Materiały źródłowe

• #1

  https://fascrs.org/patients/diseases-and-conditions/a-z/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. […] 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. […] The pain generally lessens over the next few days. […] A painful anal mass may appear suddenly and get worse during the first 48 hours. […] Although most anal fissures do not require surgery, chronic ones (lasting greater than 6 months) are harder to treat and surgery may be the best option. The goal of surgery is to help the anal sphincter muscle relax, which reduces pain and spasms, allowing the fissure to heal. […] If you have pain or anal bleeding that does not go away or gets worse, see a colon and rectal surgeon as soon as possible. […] Pain comes back or doesn’t go away. […] There is ongoing rectal bleeding. […] You can feel a mass that does not get better.

• #1 Anal Pain: What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/symptoms/anal-pain

  Anal pain is a common condition with many possible causes. Most aren’t serious, but some may require treatment. It’s important to acknowledge anal pain and notice if it gets worse or doesn’t get better. […] Anal pain that feels sharp or cutting might suggest an open wound, like an ulcer or fissure. […] If you notice anal pain, particularly after pooping, it may be because pooping irritates your condition. An anal fissure is a common cause of pain after pooping because pooping stretches the fissure (tear). […] Anal pain during your period is common. Menstrual cramps can affect your perianal muscles as well as your uterus muscles. […] Constipation and hemorrhoids are both common pregnancy discomforts. As pregnancy progresses, the weight of the growing fetus may put pressure on perianal nerves.

• #2 Anal Pain Symptoms, Causes & Treatments | Spire Healthcare

  https://www.spirehealthcare.com/symptoms/anal-pain/

  Anal pain can affect the area in or around your bottom (anus) or back passage (rectum). Anal pain is sometimes accompanied by rectal bleeding and can be distressing. […] Anal pain, which is pain in or around your bottom (anus) or back passage (rectum), is also known as proctalgia. It is a common complaint that can affect anyone, at any age. […] Anal pain is often caused by a minor condition and often goes away on its own. You can usually relieve the pain yourself but if not, your GP will be able to offer treatment. […] Symptoms include sharp, severe anal pain after a bowel movement or a burning pain that lasts for several hours after a bowel movement, as well as bleeding from your back passage. […] Anal pain is usually constant and worse when you have a bowel movement; other symptoms include blood mixed with your stools or on your underwear.

• #3 Anal Pain: What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/symptoms/anal-pain

  Anal pain is a common condition with many possible causes. Most aren’t serious, but some may require treatment. It’s important to acknowledge anal pain and notice if it gets worse or doesn’t get better. […] Anal pain that feels sharp or cutting might suggest an open wound, like an ulcer or fissure. […] If you notice anal pain, particularly after pooping, it may be because pooping irritates your condition. An anal fissure is a common cause of pain after pooping because pooping stretches the fissure (tear). […] Anal pain during your period is common. Menstrual cramps can affect your perianal muscles as well as your uterus muscles. […] Constipation and hemorrhoids are both common pregnancy discomforts. As pregnancy progresses, the weight of the growing fetus may put pressure on perianal nerves.

• #4 Common Anorectal Conditions: Part I. Symptoms and Complaints | AAFP

  https://www.aafp.org/pubs/afp/issues/2001/0615/p2391.html

  A careful history focusing on the nature of the pain and its relationship to bowel movements frequently provides the diagnosis of pain in the anorectal area. […] Aching after a bowel movement can occur with internal hemorrhoids. Pain during bowel movements that is described as being cut with sharp glass usually indicates a fissure. This pain is most intense during the bowel movement and usually persists for an hour or so afterward. It may then either abate until the next bowel movement or continue, usually to a lesser degree. The pain of anal fissure is frequently accompanied by bright red rectal bleeding and often begins after a hard, forced bowel movement. […] The acute onset of pain with a palpable mass is almost always due to a thrombosed external hemorrhoid. This intense pain typically lasts 48 to 72 hours and then subsides spontaneously but may take several days to abate. Internal hemorrhoids, because they start above the dentate line, are not painful even if prolapsed or thrombosed. Similarly, rectal cancer seldom causes pain unless it is extremely advanced because of the innervation of the rectal area. Anal cancers more commonly cause pain after invasion of the sphincter muscle. Anorectal pain that begins gradually and becomes excruciating over a few days may indicate infection. A localized area of tenderness could signal an abscess. Anal pain accompanied by fever and inability to pass urine signals perineal sepsis and is a medical emergency.

• #5 Anal pain (proctalgia) | nidirect

  https://www.nidirect.gov.uk/conditions/anal-pain-proctalgia

  Anal pain (pain in the bottom) can be distressing. But is often just the result of a minor, treatable condition. Many common causes of anal pain will improve with self-care treatments. See your GP if your pain is severe, doesn’t improve after a few days or you have rectal bleeding. […] Symptoms of an anal fissure can include: a severe, sharp pain when doing a poo; a burning or gnawing pain that lasts several hours after doing a poo; rectal bleeding you may notice a small amount of blood on the toilet paper after you wipe. […] Anal fissures can be very painful, but many heal on their own in a few weeks. […] When symptoms do occur, they may include: bleeding after doing a poo; an itchy bottom; feeling like there’s a lump in or around your anus; soreness and redness around your anus; anal pain, if the blood supply to the haemorrhoid becomes blocked or interrupted for example, by a blood clot.

• #6 Rectal pain pressure – Pre-Diagnosis, Signs & Symptoms – Cancer Chat | Cancer Research UK

  https://cancerchat.cancerresearchuk.org/f/pre-diagnosis-signs-symptoms/69207/rectal-pain-pressure/511704

  Hi all I would really appreciate your thoughts/experience. Since mid December I have been feeling a pressure like feeling in back passage area along with straining when I pass stools. There is intermittent mild pain almost like a pulsating pain. […] I Constantly feel as though I havent full evacuated and like something is stuck there. […] What is concerning me is that my stools are thinner not pencil thin or ribbon like but definitely narrower. […] He said that although my symptoms are vague he is concerned about the pressure Im experiencing. […] I have had the same pain for a year had Signoidoscopy and found nothing now they think it’s spinchter pain a spasm. The pain is excruciating at times and I am sick to death of it. […] It causes me severe pain throbbing like. […] I have been experiencing same problems for the last 2 weeks never had anything like it!!

• #7 Proctalgia Fugax: What It Is, Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/proctalgia-fugax

  Proctalgia fugax is severe anal pain that comes on suddenly, lasts briefly and often disappears as unexpectedly as it began. The anal pain isnt a one-time thing. Instead, it recurs (comes back) in episodes that may happen over several weeks or months. […] The primary symptom of proctalgia fugax is anal pain that occurs in brief (30 minutes or less) episodes. Episode frequency varies. Some people have a few attacks a year while some have several. […] Symptoms are often severe enough to cause you to stay home from school or delay going to work. […] Proctalgia fugax is more common in women. Age is a risk factor, too. Its more commonly diagnosed in adults between ages 30 and 60. […] There isnt one outcome to expect with proctalgia fugax. Some people experience a few episodes and arent bothered with anal pain again. Others have frequent episodes that interfere with their day-to-day lives.

• #8 Common Anorectal Conditions: Part I. Symptoms and Complaints | AAFP

  https://www.aafp.org/pubs/afp/issues/2001/0615/p2391.html

  Proctalgia fugax is a unique anal pain. Patients with proctalgia fugax experience severe episodes of spasm-like pain that often occur at night. Proctalgia fugax may only occur once a year or may be experienced in waves of three or four times per week. Each episode lasts only minutes, but the pain is excruciating and may be accompanied by sweating, pallor and tachycardia. Patients experience urgency to defecate, yet pass no stool. […] A low dose of diazepam (Valium) at bedtime may be beneficial in cases of frequent and disabling proctalgia fugax.

• #9 Pressure in the Rectum: 11 Causes

  https://www.verywellhealth.com/pressure-in-rectum-5218793

  Hemorrhoids are swollen and inflamed veins around the rectum or anus that can be internal or external. This condition can result in anal discomfort or pressure, pain, itchiness, and bleeding. […] A fistula is an abnormal tunnel or connection between two body parts that is usually the result of an injury, surgery, infection, or inflammation. If the fistula occurs between the rectum and the vagina or the intestine and the skin, it may cause pressure in the rectum. […] The pressure associated with IBD may be from diarrhea or constipation caused by the disease. It could also be from a complication such as a fistula or perianal disease. […] There may be a sensation of intense pressure with fecal incontinence along with the inability to control the rectal muscles. […] Rectal prolapse occurs when the lining or the wall of the rectum drops down through the anus. Symptoms may include a feeling like something is coming out of the anus, a visible reddish-colored mass sticking out of the anus, constipation, diarrhea, or both, feeling that the rectum is not empty after a bowel movement, loss of control over bowel movements, passing blood or mucus from the rectum.

• #10 Common causes of anal or rectal pain, and how to treat them | Digestive | Men’s Health | Prevention | Women’s Health | UT Southwestern Medical Center

  https://utswmed.org/medblog/anal-rectal-pain-causes/

  Everyone has hemorrhoids it’s just a matter of whether yours are symptomatic. […] Symptoms: Internal hemorrhoids typically dont hurt but may bleed. External hemorrhoids can cause throbbing pressure and often dont bleed unless they rupture. You may feel pain, irritation, itching, or hard lumps around your anus. […] Anal fissures are one of the most common causes of anal pain we see in our clinic they are commonly self-misdiagnosed as hemorrhoids. […] Symptoms: Anal fissures cause burning, throbbing, sharp, and sometimes radiating pain. You may notice a few drops of blood in toilet water or while wiping, but fissures typically dont bleed a lot. […] Symptoms: Electric, shooting anal pain; throbbing and pressure; organs visibly protruding from the rectum (rectal prolapse). […] Symptoms: Itchiness and burning with wiping are common, and sometimes blood can be seen on toilet paper.

• #11 Proctalgia fugax and anal pain: Causes, diagnosis, and home remedies

  https://www.medicalnewstoday.com/articles/317254

  Proctalgia fugax refers to the sudden onset of severe pain in the rectal area, which can last from seconds to minutes. The pain is sporadic, can be without warning, and occurs due to muscle spasms in the anal canal. […] People with proctalgia fugax may experience sudden and severe muscle cramps in their anal canal that can cause sharp, stabbing pains. […] These bouts of pain may last only a few seconds but can last for up to 30 minutes. […] Some people may experience several episodes of anal pain and then go long periods without any problems. […] Proctalgia fugax causes sharp, stabbing pain for 30 minutes or less. […] Proctalgia fugax is sharp, stabbing pain in the rectum area with no apparent cause. It often lasts for a few seconds but can last for up to 30 minutes.

• #12 Anal Pain Symptoms, Causes & Treatments | Spire Healthcare

  https://www.spirehealthcare.com/symptoms/anal-pain/

  Symptoms include difficulty holding your stools in and feeling a lump in your anal area. […] Levator ani syndrome a constant or long-lasting achy or pressured feeling in and around your anus, which is worse when sitting and affects six in every 100 people, often having a significant impact on their quality of life. […] Proctalgia fugax this common condition affects up to one in every five people and involves sudden, severe bouts of anal pain that last for several seconds or minutes at a time. […] Anal pain when sitting is usually caused by anal abscess, anal fissure, anal fistula, and haemorrhoids (piles). […] Sudden anal sphincter pain is usually caused by spasms of your anal and rectal muscles. The most common cause is proctalgia fugax, which affects up to one in every five people. Symptoms include sudden, severe bouts of anal pain that last for several seconds or minutes at a time. […] The treatment to resolve anal pain depends on the cause. However, in many cases, anal pain will get better with simple self-care treatments, such as eating a fibre-rich diet, taking regular exercise and drinking lots of water.

• #13 Proctalgia Fugax (Shooting Pain in Bum): Causes and Treatment

  https://patient.info/digestive-health/proctalgia-fugax-and-anal-pain-leaflet

  Proctalgia fugax is a fleeting pain in the anus. It lasts less than 20 minutes, with no symptoms whatsoever in between episodes. […] Levator ani syndrome is a pain which lasts for longer. Both are only diagnosed when no other cause is found. […] Pain occurs on several occasions over a few weeks, each time lasting only seconds or minutes. It is a sudden, cramping, severe pain. It may wake you in the night. You may find you get a cluster of attacks together. […] Proctalgia fugax does not cause any bleeding. […] Levator ani syndrome pain tends to be worse when sitting, and lasts at least 20 minutes. More often it’s there all the time, or comes and goes persistently. It is usually an aching type of pain. […] If you have levator ani syndrome, you get an aching pain high up in your back passage. It tends to be worse when you are sitting down, and walking around can make it feel better. The pain is constant or regular, and lasts (unlike proctalgia fugax) for longer than 20 minutes. It continues, either constantly or on and off, for months.

• #13 Proctalgia Fugax (Shooting Pain in Bum): Causes and Treatment

  https://patient.info/digestive-health/proctalgia-fugax-and-anal-pain-leaflet

  Proctalgia fugax usually isn’t a long-term problem. Either you get a few episodes here and there with long spells of no problems in between, or it goes away altogether. Each individual episode, by definition, is very short-lived. […] Levator ani syndrome can drag on for a long time in some people and it may be difficult to find a treatment which helps.

• #14

  https://www.nhs.uk/conditions/anal-fissure/

  The most common symptoms of anal fissures are: […] a sharp pain when you poo, often followed by a deep burning pain that may last several hours […] bleeding when you poo most people notice a small amount of bright red blood either in their poo or on the toilet paper. […] In some people, symptoms from anal fissures last 6 weeks or more (chronic anal fissures).

• #15 Rectal (Anal) Pain: Causes and More

  https://www.healthline.com/health/rectal-pain

  In addition to rectal pain, anal fissures can cause: bright red blood on stool or toilet paper, itching around the anus, a small lump or skin tag that develops near the fissure. […] In addition to rectal pain, proctalgia fugax can cause: sudden, severe spasms, spasms that last for a few seconds or minutes, or even longer. […] In addition to rectal pain, anal fistulas can cause: swelling around the anus and anal opening, difficult bowel movements, passing blood or pus during bowel movements, fever. […] In addition to rectal pain, perianal hematoma can cause: a lump at the anus, bleeding or spotting on tissue paper, difficult bowel movements, difficulty sitting or walking. […] In addition to rectal pain, solitary rectal ulcer syndrome can cause: constipation, straining when passing stool, bleeding or other discharge, feeling fullness or pressure in the pelvis, feeling as if you’re unable to empty all stool from your rectum, inability to control bowel movements.

• #16 Patient education: Anal fissure (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/anal-fissure-beyond-the-basics/print

  ANAL FISSURE SYMPTOMS […] Patients with an anal fissure may first note bleeding and a sensation of tearing, ripping, or burning following a bowel movement. Once a fissure develops, these symptoms can occur after every bowel movement; the rectal pain can be severe and can last several minutes to hours. […] […] Once a fissure develops, the internal anal sphincter typically goes into spasm, causing further separation of the tear, constricting blood flow to the area, impairing healing, and causing pain.

• #17 Rectal (anal) pain: Causes, treatment, and more

  https://www.medicalnewstoday.com/articles/326085

  Rectal pain can result from injury, inflammation, or infections that affect the rectum or anus. […] Depending on the underlying cause of the pain, people may experience additional symptoms, such as constipation, rectal bleeding, or pressure in the pelvic area. […] According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), external hemorrhoids can cause rectal pain or aches when sitting. […] When an internal hemorrhoid bulges out into the rectum, it becomes a prolapsed hemorrhoid. This is a common cause of rectal discomfort, pain, and pressure. […] According to the American Society of Colon and Rectal Surgeons (ASCRS), large, thrombosed external hemorrhoids can cause pain when people walk, sit, or have a bowel movement. […] Prostatitis occurs when the bacteria from the urinary tract or rectum reach the prostate. The condition may cause pain when urinating, along with rectal pain or pressure.

• #17 Rectal (anal) pain: Causes, treatment, and more

  https://www.medicalnewstoday.com/articles/326085

  LS can cause pain or a dull ache in the rectum, anus, or tailbone. According to the ASCRS, sitting or lying down can worsen LS symptoms. […] Proctalgia fugax (PF) is sudden and intense pain in the rectum that can last for several minutes at a time. […] Rectal prolapse can cause pressure and pain in the rectum or anus. […] If endometriosis is present in the rectal area, it can cause pressure on the rectal wall, resulting in the following symptoms: rectal pain, painful bowel movements, constipation, back pain. […] Anal fissures can cause sharp pain, which may begin with a bowel movement and can continue for a few minutes to hours. […] A person will need to contact a doctor if they experience persistent or worsening rectal pain, rectal bleeding, or any other concerning symptoms.

• #18 Anal pain (proctalgia) | nidirect

  https://www.nidirect.gov.uk/conditions/anal-pain-proctalgia

  Symptoms of an anal fistula or abscess can include: a constant, throbbing pain that may be worse when you sit down; skin irritation around the anus; passing pus or blood when you poo; swelling and redness around your anus; a high temperature (fever). […] Less common causes of anal pain include: proctalgia fugax a condition that causes episodes of sudden, severe anal pain that last for a few minutes at a time; levator ani syndrome an aching or pressure sensation in and around the anus that may be constant or last for hours or days at a time; an inflammatory bowel disease such as Crohn’s disease other symptoms can include tummy cramps, bloody diarrhoea and weight loss; treatments are available to help relieve the symptoms. […] Many common causes of anal pain will improve with simple self-care treatments, so you don’t always need to see your GP. But it’s a good idea to see your GP if: your pain is severe; your pain doesn’t improve after a few days; you also experience rectal bleeding.

• #19 Anal Fissure: Symptoms, Causes & List of Treatments | Ada

  https://ada.com/conditions/anal-fissure/

  Anal fissure symptoms are a sensation of tearing, ripping or burning and usually a small amount of bright red bleeding during and after a bowel movement. […] A sharp, searing or burning pain in or around the bottom, which tends to be worse when passing feces and for about an hour or so afterwards. […] Some bleeding, usually bright red on the toilet paper or stool. […] A person with an anal fissure often puts off bowel movements, leading to a worsening cycle in which stools dry and harden, leading to further constipation and anal fissure pain. […] Less common anal fissure symptoms may include spasms or a tightening feeling in the anus when feces is excreted. […] Anal fissures typically heal within six weeks. An anal fissure that lasts for more than six weeks is called a chronic anal fissure.

• #20 Anal fissures: Symptoms, causes, and treatment options – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/anal-fissures-symptoms-causes-and-treatment-options

  Symptoms of an anal fissure include: sharp pain brought on by a bowel movement. The pain can last for as long as a few hours and radiate to the lower back, thighs, and buttocks. […] Anal fissures can be a short-term (acute) problem or they can be chronic, lasting for several weeks or longer. […] People with chronic fissures may resist pooping to avoid the pain. This can cause or worsen constipation, which just makes the problem worse. Chronic fissures may require surgical treatment.

• #21 Anal-Rectal-Tailbone Pain – Get Pelvic Pain Relief | New Pelvic Pain Technologies, Inc

  https://pelvicpainhelp-spanish.com/symptoms/anal-and-rectal-pain/?lang=en

  Pain in the anal sphincter, levator ani and other pelvic muscles above the anal sphincter is a common symptom. […] Pain is typically on one side or another but can be central. […] Discomfort after a bowel movement can be particularly disconcerting if it triggers symptoms more strongly for the rest of the day. […] When someone has pelvic pain and exacerbation of symptoms after a bowel movement, we propose that the internal anal sphincter tends to ‘over close’. […] Resolving post bowel movement pain in our patients tends to occur as their entire chronic pelvic muscle tension releases.

• #22 Rectal (Anal) Pain: Causes and More

  https://www.healthline.com/health/rectal-pain

  People typically describe rectal pain as any pain or discomfort in the anus, rectum, or lower portion of the gastrointestinal tract. Oftentimes, rectal pain is accompanied by other symptoms such as itching, stinging, discharge, or bleeding. […] This pain is common, and the causes are rarely life threatening. Oftentimes, it results from a bout of muscle spasms or constipation. […] Sometimes, rectal pain is accompanied by other symptoms. These may include: itching, stinging, discharge, bleeding. […] In addition to rectal pain, minor injury can cause: bleeding, swelling, difficult bowel movements. […] In addition to rectal pain, anal STIs can cause: minor bleeding, itching, soreness, discharge. […] In addition to rectal pain, hemorrhoids can cause: itching or irritation, swelling around the anus, difficult bowel movements, a lump or cyst-like bump near the anus.

• #23 Anal fissure – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anal-fissure/symptoms-causes/syc-20351424

  Anal fissures typically cause pain and bleeding with bowel movements. […] Symptoms of an anal fissure include: Pain during bowel movements. […] Pain after bowel movements that can last up to several hours. […] Bright red blood on the stool or toilet paper after a bowel movement. […] A visible crack in the skin around the anus. […] A small lump or skin tag near the anal fissure. […] See a healthcare professional if you have pain during bowel movements or notice blood on stools or toilet paper after a bowel movement. […] An anal fissure that fails to heal within eight weeks is considered chronic and may need further treatment. […] Once you’ve experienced an anal fissure, you are prone to having another one. […] An anal fissure may extend into the ring of muscle that holds the anus closed. This muscle is called the internal anal sphincter. If this happens, it makes it more difficult for the anal fissure to heal. An unhealed fissure may trigger a cycle of discomfort that may require medicines or surgery to ease the pain and to repair or remove the fissure.

• #24 Symptoms & Causes of Proctitis – NIDDK

  https://www.niddk.nih.gov/health-information/digestive-diseases/proctitis/symptoms-causes

  Common symptoms of proctitis include […] cramping and pain in your anus, rectum, or the left side of your abdomen, which may occur during bowel movements. […] If you pass blood, mucus, or pus from your rectum or have severe abdominal pain, you should see a doctor right away.

• #25 Symptoms of anal cancer | Cancer Research UK

  https://www.cancerresearchuk.org/about-cancer/anal-cancer/symptoms

  Bleeding is the most common symptom of anal cancer. Other common symptoms are anal pain and feeling like there is a lump in your anus. […] You might have pain in or around your anus. Or you might get pain when you have a poo. […] Pain can be a symptom of haemorrhoids. These are much more common than anal cancer.

• #26 Anus Pain: Causes, in Pregnancy, Home Remedies, Treatment

  https://www.healthline.com/health/anus-pain

  Common symptoms of hemorrhoids include: constant pain, soreness, or itching around your anus; bleeding from your anus when you pass stool; sharp anal pain if blood in the hemorrhoid becomes clotted. […] Anal spasms happen when you get sharp, unexpected anal pain due to anal sphincter muscle contractions. […] Anal pain during pregnancy is most common during the third trimester, when your baby is larger and may put more pressure on your anal nerves. Contractions during labor can also cause pain in your anus. […] If the pain persists for more than a few days and accompanies other painful or disruptive symptoms, see your doctor for immediate treatment.

• #27 4 Common Causes of Anal Pain: Betsy F. Clemens, M.D.: Board Certified Physician

  https://www.mwhtc-stl.com/blog/4-common-causes-of-anal-pain

  The severe and ongoing pain occurs from muscle spasms involving the anal sphincter triggered by a bowel movement. […] Anal pain and rectal bleeding are some of the symptoms you may have with an anal abscess. […] Skin conditions like psoriasis or dermatitis may affect any part of the body, including the anus. These conditions may cause pain, itching, and bleeding that comes and goes. […] Though hemorrhoids are a common cause of anal pain, its not the only problem that affects the sensitive part of the body.

• #28 Rectal Pain: Causes and Treatments

  https://resources.healthgrades.com/right-care/symptoms-and-conditions/rectal-pain

  Perianal abscesses can cause severe pain. […] Symptoms of rectal prolapse may include constipation or diarrhea, blood and mucus passing through the rectum during a bowel movement, fecal incontinence, and a reddish-colored mass coming through the anus. […] People who have levator syndrome may feel episodes of pressure or achiness in the rectal area. The pain usually lasts no longer than 20 minutes, but can last for hours in severe cases. […] Common symptoms of proctitis include diarrhea or constipation, painful cramps in the anus, and blood, mucus, or pus emerging during a bowel movement. […] Rectal cancer can cause rectal bleeding, abdominal pain, changes in appetite and in bowel habits, weight loss, and bowel obstruction. […] Call your doctor if you experience rectal pain that doesn’t improve with OTC treatments, mild bleeding with bowel movements, changes in your bowel patterns, unexplained weight loss, or fatigue. Get emergency medical care if you have severe rectal pain, fever, chills, or anal discharge, significant bleeding, or lightheadedness or dizziness. […] Some causes of rectal pain are mild and manageable with at-home or OTC treatments. Other causes are more serious and require evaluation and treatment from a medical professional.

• #29 Rectal (Anal) Pain: Causes and More

  https://www.healthline.com/health/rectal-pain

  In addition to rectal pain, fecal impaction can cause: abdominal pain, distention or bloating in the abdomen and rectum, nausea, vomiting. […] In addition to rectal pain, rectal prolapse can cause: a mass of tissue extending from the anus, stool or mucus passing freely from the anal opening, fecal incontinence, constipation, bleeding. […] In addition to rectal pain, levator syndrome can cause: pain on the left side of the abdomen, pain in the vagina, bloating, bladder pain, pain with urination, urinary incontinence, painful intercourse. […] The most common symptoms of rectal cancer include rectal bleeding, itching, and feeling a lump or mass near the anal opening. […] If you’re experiencing rectal pain with regularity, it’s always a good idea to make an appointment to see your doctor. […] You should see your doctor right away if you’re experiencing rectal pain that worsens or spreads into the lower half of your body.

• #30 Anal pain – rectal pain, fissures, symptoms and treatments | healthdirect

  https://www.healthdirect.gov.au/anal-pain

  Anal pain is pain that you get in your anus (bottom). […] Anal pain can be caused by many different things including anal fissures (small tears in the skin that line your anus) and haemorrhoids (swollen veins in your lower rectum and anus). […] See your doctor if your anal pain doesn’t get better after a couple of days. […] As well as pain in your bottom, you may have: pruritus ani (an itchy anus), constant, throbbing pain, pain when defecating (pooing), the need to pass a lot of stools, the need to pass stools in a hurry (urgency), blood or pus on the toilet paper when you wipe. […] Your symptoms will depend on the cause of your anal pain. […] Anal pain can be caused by many different things. These include: anal fissure a small tear in the lining of your anal canal, anal fistula an abnormal channel between your anus and the skin near your bottom, anal abscess a collection of pus in the tissue near your anus, haemorrhoids (piles), constipation, proctitis (inflammation of your rectum), which may be due to inflammatory bowel disease, tailbone (coccyx) pain, rectal prolapse.

• #31 Symptoms and Signs of Rectal Pain: Treatment

  https://www.emedicinehealth.com/rectal_pain/symptom.htm

  Other signs and symptoms of colon cancer that do not occur in IBS include anemia due to blood loss, fatigue, pale skin, unexplained weight loss, and rectal pain. […] Symptoms of Crohn’s disease include diarrhea, constipation, abdominal pain, rectal bleeding, bloating, and infections of the urinary tract and vagina. […] Symptoms include pain, bleeding, spasms during bowel movements, a feeling of being unable to empty the bowels completely. […] Rectal cancer symptoms and signs include bleeding, bowel obstruction, weight loss, change in bowel habits, constipation, narrow stools, and pain during bowel movements. […] Symptoms of UC include abdominal pain, diarrhea, rectal bleeding, urgency for a bowel movement, fever, fatigue, and lack of appetite.

• #32 Rectal (Anal) Pain: Causes and More

  https://www.healthline.com/health/rectal-pain

  In addition to rectal pain, a thrombosed hemorrhoid can cause: itching and irritation around the anus, swelling or lumps around the anus, bleeding when passing stool. […] In addition to rectal pain, tenesmus can cause: cramping in and near the rectum, feeling the need to have a bowel movement, even after you’ve had one, straining harder but producing a smaller amount of stool. […] In addition to rectal pain, IBDs like Crohn’s disease and UC can cause: abdominal pain and cramping, blood in stool, constipation, diarrhea, fever, reduced appetite, unintended weight loss. […] In addition to rectal pain, proctitis can cause: diarrhea, feeling of fullness or pressure in the rectum, feeling as if you need to pass stool, even when you just had a bowel movement, bleeding or other discharge. […] In addition to rectal pain, perianal or perirectal abscess can cause: redness of the skin around the anus, fever, bleeding, swelling around the anus and in the rectum, painful urination, difficulty starting a urine stream.

• #33 Rectal (Anal) Pain: Causes and Treatment

  https://www.verywellhealth.com/rectal-pain-causes-2328384

  Rectal pain is common and has many possible causes, including hemorrhoids, fecal impaction, inflammatory bowel disease, and proctitis (inflammation of the rectums lining). […] Hemorrhoids are one of the most common causes of anal pain when sitting. A seated position puts pressure on swollen veins in the rectum. The longer you sit, the more pain you may feel. […] Hemorrhoids often cause: Bright red blood after a bowel movement, Itching around the anal area, Discomfort during bowel movements or when sitting. […] Sometimes a blood clot forms inside a hemorrhoid. This can cause sudden, severe rectal or anal pain. […] The pain of an anal fissure: Occurs with every bowel movement, Often feels severe, sharp, and/or ripping, May be dull or throbbing for minutes to hours after pooping. […] Fecal impaction occurs when hard, dry stool gets lodged in the rectum. This causes pain and other symptoms like: Stool leakage, Bloating.

• #34 9 Rectal Pain Causes, Symptoms and Relief Options | Buoy

  https://www.buoyhealth.com/learn/rectal-pain

  Rectal pain may be due to systemic disease, such as the following. […] Rectal pain may be the result of inflammation or infections, such as the following. […] Rectal pain can be uncomfortable, but it can also feel like an awkward issue to discuss with a physician. Rectal pain can be a sign of a serious underlying issue, so it is important to seek medical guidance. […] Schedule an appointment with your doctor if: You have rectal pain mainly in the context of defecation, You notice blood-tinged feces, Or droplets of blood on the toilet paper or in the toilet bowl after defecation, You experience intermittent attacks or spasms of severe rectal pain lasting more than 5 minutes, You notice any new skin growths in the anorectal area, You develop any open wounds in the anorectal area. […] Pain while sitting may be due to continued pressure on the tailbone (coccydynia) or a poorly padded seat. Anal fissures and bruises from trauma can also cause pain while sitting.

• #35 Anal Pain – Bowel Research UK :Bowel Research UK

  https://bowelresearchuk.org/about-bowels/other-bowel-disorders/anal-pain/

  Anal Pain is also called Proctalgia fugax and Levator ani syndrome. The pain caused by the muscles spasming can occur without any trigger in particular. […] Proctalgia fugax means ‘anal pain of unknown cause’. ‘Levator ani syndrome’ is a similar condition with slightly different patterns of pain, but essentially they belong to the same ‘family’ of conditions. They are caused by the muscles in the anal canal and pelvic floor suddenly tightening (spasming). You may have symptoms of sudden, severe muscle cramps that you feel in the anal canal. These spasms tend to happen at night and you might even be woken up by them. Some people also describe having episodes of anal pain followed by long periods in between which they feel completely well. […] Unfortunately, because we don’t really know what causes these conditions, no single treatment is known to work. Often with professional support and by talking about it, you may find that your symptoms are more bearable.

• #36 Levator Syndrome – Digestive Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/digestive-disorders/anal-and-rectal-disorders/levator-syndrome

  The muscle spasm causes pain that typically is not related to defecation. The pain usually lasts less than 20 minutes. Pain may be brief and intense or a vague ache high in the rectum. It may occur spontaneously or with sitting and can waken a person from sleep. The pain may feel as if it would be relieved by the passage of gas or a bowel movement. […] In severe cases, the pain can persist for many hours and can recur frequently. […] A person may have undergone various unsuccessful rectal operations to relieve these symptoms.

• #37 Rectal (Anal) Pain: Causes and Treatment

  https://www.verywellhealth.com/rectal-pain-causes-2328384

  People with levator ani syndrome experience chronic rectal pain due to spasms of the pelvic floor (levator) muscles. […] Proctalgia fugax is a condition that is similar to levator ani syndrome in that it can cause spasms in the pelvic floor muscles. […] The pain may feel like cramping or produce a gnawing sensation. […] Symptoms of an anal fistula may include: Anal swelling, Drainage of pus near the anal opening, Fever and chills, Pain, Skin irritation around the anus. […] A perianal hematoma is a collection of blood that develops around the anus. It is caused by trauma or an injury that makes the veins in your anal area suddenly break open. […] Rectal cancer can cause rectal pain, as can anal cancer. These cancers can also cause a feeling of fullness around the anus. […] Depending on the cause, rectal pain can be pressure-like, gnawing, sharp, and more.

• #38 Anorectal Pain | Colon & Rectal Surgical Specialists

  https://www.crssny.com/conditions/anal-pain/

  Anal pain can be a sign of a serious colorectal issue, so it is important to consult a doctor right away. […] Call us if you have anal area pain lasting more than 48 hours that over-the-counter medication does not relieve. You should also reach out if the pain or discomfort in your anal region worsens or becomes chronic. […] Anal pain can be indicative of: Hemorrhoids, Anal fissures, Abscess, Muscle spasms, Anal ulcers, Skin problems, Sexually transmitted diseases (STDs), Tumors, Fungal infections, Fistulas, Levator Ani Syndrome Spasms (more common in women). […] An Anal Fissure can cause a significant amount of discomfort for the sufferer. A Fissure is a small tear right at the anal verge. Occasionally, medication is all that is required for treatment, but if the problem persists, a surgical intervention may be necessary.

• #39 What Are Monkeypox Treatment Options for Anorectal Pain and Related Symptoms? – Gastroenterology Advisor

  https://www.gastroenterologyadvisor.com/features/what-are-monkeypox-treatment-options-for-anorectal-pain-and-related-symptoms/

  Oral tecovirimat, 600 mg twice daily for 14 days, works very well for proctitis. Symptoms usually improve within 24 to 48 hours and resolve within 4 to 7 days. […] The majority of patients will have self-limited, mild disease and will recover without any medical interventions. Supportive treatment options include pain-relief medications, topical lidocaine, stool softeners, and sitz bath. It typically takes 2 weeks for anorectal symptoms to resolve. […] The natural history of the infection includes an incubation period of 7 to 10 days, viral prodrome of 5 days, and skin lesions lasting for 2 to 3 weeks.

• #40 Anal fissure – symptoms, causes, and treatments | healthdirect

  https://www.healthdirect.gov.au/anal-fissure

  An anal fissure is a small tear or split in the skin that lines the anus. […] You should see your doctor if there is blood on your stool, on your toilet paper or you have pain when you are doing a poo. […] If you have pain and discomfort when doing a bowel motion (poo) you might have an anal fissure. […] If you have an anal fissure, you will have pain with defecating (pooing). This pain can last for up to 2 hours. […] You should see your doctor if: you have pain when you are doing a poo; there is blood on your stool; there is blood on your toilet paper. […] In about 4 in 10 cases, anal fissures progress to become chronic (long term) fissures. If the split doesn’t heal properly, it may cause a small ulcer to form.

• #41 Acute Proctitis Clinical Presentation: History, Physical Examination

  https://emedicine.medscape.com/article/775952-clinical

  Anal and rectal pain […] Rectal and anal pain (may become severe) […] Pain in the lower left abdomen […] Later symptoms of proctitis (occurring months to years after the completion of radiation therapy) include tenesmus, bleeding, low-volume diarrhea, and rectal pain.

• #42 Proctalgia Fugax (Rectal Pain): Symptoms, Treatment & Relief

  https://www.hoag.org/specialties-services/digestive-health/diseases-conditions/proctalgia-fugax-rectal-pain/

  Proctalgia fugax involves having episodes of sharp, cramping pain in the anal canal and anal sphincter. A type of functional recurrent anorectal pain, the discomfort during proctalgia fugax episodes can be intense, but usually lasts only a brief period and then disappears without any lingering discomfort. […] The primary symptom of proctalgia fugax is the sudden onset of sharp, temporary pain in the rectum or anus. This anorectal pain is often described by patients as aching, cramping, gnawing or stabbing. […] The intensity of the pain during a proctalgia fugax attack can vary, but it is often severe. For most patients, the episodes are fairly infrequent, occurring less than five times a year, with patients usually not experiencing pain between episodes. […] Pain from an attack of proctalgia fugax may be intense, but it is usually fairly short. Some people experience pain for only a few seconds, while others may feel discomfort for up to 30 minutes. The pain can be severe while it lasts. After the episode, however, discomfort usually disappears completely.

• #43 Rectal Pain: 9 Causes, Symptoms, Relief, and Treatment

  https://www.emedicinehealth.com/rectal_pain/article_em.htm

  The pain of proctalgia fugax is sudden and intense, usually lasting less than a minute. […] The pain of levator ani syndrome is a constant or frequently occurring dull pain that is felt higher up inside the rectal passage. […] Rectal pain, pressure or throbbing pain may occur with other primary problems like prostate problems, infections or other diseases. […] The prognosis for rectal pain depends upon the cause. […] Ninety percent of anal fissures heal in three weeks. […] Two-thirds of people suffering from levator ani syndrome will get some relief with treatment. […] Proctalgia fugax remains the most difficult condition to treat, but new therapies are being tested. […] Other rectal pain sources like colorectal cancers or prostatic disease have a prognosis of good to poor, depending on the effectiveness of treatments of these potential causes.

• #44

  https://www.ccrsurgeons.com/anal-pain

  People frequently assume that the major source of anal pain is hemorrhoids, in which swollen tissue sticks out of the anus. However, anal pain can result from: […] Anal pain that lasts more than two weeks can be serious. Chronic anal pain that progressively gets more severe is possibly a cancer. […] Progressively over time. This can indicate a thrombosed hemorrhoid, infection or tumor. […] A painful bump that emerges over months can be a cancer. […] Anal pain that does not resolve with the use of over the counter medications within 24-48 hours should be investigated by a physician.

• #45 Anal Pain: What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/symptoms/anal-pain

  In many cases, you can treat anal pain at home. It often goes away within a few days. […] A healthcare provider will ask questions about your symptoms and examine your anus, if necessary, to diagnose the cause of your anal pain. The treatment will depend on the cause. […] You can always consult a healthcare provider about anal pain if you aren’t sure what’s causing it or how to treat it. If you’ve already tried to treat it at home and it hasn’t worked, contact a healthcare provider before it gets worse.

• #46 Anal pain – rectal pain, fissures, symptoms and treatments | healthdirect

  https://www.healthdirect.gov.au/anal-pain

  See your doctor if: your anal pain doesn’t get better after a couple of days, the pain in your bottom is very bad, you’ve had blood in your stool (poo) or bleeding from your bottom. […] Go to your nearest emergency department if you have: anal pain that gets worse, anal pain with a fever 38C or higher, anal pain with anal discharge blood or pus, a large amount of bleeding from your bottom, your stool (poo) is black or dark red, bleeding from your bottom that won’t stop. […] Your treatment will depend on what is causing your anal pain. […] There are things you can do at home that may help ease anal pain, such as: taking paracetamol, taking a short warm bath (sitz bath) to ease the pain you can do this several times a day, putting an ice pack in a towel and placing it where it hurts do this for 20 minutes every 2 to 3 hours, wiping your bottom with damp toilet paper.

• #47 Rectal (Anal) Pain: Causes and Treatment

  https://www.verywellhealth.com/rectal-pain-causes-2328384

  Seek medical attention right away if you have: Rectal pain that is severe or getting worse, Rectal pain with fever, chills, or anal discharge, Significant rectal bleeding, especially if you feel dizzy or lightheaded. […] Rectal pain is often easily diagnosed and managed. At-home treatment may be all that is needed, but be sure to follow the advice of your healthcare provider.

• #48 Signs and symptoms of bowel cancer | Bowel Cancer UK

  https://www.bowelcanceruk.org.uk/about-bowel-cancer/symptoms/

  Bowel cancer can affect anyone, whatever your age, gender, ethnicity or where you live. […] Symptoms can include: bleeding from your bottom, blood in your poo, a change in your pooing habits. You might be going more or less often, or have diarrhoea or constipation that might come and go, losing weight but you’re not sure why, feeling very tired all the time but you’re not sure why, a pain or lump in your tummy. […] If you have constipation, you may find it painful when you go to the toilet, or you may feel like there is still poo that you haven’t been able to pass. […] If you are feeling very tired all the time (fatigue) but don’t know why, it is important to speak with your GP so they can help you find the cause. […] You may have pain or a lump in your tummy (abdomen). If the pain or lump doesn’t go away or affects how you sleep or eat, speak to your GP. […] Sometimes, a tumour can block the bowel. This can cause sudden and strong pains in the stomach area, bloating and make you feel or be sick. This is called a bowel obstruction. You may also be unable to poo or pass wind.

• #49 Chronic anal pain: A review of causes, diagnosis, and treatment | Cleveland Clinic Journal of Medicine

  https://www.ccjm.org/content/89/6/336

  Chronic anal pain is difficult to diagnose and treat, especially with no obvious anorectal cause apparent on clinical examination. […] Chronic anal pain is a relatively common problem affecting up to 11.6% of the US population. […] Such patients may see several specialists, such as a colorectal surgeon, urologist, and gynecologist, and may undergo numerous diagnostic or even surgical procedures. […] Anal pain can conveniently be grouped into 3 main categories, each with individual diagnoses, causes, and symptoms, which provide a starting point for the examination. […] The most common category is local anorectal causes and includes a textbook list of anal conditions that, if persistent, can cause chronic anal pain. […] The key to diagnosis of chronic anal pain is to first exclude specific diseases and then to make a positive diagnosis, which will guide management.

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