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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.
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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).
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
Kahan S, et al. Rectal pain. In: In a Page Signs and Symptoms. 2nd ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2009.
Goroll AH, et al. Approach to the patient with anorectal complaints. In: Primary Care Medicine: Office Evaluation and Management of the Adult Patient. 7th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2014. http://www.ovid.com. Accessed June 23, 2016.
Feldman M, et al. Diseases of the anorectum. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed June 23, 2016.
Picco MF (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 9, 2016.
Madoff RD. Diseases of the rectum and anus. http://www.clinicalkey.com. Accessed June 23, 2016.
Adams JG. Anorectal disorders. In: Emergency Medicine: Clinical Essentials. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2013. http://www.clinicalkey.com. Accessed June 23, 2016.
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Barbara Bolen, PhD, is a licensed clinical psychologist and health coach. She has written multiple books focused on living with irritable bowel syndrome.
Medically reviewed by Robert Burakoff, MD, MPH on June 05, 2020
Robert Burakoff, MD, MPH, is board-certified in gastroentrology. He is the vice chair for ambulatory services for the department of medicine at Weill Cornell Medical College in New York, where he is also a professor. He was the founding editor and co-editor in chief of Inflammatory Bowel Diseases.
Anal pain is not something that is talked about a lot, though it can be quite significant. There are a lot of nerve endings in the area of the rectum and anus, so any issues with them can result in anything from mild discomfort to excruciating pain.
Most of the time the causes of anal pain are benign, even if there is bleeding. Still, if your anal pain doesn't ease within a few days, it is essential that you get a proper diagnosis.
While this might not be a conversation you're eager to have, it's an important one. Learn the most common causes of anal pain, when to see your doctor, and tips for self-care.
While only a doctor can confirm the reason behind your anal pain, there are some symptoms that can hint that a certain condition is to blame. Explore the most likely causes.
The pain associated with an anal fissure is typically located at the opening of the anus and is acute and sharp. The pain is experienced during a bowel movement but may persist over time.1 You may also experience anal itching as well as see bright red blood on the outside of the stool or on your toilet paper.
A hemorrhoid is a swollen, inflamed vein in the rectum or on the anus. Although some hemorrhoids can cause no symptoms, others can be quite painful. You may experience itchiness and see bright red blood in the stool or on your toilet paper.
A thrombosed hemorrhoid is an especially painful, but not necessarily serious type of hemorrhoid that involves a blood clot in the vein.
Tenesmus is the urge to pass stool even when there is no more stool to pass. It is often accompanied by pain, straining or cramping.2 Tenesmus typically manifests itself alongside other medical conditions.
Anal pain can also be the result of muscle spasms in the pelvic area. This manifests itself as a sharp pain that goes away quickly.
Pain on the outside of the anus could be the result of a yeast infection, itchiness associated with a hemorrhoid, or the result of rough cleaning of the skin on the outside of the anus.
Other health conditions may also be the reason behind anal pain. They include, but are not limited to:
If your pain symptoms do not ease within a few days, make an appointment with your doctor to get an accurate diagnosis. Seek immediate medical care if you experience:
While anal care certainly doesn't need to be an everyday focus, if you experience discomfort, try these tips for easing and avoiding anal pain:
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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Villalba H, Villalba S, Abbas MA. Anal fissure: a common cause of anal pain. Perm J. 2007;11(4):62‐65. doi:10.7812/tpp/07-072
Mueller K, Karimuddin AA, Metcalf C, Woo A, Lefresne S. Management of malignant rectal pain and tenesmus: A systematic review. J Palliat Med. 2019. doi:10.1089/jpm.2019.0139
American Society of Colon & Rectal Surgeons, "Anal Pain"
National Institutes of Health, Medline Plus, "Anal Disorders"
Hemorrhoids: Signs, Symptoms, and Complications
What Does it Mean to be Constipated?
6 Drug-Free Ways to Ease Hemorrhoids
When (and How) Hemorrhoids Are Surgically Removed
The Possible Causes and Home Treatments for Rectal Pain
Overview and Treatment of Anal Fissures
The 7 Best Over-the-Counter Hemorrhoid Treatments of 2021
Butt Rashes: Causes, Diagnosis, and Treatment
Why Rectal Itch Isn't Something Men Should Ignore
Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
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Anal Pain: Causes, Diagnosis & Treatment
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Anal Pain Full
