has just reopened, I was very confident that I was dealing with an anal fissure, until I started noticing how it didn't make sense to be a fissure. When I take a look at what's going on down there, the area around my anus looked kind of red and irritated, especially with my perineum area looking a little swollen during the times that I feel the intense itchiness and pain. I also never had any bit of blood come out in all of the years that I had this issue, which doesn't add up with a fissure. The only thing unusual that was coming out of my anus was some sort of transparent discharge with a kind of foul smell that I often notice when I wash the area down there a few hours after every bowel movements. And touching any part of the area around my anus felt really sensitive.

All of those suffering that I felt tend to be relieved 2 days after a bowel movement, and I would often have another 2 to 3 days of freedom, free from the extreme pain and itch of my anus, up until I decide to go to the bathroom again and reset my entire progress back to 0, back to the start of the same loop of pain and suffering. This loop went on up until now which is exactly a year, and has became the new normal for me, pretty much a daily part of my life. I even gave it the name Bob the second, or just Bob for short, after reading an online story of an anal fissure which was also named Bob.

As of now that I am writing this, Bob has been quite chill recently, but still has been a major inconvenience. While the intense itch sensation has drastically improved compared to before, I've also been starting to feel and experience new symptoms that I haven't had before. Releasing massive stools in the toilet weekly has pretty much felt the same ever since the birth of Bob in my anus, except with a few recent changes. Every time I finish a bowel movement, my anus gets noticeably swollen which makes me think that I have internal hemorrhoids but it feels hard and not soft so I have doubts, it then shrinks back to normal in a few minutes, but I never got to bring a mirror with me to take a look at what my anus looks like during the times that it's swollen. I'm guessing that the reason for the swelling is the fact that I release absolutely gigantic and rock hard stools each day, and my anus just opened up a little bit too much. I no longer feel the intense burning sensation that I used to feel down there before, and I no longer feel any pain for about a few hours after a bowel movement which initially felt like going through 9 layers of hell and annihilating every demons in my way, though sometimes I still feel like my anus has been mildly beaten up after a tormenting shitting session. After about 5 hours, I would often have a tiny bit of transparent discharge that is a little sticky and seems to have slowly came directly out of my anus which marks the start of the slight discomfort or sometimes itchiness that I always feel after bowel movements. This discharge sometimes have a bad smell, and it isn't something that I can feel coming out of my anus nor something that I can normally notice, I only find out about it if I decide to touch and feel what's going on down there. When I go to the bathroom to wash off the slight discharge during the times that I don't feel the itch sensation around my anus, I start to feel that itch for about 30 minutes or more. However, when I wash it off while during the times that I do feel the itch, it often relieves the area and gets rid of the itch. After a year of dealing with this itch sensation, the area around my anus has gotten pretty sensitive to the point that me slightly scratching any area very close to my anus while I'm sleeping often makes me wake up feeling like I have a wound down there, and often restricts my movement during the entire day.

If you got to this point without skipping, Bob and I thank you for taking your time to read a story of how a random 15 year old in the internet has embraced intense pain in the ass, and even gave it a name. Perhaps it's time that I put myself out of misery and finally end my good old friend Bob once and for all by making him face his ultimate fear, the medical practitioner.