Symptoms

    Anal Pain: Common Causes

    Updated 2026-06-094 min read

    Anal pain has many possible causes. Pattern and triggers help guide diagnosis; examination is essential.

    Common causes

    • Anal fissure — sharp pain with defecation
    • Thrombosed external hemorrhoid — sudden lump and pain
    • Perianal abscess — increasing pain, swelling, sometimes fever
    • Functional pain syndromes such as proctalgia

    Red flags

    • Fever or systemic symptoms
    • Bleeding combined with weight loss
    • Persistent severe pain

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    Related topics

    Anal fissure: when to see a doctorPerianal abscess: can it heal on its own?Hemorrhoid treatment options
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