Anal Pain Online

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Anal pain (pain in the bottom) can be distressing, but it's often just the result of a minor, treatable problem.
The medical name for pain in and around the anus or rectum is proctalgia.
An anal fissure is a small tear in the skin of the anus that can be caused by passing a large or hard poo.
Symptoms of an anal fissure include:
Anal fissures can be very painful, but many heal on their own in a few weeks.
Eating more fibre, drinking plenty of fluids and taking laxatives and over-the-counter painkillers can help.
If the pain persists, you may need special ointment that relaxes the ring of muscle around your anus.
Occasionally, you may need surgery to help the fissure heal.
Piles) are swollen blood vessels that are found inside or around your bottom (anus). They're often thought to be caused by straining on the toilet as a result of constipation.
In many cases, piles do not cause symptoms. If you do have symptoms, they may include:
The symptoms often pass after a few days. Eating more fibre, drinking plenty of fluids and taking laxatives and over-the-counter painkillers can help.
If the blood supply to the pile has been blocked by a clot, a simple procedure can be carried out to remove the clot under local anaesthetic (where the area is numbed).
An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus. It's usually caused by an infection near the anus resulting in a collection of pus (an abscess).
Symptoms of an anal fistula or abscess can include:
Your GP may prescribe antibiotics if an abscess is picked up early on. If it persists, it may need to be drained in hospital, possibly under general anaesthetic (while you're asleep).
If a fistula develops, you'll usually need surgery because they rarely heal by themselves.
Less common causes of anal pain include:
Many common causes of anal pain improve with simple self-care treatments, so you do not always need to see your GP.
But it's a good idea to see your GP if:
Do not feel embarrassed to see your GP – anal pain is a common problem that they're used to seeing. Your GP can try to work out what the problem is and give you treatment advice.
They'll probably ask to see your bottom and may carry out a rectal examination (where they gently insert a gloved finger into your bottom) to check for any abnormalities.
If the cause is not immediately obvious, they may refer you to a specialist for advice and further tests.
Page last reviewed: 02 August 2019
Next review due: 02 August 2022

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.
Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved
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.
Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved
Verywell Health is part of the Dotdash publishing family.

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