CausesBy Mayo Clinic staff
Causes of anal pain include:
- Anal cancer
- Anal fissure
- Anal sex
- Anorectal fistula (an abnormal channel between the anus or rectum usually to the skin near the anus)
- Coccyodynia/coccygodynia (tailbone pain)
- Colon cancer
- Crohn's disease
- Fecal impaction (a mass of hardened stool in the rectum due to chronic constipation)
- Levator ani syndrome (spasm in the muscles that surround the anus)
- Perianal abscess (pus in the deep tissue around the anus)
- Perianal hematoma (a collection of blood in the perianal tissue caused by a ruptured vein)
- Proctalgia fugax (fleeting pain due to rectal muscle spasm)
- Pruritus ani (perianal itching)
- Solitary rectal ulcer syndrome
- Thrombosed hemorrhoid (blood clot in a hemorrhoid)
- Ulcerative colitis
Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.
- Kahan S, et al. Rectal pain. In: Kahan S, et al. In a Page Signs and Symptoms. 2nd ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2009:282.
- Ellis H. Anorectal pain. In: Kinirons M, et al. French's Index of Differential Diagnosis. 14th ed. New York, N.Y.: Oxford University Press; 2005:375.
- Marcello PW. Diseases of the anorectum. In: Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed Dec. 8, 2010.
- Wilkinson JM (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 9, 2010.