Anal Pain

Table of Contents

What is Anal Pain?

Anal pain occurs in or around your anus and rectum, which is the part of the large intestine that ends in the anus. Anal pain is usually followed by rectal bleeding. 

You may feel embarrassed to ask your doctor about anal pain, but it is a common symptom of various medical conditions and can usually be treated. Although most causes of anal pain are benign, you may experience extreme pain because of the many nerve endings in the perianal region.

Anal pain can lead to rectal bleeding. This condition is usually more serious. The cause of anal pain can be diagnosed by a doctor. Typical treatment for anal pain may include pain relievers and a hot bath or sitz bath.

Causes of Anal Pain

Anal pain can be caused by other diseases such as:

Anal Fissure (Anal Ulcer)

An anal fissure is a small tear in the lining of the anus. It may occur after you pass large or hard stools during bowel movement. Anal fissures can be very painful, but the condition usually resolves on its own within a few weeks.

Prevent anal fissures by consuming fibrous foods, drinking plenty of fluids, taking laxatives, and painkillers. If the pain persists, you may need a special ointment to relax the muscle around your anus. In some cases, surgery may be required to treat anal fissures.

Symptoms of anal fissure may include:

  • Severe, sharp pain during bowel movements.
  • Rectal bleeding – when you see a small amount of blood on the toilet paper after wipin.
  • Burning, or gnawing sensation that lasts several hours after bowel movement.


Hemorrhoids are when the blood vessels in or around the anus become inflamed or swollen. Hemorrhoids are most commonly caused by straining during bowel movement. You can prevent hemorrhoids by eating fibrous foods, drinking lots of fluids, taking laxatives, and painkillers.

Symptoms of hemorrhoids will disappear after a few days. Common symptoms of hemorrhoids may include:

  • Bleeding when wiping after a bowel movement
  • Itching, redness around the anus 
  • Pain and redness around the anus.
  • Anal pain – if the blood supply to the hemorrhoid is blocked.
  • Feel like there is a lump near your anus.

Anal Fistula (Abscess)

An anal fistula is a small tunnel that develops between the end of the intestine and the skin near the anus. It is usually the result of an infection near the anus that produces a collection of pus (abscess).

A general practitioner may prescribe antibiotics if an abscess is detected early. If symptoms persist, you may need to be treated in a hospital under general anesthesia. If you have an anal fistula, you may need surgery as the condition rarely heals by itself. 

Symptoms of an anal fistula or abscess include:

  • High body temperature.
  • Skin irritation around the anus.
  • Swelling and redness around the anus.
  • Pus or blood during bowel movement.
  • Persistent, throbbing pain that feels worse when sitting.

When to See a Doctor for Anal Pain

Consult a general practitioner if you have symptoms of anal pain. There are many causes of anal pain, but it can improve with self-care measures, so you do not always need to see a doctor.

However, it is best to see your doctor if anal pain becomes severe, you have rectal bleeding, and the pain does not get better after a few days.

Do not be shy about seeing a doctor, as anal pain is a common and treatable complaint. Your  doctor will help determine what causes it and prescribe the right medications. 

Your doctor will likely examine your anus and perform a rectal exam. A rectal exam is done by inserting a gloved finger into your anal canal to check for any abnormalities. If the cause is unknown, your doctor may refer you to a colorectal surgeon to undergo a series of further tests.

Symptoms of Anal Pain

Anal pain is a common symptom of many medical conditions such as anal fissures, hemorrhoids, and abscesses. Most causes of anal pain are benign, but the pain can get worse due to the many nerve endings in the area near the anus.

Your doctor will diagnose you based on your symptoms and recommend the right type of treatment method for your condition.

Treatment for Anal Pain

Treatment for anal pain depends on the cause. Possible treatment options may include: 

  • Diet high in fiber to help ensure smooth bowel movement.
  • Pain relievers, laxatives, and antibiotics if an infection is present.
  • Sitz bath with warm water to clean the anal area and relieve pain.
  • Surgery for muscle spasms and fistula repair.

Other treatment methods that can help with anal pain include:

  • Avoid wearing tight-fitting clothes.
  • Try not to sit too long to prevent hemorrhoids.
  • Avoid wiping the anus too hard after bowel movement to prevent skin irritation
  • Avoid using scented soaps or scented detergents, as they can irritate the skin.

Treatment Cost for Anal Pain

Treatment cost for anal pain varies greatly, depending on the type of treatment your doctor recommends and the location of your preferred hospital.

To calculate the estimated treatment cost for anal pain at home and abroad, contact Smarter Health.

Prevention of Anal Pain

You can prevent anal pain by eating fibrous foods. Recommended daily intake is about 20 to 35 grams of fiber per day. Foods that are rich in fiber include:

  • Beans.
  • Citrus fruit.
  • Peas.
  • Wheat bran.
  • Prunes and prune juice.
  • Seeds and nuts.
  • Whole grains, including brown rice, oatmeal, popcorn, whole wheat pasta, cereals, and bread.

If you are not getting enough fiber, try taking fiber supplements. Be sure to drink plenty of fluids when you consume more fiber to prevent flatulence and gas.

Home Remedies for Anal Pain

There are many cases of anal pain that can heal by themselves. You can undergo home treatment by eating high fiber foods, drinking lots of fluids, and maintaining the hygiene around your anus.

Call your doctor if your anal pain recurs, which can be characterized by:

  • Lumps.
  • Rectal bleeding
  • Pain does not improve after 3 or 4 days.
  • Severe condition, which interferes with your daily activities or affects your sleep quality 

Have more questions about anal pain? Write them down in the comment section below or contact your general practitioner or surgeon at home and abroad through Smarter Health for proper treatment. 

Share this information:

Share on whatsapp
Share on facebook
Share on twitter
Share on linkedin
Share on email

Leave a Comment

We help you get the right diagnosis from the right doctor, at the right time and price:

Benefits of using Smarter Health’s services:

Our services are free-of-charge

Fill out the form and we will contact you

Your compare list

Contact Us
Need medical help?
Smarter Health
Need help with:
1. Doctor/hospital recommendations
2. Booking an appointment with a specialist doctor
3. Getting a quotation for your desired procedure/surgery
4. Finding a medical checkup package

whether at home or abroad?