Causes of anal pain include:

  1. Anal cancer
  2. Anal fissure (a small tear in the lining of the anal canal)
  3. Anal fistula (an abnormal channel between the anus or rectum usually to the skin near the anus)
  4. Anal itching (pruritus ani)
  5. Anal or rectal stricture (narrowing that may occur from scarring, severe inflammation or cancer)
  6. Anal sex
  7. Coccydynia or coccygodynia (tailbone pain)
  8. Constipation
  9. Crohn's disease (a type of inflammatory bowel disease)
  10. Diarrhea (causing anal irritation)
  11. Fecal impaction (a mass of hardened stool in the rectum due to chronic constipation)
  12. Genital warts
  13. Hemorrhoids (swollen and inflamed veins in your anus or rectum)
  14. Levator ani syndrome (spasm in the muscles that surround the anus)
  15. Perianal abscess (pus in the deep tissue around the anus)
  16. Perianal hematoma (a collection of blood in the perianal tissue caused by a ruptured vein, sometimes called an external hemorrhoid)
  17. Proctalgia fugax (fleeting pain due to rectal muscle spasm)
  18. Proctitis (inflammation of the lining of the rectum)
  19. Solitary rectal ulcer syndrome (ulcer of the rectum)
  20. Thrombosed hemorrhoid (blood clot in a hemorrhoid)
  21. Trauma
  22. Ulcerative colitis (a type of inflammatory bowel disease)
  23. Ulcerative proctitis (a type of inflammatory bowel disease)

Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.

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Oct. 15, 2021