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Rectal pain is pain or discomfort in the lower portion of the gastrointestinal tract. The term is often used interchangeably with pain in the anus or anal pain. It is a fairly common problem and can result from conditions such as hemorrhoids or anal fissures. Rectal pain can be associated with symptoms such as prolapse, pressure, or bleeding. Anal pain pain in and around your anus or rectum (perianal region) is a common complaint. Although most causes of anal pain are benign, the pain itself can be severe because of the many nerve endings in the perianal region. Many conditions that cause anal pain may also cause rectal bleeding, which is usually more frightening than serious. Anal pain (pain in the bottom) can be distressing, but its often just the result of a minor, treatable problem. The medical name for pain in and around the anus or rectum is proctalgia. An anal fissure is a small tear in the skin of the anus that can be caused by passing a large or hard poo. Proctalgia fugax is normally diagnosed after other possible causes of anal pain and spasms have been ruled out. An anal fissure is a small tear in the skin at the opening of the rectum. It is usually caused as a result of straining and stretching the rectum when passing a hard stool. Anal fissures can also occur if the anal sphincter (the muscle that controls the anal opening) is too tight to pass stools. Rectal pain can refer to any pain or discomfort in the anus, rectum, or lower portion of the gastrointestinal (gi) tract. Pain coming from the bottom area is not something that we are utilized to feeling and, as a repercussion, anal pain around anus can cause a lot of concerns. Anal fissure (a small tear in the lining of the anal canal) anal itching (pruritus ani) anal sex anorectal fistula (an abnormal channel between the anus or rectum usually to the skin near the anus) coccydynia or coccygodynia (tailbone pain) constipation crohns disease (a type of inflammatory bowel disease) diarrhea causing anal irritation. Wear underwear that breathes, such as choices made from cotton or moisture-wicking fabric. Do not use any creams in the anal area other than those prescribed by your doctor. If your anal pain is caused by an anal fissure or hemorrhoid, start taking regular sitz baths.