Anal pain is not something that is talked about a lot, though it can be quite significant. There are a lot of nerve endings in the area of the rectum and anus, so any issues with them can result in anything from mild discomfort to excruciating pain. Most of the time the causes of anal pain are benign, even if there is bleeding.
Less common causes of anal pain
Anal pain can occur before, during, or after a bowel movement. It can range from a mild ache that can get worse over time to pain that is bad enough to restrict daily activities. Anal pain has many causes, most of which are common and treatable. However, if anal pain does not go away within 24 to 48 hours, it is important to see your physician. If fever is present with anal pain, a more urgent appointment is needed. This is a blood clot that forms in an outer hemorrhoid in the anal skin. If the clots are large, they can cause pain when you walk, sit, or have a bowel movement. A painful anal mass may appear suddenly and get worse during the first 48 hours. The pain generally lessens over the next few days. You may notice bleeding if the skin on top opens.
Common causes of anal pain
Rectal pain can refer to any pain or discomfort in the anus, rectum, or lower portion of the gastrointestinal GI tract. This pain is common , and the causes are rarely serious. Oftentimes, it results from a bout of muscle spasms or constipation. Read on to learn more about what can cause these symptoms and when to see your doctor.
Proctalgia is pain due to a spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum. This causes severe stabbing pain like a knife sticking into the rectum. This type of pain may originate without warning. It may vary in severity and duration. It may pass quickly or might last much longer. Often the pain will be severe enough to awaken a person at night out of a sound sleep. If the person gets up and walks around, moves his bowels, or passes gas, the pain could resolve in a matter of minutes. As you can see, diagnosing the primary cause of proctalgia can be very difficult and may require several approaches before a successful strategy is developed for each sufferer. There may be structural anomalies in the area of the pelvic wall; however, no study has found a specific anatomical cause. Several studies have shown that only a small portion of people who suffer from proctalgia have an organic disease that could be the cause of the condition.