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Anorectal Pain Symptoms

anorectal pain There are many possible causes for discomfort on the anal region

Pain in and around the anus or rectum (perianal region). In most cases, the causes of anorectal pain symptom do not threaten the patient’s life, but due to the many nerve endings in the perianal region, the pains are very strong.


There are a lot of possible causes of pain in the anus. For instance:

  • Constipation or fecal blockage (mass of hardened stool in the intestine);
  • Diarrhea;
  • Hemorrhoids; (link to the corresponding manual page)
  • Anal fissure; (link to the corresponding manual page)
  • Trauma after anal sex;
  • Anorectal fistula (an abnormal canal (hole) that forms between the anus or rectum);
  • Coccygodynia (coccyx pain);
  • Crohn’s disease; (link to the corresponding page);
  • Muscle spasm;
  • Perianal abscess (pus in the deep tissues around the anus);
  • Perianal hematoma (accumulation of blood in the perianal tissue caused by rupture of a vein, sometimes called external hemorrhoids);
  • Transient transient proctalgia (short-term spasms of the muscles of the rectum)
  • Proctitis (inflammation of the rectal mucosa);
  • Rectal ulcer;
  • Hemorrhoidal thrombosis; (link to the corresponding page)
  • Trauma to the tailbone or rectum;
  • Rectal cancer.

Possible complications

Some diseases that cause anorectal pain symptom are quite serious. So, without proper treatment, hemorrhoids can be complicated by thrombosis of the hemorrhoid, a complication that requires surgery.

In any case, you should consult a doctor to find out the causes of the pain symptom.

When should I see a doctor?

In an emergency : urgently need to call an ambulance or go to the hospital yourself if you have the following symptoms:

• Heavy or persistent rectal bleeding accompanied by dizziness, nausea, or weakness;

• Anal pain symptom, aggravated or accompanied by fever, chills, or anal secretions.

In a planned manner: make an appointment with a general practitioner or coloproctologist if the pain symptom lasts several days and the usual cosmetics do not help. You should also consult a doctor if the pain is accompanied by a change in bowel function or rectal bleeding.

Diagnosis and treatment

The purpose of the diagnosis is to establish the cause of the pain. For this, various instrumental methods can be used, such as:

  • Irrigoscopy
  • Colonoscopy
  • Rectomanoscopy,
  • Scraping on enterobiosis and other pathologies;
  • Laboratory tests of blood and feces.

Read also: anal itching


There are effective self-help measures to relieve pain, for example:

  • Against constipation and its complications : a diet high in fruits, vegetables and whole grains, daily exercise and, if necessary, the use of laxatives;
  • Against hemorrhoids and anal fissures : the use of over-the-counter cream or cream with hydrocortisone;
  • To relieve pain : warm sedentary baths and over-the-counter pain medications.

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