Anal Pain – Symptoms

what is anal pain


Pain in or around the anus and rectum is frequent. This condition may be caused by a variety of diseases, including Crohn’s disease, abscesses, and hemorrhoids. Anal pain may occur before, during, or after a bowel movement. It may vary from moderate discomfort that increases with time to severe pain that stops you from doing your daily regular activities. Anal discomfort may be caused by a variety of factors, most of which are common and curable in the majority of instances. Abdominal pain and bleeding often accompany the presence of anal discomfort. Despite the fact that anal pain is a common symptom of a broad variety of medical problems and is usually easily treated, many individuals feel embarrassed to discuss it with their doctor.

A doctor may diagnose anal pain using a number of techniques. The medical history of the patient, including any symptoms, should be acquired. It is essential that you get a physical checkup.

A doctor does a rectal exam by inserting a finger into the rectum and feeling around for abnormalities. An endoscopy may also be performed for finding the reason for a painful anal area. An endoscopy is a procedure in which a doctor examines the lining of the rectum using a thin, flexible tube linked to a camera. It also aids in finding the cause for rectal pain.

Depending on the underlying source of the discomfort, anal pain may be relieved in a variety of ways. Prescription medications including analgesics, stool softeners, and antibiotics (if there is an infection) are usually used for treating anal pain.


It is possible to feel pain in the bottom when sitting or in a perianal area for a variety of causes. From small scrapes and bruises to more serious diseases such as sciatica and damaged discs, the reasons are many. Sore buttholes also cause rectal pain and pressure along with anal discomfort. Sharp pain in the anus may result due to spasms of the anal sphincter and rectum muscles. As a result, sharp pain in the rectum also develops. Rectal pain while sitting can be due to an anal fissure, which is a tiny tear in the skin. It may lead to a burning rectum. Pain in the rectum during periods is also common due to the release of hormones, causing muscle spasms.

Some conditions that may lead to anal pain are:


As a consequence of an outer hemorrhoid, a blood clot forms in the anal skin. The clots may cause pain when you walk, sit, or have a bowel movement, depending on their size. It is unusual to get a painful anal bulge that appears suddenly and intensifies over the following 48 hours. The discomfort is anticipated to subside gradually over the following several days.


An abscess is a cavity surrounding the anus or rectum that has become infected and filled with pus. Surgical intervention is often used to treat an abscess.

STD and Fungal Infections

Individuals suffering from fungal infections or sexually transmitted diseases may feel mild to severe pain in the anal and rectal regions. It is not always the case that bowel movements cause pain. Symptoms such as minor anal bleeding, discharge, and itching are possible. Topically applied antibiotics and antifungal medicines, as well as oral antibiotics and antifungal medications, are utilized to treat the disease.

Anal Cancer

Although the overwhelming majority of anal discomfort cases are unrelated to cancer, tumors may cause bleeding, a lump, and changes in bowel habits, in addition to the pain that increases over time if left untreated.


Anal pain symptoms can vary from person to person depending upon situations which may include:

  • Pain or Discomfort: Persistent or sharp pain in or around the anal area, which might worsen during bowel movements or sitting.
  • Itching or Irritation: Pruritus ani, a condition causing itching and irritation around the anus, might accompany anal pain.
  • Bleeding: Blood on toilet paper or in the stool, often due to anal fissures, hemorrhoids, or other conditions.
  • Swelling or Lumps: Presence of lumps, swelling, or inflammation around the anal area, such as hemorrhoids or abscesses.
  • Bowel Changes: Changes in bowel habits, including constipation or diarrhea, which can contribute to anal discomfort.
  • Painful Bowel Movements: Pain or a burning sensation during or after passing stools, indicative of various possible issues.
  • Drainage or Pus: If an abscess is present, you might notice pus draining from the anal area.
  • Muscle Spasms: Intermittent spasms of the anal muscles, which can cause sharp, stabbing pain.

When to see a doctor  

There are many reasons for anal discomfort that may not need the attention of a medical professional. If you are experiencing anal discomfort that is giving you difficulties, you should visit your doctor right once. If you are experiencing anal discomfort for more than 24 to 48 hours, you should seek medical attention. Schedule an appointment with your doctor as soon as possible if you are experiencing anal discomfort and fever. You need to see your physician if the symptoms last three to four days and the pain is severe enough to interfere with daily activities or wake you up in the middle of the night. In the following situations, you should seek medical attention:

  • Pain either returns or does not go.
  • Rectal bleeding is a persistent problem.
  • You may feel a bulk that does not seem to be getting any better.

If you are experiencing persistent discomfort or anal bleeding that is getting more severe, seek medical care as soon as possible. The initial office visit usually includes a physical examination and an assessment of the anal canal using an endoscopic scope to identify any abnormal areas. If the pain is too severe for a normal office appointment, your primary care physician may need to do an anesthetic examination to make a correct diagnosis.

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