Anal rectal pain is a pain felt in or around the perianal region (anus and rectom). Because the perianal region contains many nerve endings, anal rectal pain can be severe, though most causes are benign.

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Typically, the causes of anal rectal pain can be diagnosed fairly easily and treated with over-the-counter pain relievers and hot baths. Many of the conditions that cause the pain may also cause rectal bleeding, but it often seems worse than it actually is. The most common causes of anal rectal pain and discomfort include hemorrhoids, anal fissures (or tears), and both temporary and constant anal muscle spasms. Other common causes may include:

  • Diarrhea
  • Cancer
  • Chronic constipation
  • Trauma
  • Ulcers
  • Perianal hematoma
  • Crohn’s Disease

Anal rectal pain can be distressing, but it is often just the result of a minor treatable condition.

Treating anal rectal pain varies depending on the cause and severity of the pain. Consult your doctor for a diagnosis of your condition first. Some treatments for anal rectal pain may include:

  • hot baths
  • pain relievers (i.e. Tylenol, Advil, Motrin)
  • hemorrhoid cream
  • hydrocortisone cream
  • using a “donut” cushion
  • acupuncture
  • nerve block injection
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Seek immediate medical attention if you develop a significant amount of bleeding, particularly if accompanied by dizziness, or if the pain gets much worse, spreads, or is accompanied by fever, chills, or anal discharge. See your doctor for rectal bleeding, particularly if you’re older than 40, to rule out rare, but serious, conditions, such as colon cancer.


If you are experiencing severe anal rectal pain or if you are significantly bleeding, don’t hesitate to contact South Lake Pain Institute for a diagnosis and treatment plan.