Painful Anul
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Painful Anul
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Anal pain. American Society of Colon and Rectal Surgeons. https://fascrs.org/patients/diseases-and-conditions/a-z/anal-pain. Accessed Sept. 21, 2021.
Feldman M, et al., eds. Anal diseases. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 11th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Sept. 21, 2021.
Evaluation of anorectal disorders. Merck Manual Professional Version. https://www.merckmanuals.com/professional/gastrointestinal-disorders/anorectal-disorders/evaluation-of-anorectal-disorders. Accessed Sept. 21, 2021.
Understanding minor rectal bleeding. American Society for Gastrointestinal Endoscopy. https://www.asge.org/home/for-patients/patient-information/understanding-minor-rectal-bleeding. Accessed Sept. 21, 2021.
Rajan E (expert opinion). Mayo Clinic. Oct. 3, 2021.
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Symptoms
Anal pain
Basics
Definition
Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations.
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).
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This content does not have an English version.
This content does not have an Arabic version.
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English
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Anal pain. American Society of Colon and Rectal Surgeons. https://fascrs.org/patients/diseases-and-conditions/a-z/anal-pain. Accessed Sept. 21, 2021.
Feldman M, et al., eds. Anal diseases. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 11th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Sept. 21, 2021.
Evaluation of anorectal disorders. Merck Manual Professional Version. https://www.merckmanuals.com/professional/gastrointestinal-disorders/anorectal-disorders/evaluation-of-anorectal-disorders. Accessed Sept. 21, 2021.
Understanding minor rectal bleeding. American Society for Gastrointestinal Endoscopy. https://www.asge.org/home/for-patients/patient-information/understanding-minor-rectal-bleeding. Accessed Sept. 21, 2021.
Rajan E (expert opinion). Mayo Clinic. Oct. 3, 2021.
Other Topics in Patient Care & Health Info
Diseases & Conditions A-Z
Symptoms A-Z
Tests & Procedures A-Z
Drugs & Supplements A-Z
Health Books
Healthy Living Program
Mayo Clinic Health Letter
Mayo Clinic Voice Apps
SYM-20050918
Symptoms
Anal pain
Basics
Causes
Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations.
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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Barbara Bolen, PhD, is a licensed clinical psychologist and health coach. She has written multiple books focused on living with irritable bowel syndrome.
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Verywell Health is part of the Dotdash Meredith publishing family.
Shadi Hamdeh, MD, is a board-certified gastroenterologist and an assistant professor of medicine at the University of Kansas Medical Center.
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 healthcare provider, and tips for self-care.
While only a healthcare provider 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 a Healthcare Provider 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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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"
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