Anal Pain

Find a symptom by its first letter

Definition

Anal pain pain in and around your anus or rectum (perianal region) is a common complaint. Although most causes of anal pain are benign, the pain itself can be severe because of the many nerve endings in the perianal region.

Many conditions that cause anal pain may also cause rectal bleeding, which is usually more frightening than serious.

The causes of anal pain usually can be easily diagnosed. Anal pain usually can be treated with over-the-counter pain relievers and hot water soaks (sitz baths).

Causes

Causes of anal pain include:

  • Anal cancer
  • Anal fissure (a small tear in the lining of the anal canal)
  • Anal sex
  • Anorectal fistula (an abnormal channel between the anus or rectum usually to the skin near the anus)
  • Chronic constipation
  • Coccydynia or coccygodynia (tailbone pain)
  • Colon cancer
  • Crohn’s disease (a type of inflammatory bowel disease)
  • Diarrhea
  • Fecal impaction (a mass of hardened stool in the rectum due to chronic constipation)
  • Hemorrhoids (swollen and inflamed veins in your anus or rectum)
  • Levator ani syndrome (spasm in the muscles that surround the anus)
  • Perianal hematoma (a collection of blood in the perianal tissue caused by a ruptured vein)
  • Perianal abscess (pus in the deep tissue around the anus)
  • Proctalgia fugax (fleeting pain due to rectal muscle spasm)
  • Proctitis (inflammation of the lining of the rectum)
  • Pruritus ani (perianal itching)
  • Solitary rectal ulcer syndrome (ulcer of the rectum)
  • Thrombosed hemorrhoid (blood clot in a hemorrhoid)
  • Trauma
  • Ulcerative colitis (a type of inflammatory bowel disease)

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