{"id":52807,"date":"2025-04-25T22:08:45","date_gmt":"2025-04-26T02:08:45","guid":{"rendered":"https:\/\/www.hancockhealth.org\/mayo-health-library\/anal-pain\/"},"modified":"2026-02-04T12:12:16","modified_gmt":"2026-02-04T17:12:16","slug":"anal-pain","status":"publish","type":"mayo","link":"https:\/\/hancockhealth.apgar.digital\/de\/mayo-health-library\/anal-pain\/","title":{"rendered":"Anal pain"},"content":{"rendered":"<div class=\"container mx-auto   wordpress-block wordpress- core-\">\n<p>Anal pain is pain in and around the anus or rectum, also called the perianal region. Anal pain is a common complaint. Although most causes of anal pain aren&#8217;t serious, the pain itself can be severe because of the many nerve endings in the perianal region.<\/p>\n<p>Many conditions that cause anal pain also may cause rectal bleeding, which is usually more frightening than serious.<\/p>\n<p>The causes of anal pain usually can be easily diagnosed. Anal pain usually can be treated with nonprescription pain relievers and hot water soaks, also called sitz baths.<\/p>\n<p>Causes of anal pain include:<\/p>\n<ul>\n<li>Anal cancer <\/li>\n<li>Anal fissure (a small tear in the lining of the anal canal)<\/li>\n<li>Anal fistula (an abnormal channel between the anus or rectum usually to the skin near the anus)<\/li>\n<li>Anal itching (pruritus ani)<\/li>\n<li>Anal sex<\/li>\n<li>Anal or rectal stricture (narrowing that may occur from scarring, severe inflammation or cancer)<\/li>\n<li>Constipation &mdash; which can be chronic and last for weeks or longer.<\/li>\n<li>Crohn&#8217;s disease &mdash; which causes tissues in the digestive tract to become inflamed.<\/li>\n<li>Diarrhea (causing anal irritation)<\/li>\n<li>Fecal impaction (a mass of hardened stool in the rectum due to chronic constipation)<\/li>\n<li>Genital warts <\/li>\n<li>Hemorrhoids (swollen and inflamed veins in your anus or rectum)<\/li>\n<li>Levator ani syndrome (spasm in the muscles that surround the anus)<\/li>\n<li>Perianal abscess (pus in the deep tissue around the anus)<\/li>\n<li>Perianal hematoma (a collection of blood in the perianal tissue caused by a ruptured vein, sometimes called an external hemorrhoid)<\/li>\n<li>Proctalgia fugax (fleeting pain due to rectal muscle spasm)<\/li>\n<li>Proctitis (inflammation of the lining of the rectum)<\/li>\n<li>Pudendal neuralgia, a nerve condition that causes extreme pain in the anal and pelvic area.<\/li>\n<li>Solitary rectal ulcer syndrome (ulcer of the rectum) <\/li>\n<li>Tailbone pain, also known as coccydynia or coccygodynia<\/li>\n<li>Thrombosed hemorrhoid (blood clot in a hemorrhoid)<\/li>\n<li>Trauma<\/li>\n<li>Ulcerative colitis &mdash; a disease that causes ulcers and swelling called inflammation in the lining of the large intestine.<\/li>\n<li>Ulcerative proctitis (a type of inflammatory bowel disease)<\/li>\n<\/ul>\n<h3>Seek immediate medical attention<\/h3>\n<p>Have someone drive you to urgent care or the emergency room if you develop:<\/p>\n<ul>\n<li>A large amount of rectal bleeding or rectal bleeding that won&#8217;t stop, especially if it comes with lightheadedness, dizziness or feeling faint.<\/li>\n<li>Anal pain that gets much worse, spreads or comes with fever, chills or anal discharge.<\/li>\n<\/ul>\n<h3>Schedule a doctor&#8217;s visit<\/h3>\n<p>Make an appointment with your health care team if your pain lasts more than a few days and self-care remedies aren&#8217;t helping. Also make an appointment with your team if anal pain comes with a change in bowel habits or rectal bleeding.<\/p>\n<p>A hemorrhoid that develops quickly or is especially painful may have formed a blood clot inside, called a thrombosed hemorrhoid. Removing the clot within the first 48 hours often gives the most relief, so request a timely appointment with your health care team. The blood clot of a thrombosed hemorrhoid, although painful, can&#8217;t break loose and travel. It won&#8217;t cause any of the complications associated with blood clots that form in other parts of the body, such as stroke.<\/p>\n<p>See your health care team for rectal bleeding, especially if you&#8217;re older than 40, to rule out rare but serious conditions such as colon cancer.<\/p>\n<h3>Self-care<\/h3>\n<p>Depending on the cause of your anal pain, there are some measures you can try at home to get relief. They include:<\/p>\n<ul>\n<li><strong>Eating more fruits,<\/strong> vegetables and whole grains, and exercising daily.<\/li>\n<li><strong>Taking stool softeners,<\/strong> if needed, to help with bowel movements, reduce straining and ease pain.<\/li>\n<li><strong>Sitting in a tub of hot water<\/strong> up to your hips, known as a sitz bath, several times a day. This helps ease the pain of hemorrhoids, anal fissures or rectal muscle spasms.<\/li>\n<li><strong>Applying nonprescription hemorrhoid cream<\/strong> for hemorrhoids or hydrocortisone cream for anal fissures.<\/li>\n<li><strong>Taking a nonprescription pain reliever<\/strong> such as acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others).<\/li>\n<\/ul>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Anal pain: Symptom &mdash; Overview covers definition, possible causes of this common symptom.<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","tags":[1686,1685,1682,1684],"class_list":["post-52807","mayo","type-mayo","status-publish","hentry","tag-anatomical-structure","tag-condition","tag-person-group-concept","tag-theme-of-focus","content_type-symptoms"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Anal pain - Hancock Health<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anal pain - Hancock Health\" \/>\n<meta property=\"og:description\" content=\"Anal pain: Symptom &mdash; 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