Problems tackled: 300,657

Anal pain

Pain coming from the bottom area is not something that we are used to feeling and, as a consequence, anal pain can cause a lot of worries.

What sort of pain is it?

  • A knife-like pain when you have your bowels open, and which may last for 10–15 minutes afterwards, is probably caused by an anal fissure. Some people describe it as like ‘passing glass’. In addition to the pain, you may notice some bright red blood on the toilet paper.
  • A similar knife-like pain can be caused by herpes simplex virus.
  • A nagging, aching discomfort made worse by defecation could be due to piles.
  • A throbbing pain, worsening over a few days, and bad enough to disturb your sleep, is likely to be caused by an abscess.
  • An occasional, severe, cramp-like pain deep in the anal canal, lasting about half an hour, is probably a condition called proctalgia fugax.
  • A continuous aching pain in the anus needs to be sorted out by your doctor. It is most often caused by a back problem (when a part of the spine presses on a nerve).

Anal fissure

An anal fissure is a split in the anal skin, just inside the anus, usually towards the back. The pain of an anal fissure feels like being cut with glass when you have your bowels open and afterwards. It is worse when you have had a hard bowel motion. You may notice some bright red blood on the lavatory paper at the same time. You may be able to feel a small lump alongside the crack; this is a ‘skin tag’.

Anal fissures are most common in teenagers and young adults, and there has often been a period of constipation beforehand. Sometimes they follow childbirth. They usually heal on their own, but this often takes several weeks and the scar may split again.
 
What you can do. Do not feel anxious about the fissure. Although it is horribly painful, it is not a dangerous condition.
  • Avoid constipation – this is very important. Keep your faeces soft by eating lots of bran cereals, fruit and vegetables.
  • Smear some painkilling gel around the area just before you have your bowels open. You can buy a suitable painkilling gel from a pharmacy; they are sometimes labelled ‘for piles’ or ‘for haemorrhoids’. It will prevent the anus going into a spasm, which can make the problem worse. Do not use the gel at any other time, or for more than 1 week, because you can easily develop an allergy to its ingredients. If you notice soreness and itching, in addition to the sharp pain, it is quite likely that the gel is responsible.
  • Warm baths twice daily can help, if you have the time. Put a handful of ordinary kitchen salt into the bath.

How your doctor can help. You should see your doctor if the problem is not improving after 3 weeks. If you feel anxious about this, look at the section on seeing your doctor about an anal problem. For some treatments, your doctor will need to send you to the ‘rectal clinic’ at your local hospital. Some of the treatments your doctor may use are listed below.
  • Glyceryl trinitrate ointment, applied several times a day for 6 weeks, seems to heal the fissure in 60–70% of cases. However, about 50% of the people using this treatment get a headache as a side effect.
  • A gel containing the drug diltiazem is being tried in some hospitals. It can help people who do not respond to glyceryl trinitrate.
  • Some specialist hospitals have been using injections of botulinum toxin (Botox) into the muscle of the anus. Botulinum toxin prevents spasm of the muscle, because it blocks transmission of nerve impulses to the muscle. This treatment is not widely available. Healing rates are about 69–90%, but it needs more research to see how effective it is in the long term.
  • The most common treatment (before glyceryl trinitrate ointment came on the scene) used to be a small operation under a general anaesthetic. The operation is designed to overcome the spasm of the anal muscle. The pain relief is dramatic and instantaneous. In the past, this operation could leave you less able to control wind, but a new type of operation (tailored sphincterotomy) does not have this drawback (British Journal of Surgery 2005;92:403–8).

Unfortunately, the fissure comes back within 3–4 months in about one-third of people treated with glyceryl trinitrate or diltiazem, and in about 40% of people after treatment with botulinum toxin (Gastroenterology 2002;123:112–7). Surgery seems to be the best long-term cure and is effective in about 90% of cases.

Herpesvirus infection

A herpesvirus infection can produce a pain similar to an anal fissure. Herpes can infect the anal area, either spread by the hands from a cold sore on the face, or transmitted as a sexual infection. At the anus, herpes often forms a crack rather than the small ulcers that tend to occur elsewhere. It can occur in individuals who have never had herpes elsewhere. The soreness occurs in episodes, each lasting for a few days. A genitourinary medicine clinic will be able to take a swab to check for the virus if you visit the clinic as soon as an episode starts; if you are worried about the thought of visiting a clinic, take a look at the section on visiting the clinic.

Abscess

An abscess close to the anus produces a throbbing pain that worsens over a few days, and is usually bad enough to disturb your sleep. You may be able to feel a tender swelling in the skin beside the anus, or the abscess may be hidden inside. This is unlikely to go away on its own; it needs to be lanced by a doctor.

Proctalgia fugax

Proctalgia fugax is a severe, cramp-like pain, deep in the anal canal. It usually lasts for less than a minute, but can sometimes last for up to half an hour. Most sufferers have only 5 or 6 attacks a year. You may feel a need to defecate urgently, but nothing happens. It may even make you feel dizzy, or give you a headache. It occurs in both men and women. The pain often wakes sufferers at night, and men may have an erection at the same time. Some men experience it after sex. It is a mysterious condition; no one knows what causes it, but it is probably a spasm of the rectal or pelvic floor muscles and does not mean that you have anything seriously wrong. There are various methods of relieving the pain.
  • Try putting pressure on the perineum (the area between the back passage and the vagina or base of the penis) by sitting on the edge of your bath or on a tennis ball.
  • Sit in hot water or, alternatively, apply some ice.
  • Two paracetamol tablets and a hot drink may give some relief.
The problem with medications for proctalgia fugax is that the episode is likely to be over before the drugs become active. They might be worth trying if your attacks last a long time. Possible treatments are glyceryl trinitrate spray or under-the-tongue tablets (as used for angina), glyceryl trinitrate cream applied to the anal area, or the asthma drug salbutamol (inhaled from a puffer at the start of the attack). These treatments are only available on prescription, for which you would need to see your doctor.
 

Written by: Dr Margaret Stearn
Edited by: Dr Margaret Stearn
Last updated: Friday, February 26th 2010


Useful contacts for anal pain

Click to see all the contacts that you may find useful in relation to anal pain


Tell us your thoughts

Did you find what you were looking for?


Add a comment

A problem shared is a problem halved: help others by sharing your frustrations or successes at tackling your health problem.

We have noticed that many of your queries are answered on the website, so please search for your problem before submitting a comment. As all comments are moderated, there will be a delay before your comment appears.

Discussion content reflect the view of individual participants only. Health Press bear no responsibility for accuracy of participant comments and will bear no legal liability for discussion results. Comments will be moderated before posting and Health Press Ltd reserves the right to delete any material.


Comments on this article

Posted by Optional on 20/03/2010 at 11:40:01 am

I have been suffering with what I found out after reading this article is Proctalgia fugax since my teens. One thing I don't understand is why the attack almost all ways happens at night. I really happy to finally get a name for the condition. I have been to the Dr's a few time (when I have the gotten up the courage) and each time he has said its piles. I have always dimissed this as the pain would be there all the time. What is discribed above sounds exactly what has been happening to me. Its also good to hear that other people suffer with the same condition. I just take ibrofen but reading the article the pain probably goes before the tab has worked. Thanks for the information

Posted by Optional on 18/03/2010 at 06:47:48 pm

Had a colonoscopy today.....I don't have the report yet..but the doctor made a comment that he couldn't get around the corner.....he said he tried and tried......wondering does he means?

Posted by lalit on 18/03/2010 at 04:56:46 am

i m felling intense pain after sex ,after doing sex i m just not able to do anything .wannna to know is it a sex problem n if yes whats the remedy for this.....

Posted by Optional on 17/03/2010 at 10:53:30 am

Proctalgia Fugax. Once I read the symptoms I knew immediately that this is what I've been suffering from since my early 20's. It was excruciating when I was younger. I would get extremely dizzy, and break out in a cold sweat, nearly passing out. Doctor just told me to stop eating processed food (Which didn't help.). I'm 28 now, and the pain happens a little more frequently, but is typically not as severe. I usually keep maximum strength Acetomenafin on hand where ever I go though, and take it immediately at the first hint of that dull ache in the rear. Incidentally I don't get woken up from it as much at night as I used to. Now it more often happens after I have a bowel movement, or during sex. Occasionally I pre-empt either activity with some pain reliever, and that is enough to make it bearable.

Posted by Proctalgia Fugax - Relief on 14/03/2010 at 04:38:06 am

Proctalgia Fugax Finally a name - and know that others suffer from this. EXTREME PAIN. Lasting 15-30 minutes with nothing relieving the pain - I tried aspiring/ibuprofen/baths/showers. Onset with puberty, often after sex or at night (probably erections) or even during the day. (Not easy sitting in corporate meetings during episode). Gave up on asking Dr. about condition as they treated me as if I was trying to expose myself or get a proctal exam. Less frequent as I've aged. Best relief found was when during the onset of the condition I was receiving anal sex (exploring in my 30's). IMMEDIATE RELIEF. Also had a very marked decrease in episodes even without any further sex of this type. I suggest keeping a vibrator handy (with lube). Some might laugh, but dammit it hurts!!!

Posted by Optional1 on 12/03/2010 at 09:26:51 pm

For the past 3 months I have been noticing that my stool is not as big as it used to be. Sometimes it looks like its being flattend by something. More recently I am feeling my anal muscles tense at every night... is that a symptom of anything?

Posted by Optional on 12/03/2010 at 01:49:47 pm

ive had this sore rectom for 2 days now i do suffer with piles how ever i dont think its that this time as they av not come out it realy burns after ive bin for a number two and stings and if i squeez but cheaks its hurts i av put emeriod cream on tho just in case it is them but some how i dont think so this timei av had a back broblem and had to take senna to go for a number two and some times add to push so im confused to wot is causeing my sore rectom to be sore hope you can help thanks

Posted by Optional on 11/03/2010 at 01:23:39 pm

I go to the bathroom and I strain hard but nothing happens.My rectum is very sore.It was 2 days before I went to the bathroom and I tried so hard and all of a sudden I had a large amount of stools come out and it really hurt and my hemoroids got very big.I went to the bathroom many times today but nothing happened.I wish I knew what was causing that.

Posted by bill on 07/03/2010 at 01:27:36 am

Hi, just wondered what this might be. I lift for a job, and sometimes , more often than not, when i turn sharply, i get a sharp pain in my back passage. it only lasts a second, but is a sharp pain. It has gone on for probably six months aprox, and is quite annoying now. Also when i play 5 a side football, if i turn quickly, the same happens. I also drive long distances, and have a dull aching feeling not in my testicles, but the space between them and my back passage, could the two be connected .

Posted by Optional on 03/03/2010 at 09:23:37 pm

Proctalgia Fugax THANK YOU! I cannot believe there is an actual name for this condition!!! For years I get this pain, and yes maybe only a few times a year but when it happens I feel like I'm not going to make it and then just as fast as it came.... It's gone!! My sister, my husband, my girlfriends, no one understands when I try to describe the pain. I'm so glad I'm not the only one who has experienced this. I just experienced one yesterday and I decided to finally do some research on it to try to get to the bottom of it, no pun intended.

Posted by Optional on 01/03/2010 at 11:50:38 am

well my problem happen at night i was feeling fine but then i had to go to the bathroom to poop and then i felt this pain and i saw the toilet there was blood bright blood when i also wipe just bright red blood and i still was holding my poop but after i when to the bathroom again and take a poop that look normal and no blood come out either what can i have it it something serious

Posted by Sherlock on 26/02/2010 at 07:43:03 am

Anal pain just inside the sphincter muscle. Been there 4 weeks now. It also occurred 2 months ago; woke up at night with sharp pain, had to get out bed and bend over to relive. Dr gave me Anucort suppositories as he said I had internal hemorrhoids; it was like 'magic' as all pain went away. Now its back and hasn't left. Dr says I need a colonoscopy. I want the immediate issue treated.

Posted by Optional on 25/02/2010 at 08:00:11 am

my buthole has been hurting so I looked an it looks like a big chunk of skin missing an it bleeds an hurts quite a bit. or when I sit for a long time it hurts bad what could this be getting worried an I don't want to go to a doctor

Posted by Optional on 24/02/2010 at 11:11:35 pm

hi iv had constipation alot for most of my life, for teh pat 4 motnhs iv had bleedin from the anus and icthyness, iv just noticed that it feels like a small bump on my anus and it hurts. i am not sexually active so plaese help?

Posted by Optional on 22/02/2010 at 07:03:33 pm

I'm hoping someone can help me, i have anal pain when passing faeces Every time, there is always blood attached to the end of the stool, and it is almost like my hole is sealing itself, the stool has to stretch and what feels like split my hole just to pass, i have used clean hands to feel around and there are small lumps and what feels like scar tissue.i dont have piles, it is more painful than that im sure of it!

Posted by THE BUTT PAIN on 22/02/2010 at 01:15:44 pm

My brother and I have talked about the "BUTT PAIN" for several years now. It is one of the most painful experiences that anyone will face-Everything stops and you feel better off dead. I finally found out that it's the FUGAX. Let my bro know and now we have fun by saying that the Fugax will be creeping up on you soon. I've passed out twice and get it around 5 times a year. It get's me in my sleep, at work, or when I'm driving. When at work, I lock myself in my office for an hour or so. I have found that the best way to get rid of it is to walk around. Staying still is almost the worst but walking works better for me-however, it's not easy to walk at first and feels like you're going to fall over. All my fellow Butt Pain people out there, I feel for you-I don't know what all of you do, but what I do know is that soon, the Fugax will be around the corner creeping up on you :)

Posted by Optional on 20/02/2010 at 12:21:02 pm

Ok, I'm smoker, no allergies, never broken any bones but I do suffer from back pain from time to time. My issue: for the past couple days I have developed a "hard lump" that seems to go from the scrotum to the rectum. The sharp pain is getting to be unbarable. Now this is the second time it's happen. Last time I think is was a cyst cause it bled for a short time and then stopped. But since the lump is hard I'm hopping it's not a tumor or even cancer! How can I make the pain go away! Thanks.

Posted by Anonymous on 12/02/2010 at 11:32:00 am

for some time now i have been havein pain from my anal and a lump comes out what should i do

Posted by Anonymous on 10/02/2010 at 11:52:00 am

Ive had Anal Fissures and IBS for 10 years now. Mine are chronic and painful nearly everyday. Ive seen many Drs and tried lots of remedies. The razor sharp pain can only really for me be eased with vaseline. Ive had sprays, creams, gels etc and its always back to good old vaseline. Its soothing, eases itching and pain. I can also highly recommend movicol. It works major fast although can cause stomach pain for a very short time. I have it prescribed and take one sachet twice a week when I feel bloated or in pain. Its amazing and stops the razor sharp feeling and cutting. Hope I have helped.

Posted by christina brown on 08/02/2010 at 06:30:00 pm

i cant feel my feet i have got piles i am wondering weather or not it is sitting on a nerve and affecting my legs and feet been to see just about everyone about it any surgestions i would apprecaite it any feed back would help me.

Posted by Anonymous on 06/02/2010 at 08:01:00 pm

me and my boyfriend tried anal sex and after it it hurt then slowly it started going away..then a week later he put his finger in n the next day it started hurting alot..it feels like someone is hammering my anal crack..is this normal?can it heal alone?

Posted by Anonymous on 06/02/2010 at 03:33:00 pm

I have severe anal pain exacerbated by bowel movement ONLY when I take an antibiotic for another issue, ie tooth infection, etc. My stools do not change consistency. Can the antibiotics change the bowel fluora and create this severe "passing glass" feeling? Doctors can't give me answers. It is very predictable and I avoid antibiotics unless absolutely necessary.

Posted by Jimmy Chacko on 03/02/2010 at 09:44:00 am

Hello For last 2 days there is a pain in my anus while passing the stool and i noticed that there is blood coming. Please advice what is the problem.

Posted by Anonymous on 02/02/2010 at 02:23:00 am

just woke up in the middle of the night with severe pain, not the first time this happens, had to browse through the internet for a while until I found this site and information. Finally I have a name for the condition and I also learned a lot from the comments of others. Thank you. I have found it bad to lay down during an attack, and best to take a walk, I have not tried to put pressure yet though.

Posted by Anonymous on 01/02/2010 at 04:35:00 am

I had anal sex a few weeks ago. and ever since then I cannot pass a stool correctly. It's doesn't hurt to pass the stool, it's just hard to get it out. So, hard that my tummy is beginning to hurt. Please help. Anyone had this problem before. How can I fix it?

Posted by Anonymous on 30/01/2010 at 10:14:00 pm

for the anal fissure, there is ointment the can be prescripted too by a doctor which helped me

Posted by Anonymous on 26/01/2010 at 08:23:00 pm

is there a relation between anal pain and chest pain particularly around the heart

Posted by Brenna on 24/01/2010 at 10:23:00 pm

I have what feels like skin tags in the opening of the rectum. and paper cutt sores between my rectuma nd vagina. it hurts to urinate. i wake up in the morning covered in sweat. im nauseated sometimes. idk what to think or do

Posted by Anonymous on 24/01/2010 at 07:02:00 pm

I think this is what happens to me it has happened 2-3 times in the last 6 months but always when im in the middle of a 1-2 hour walk/day trip really annoying and cant tell anyone cause is embarrassing so just usually say i need to go to the toilet but by the time we reach one the pain has gone, i just try to keep saying in my head the pain will stop.. am glad to read its nothing serious and hopefully wont worsen.. I have had my gallbladder out the pain is not as bad as gall stones..

Posted by Whats this now on 24/01/2010 at 07:01:00 am

Im on my period and so not sure if thats why this is happening, but Im 30 darn yrs old and it never happened b-4,this evening I started having a pain in my anus so bad that I wanted to fall on my knees(as I was standing)but I was in too much pain to move, went to bed and the pain was coming each time I try to pass gas, excruciating pain I mean. Went to the bathroom thinking I need to take a dunk,but knew It would be TOOO painful to really do it, and anyways-nothing. Each time pain lasts like less than or a little over a minute. It feels exactly like someone is violently stabbing me in my bum, that sounds gross I know, but thats what it feels like-

Posted by Anonymous on 23/01/2010 at 07:50:00 pm

have been on diet but not managing toilet very good when i do go there is bright red blood in toilet and when i wipe my bottom. none at other times this has happened a few times now should i be concerened

Posted by Anonymous on 23/01/2010 at 09:44:00 am

Just recently I started to have severe anal pain! I don't know what's causing it! It hurts to sit and it feels like I'm crapping razor blades when I have a bowel movement! So to avoid that pain I started making myself throw up so I won't need to have a bowel movement! But I'm still in serious pain! I wake up in tears that how bad it is someone please help!

Posted by ritika on 18/01/2010 at 04:20:00 pm

I had knife like pain inmy anus and got a gel to put on it ,aslo took hot water bath for 4 days and its completely fine now. But i want to know can this come back again?what can prevent this happening now again ? what is the cause since I never had constipation?

Posted by mat on 18/01/2010 at 03:35:00 pm

so basicly i have a male orgasom ??? im guna get checked to make shore

Posted by anus feecal on 16/01/2010 at 02:48:00 am

Ouch, that's gotta hurt!

Posted by William on 15/01/2010 at 11:29:00 pm

Occasional sharp pain in the anal area, feels like a needle jab. I have had Prostate Cancer for about five years.

Posted by william on 12/01/2010 at 09:40:00 am

i how this pain in my anal for a long time and cant find out what causing it can you help me

Posted by sk on 12/01/2010 at 08:17:00 am

my anal pain has lasted for twenty years without healing.whenever I pass out there is fresh blood on stool.please help.

Posted by No more pain on 04/01/2010 at 05:14:00 pm

Reading all your pains and conditions....Let me tell you all my friends.... all this problems that you are having have a very simple and fast solution. I has once a horrible pain that was afecting my rectum and surroundings, the end of my spinal cord and would go all the way to my lower abdomen. A few days before I had been constipated and strained myself. That was the big problem, I got some hemorroid. It was not too much but enough to caused me lots of pain. I decided to go to the doctor, she prescribed Proctozone-HC 2.5%. Went home and applied. I can not describe the pain I got, I thought I was going to pass out!!!! I had to take a warm shower and remove all the cream. I searched the internet for homeremedies. And the solucion was so simple, I tried and inmediately I felt this huge relief...trust me it was so nice to feel miself again. Ok,here we go...this is what I did...and believe me ... your pains are going to go away very soon depending on the severity of your personal case. First, start right away with a diet of bananas, lots of liquid, cereal, fruits and vegetables.... avoid cheese, red meat,chocolate and spicy and bulky food..Do not worry...if this diet sounds too strict for your... you will not have to do it for long.... it is just to solve the immidiate problem... Your stool have to became soft so you do not have to strain yourself and your bowels get the time to heal and recuperate. Second: if you have an anal fisure or hemmoroids....get some 100% Aloe Vera gel or better get a real aloe vera leaf and peel it and apply a piece of this yelly leaf on your anus and hemmorroids and hold it with a small gauze. Try to change it often.... if you have to go to the bathroom, wipe yourself with a toilet paper with aloe vera gel on it. Nothing else and make sure to leave your behind really clean. If you follow this, you should be able to go to the bathroom with no pain in 2 days. Your stools should be very soft, not diarrea. Keep on eating soft

Posted by Anonymous on 03/01/2010 at 10:50:00 pm

Both my partner and I suffer from this - anal spasm - always at night and for about 30 mins. Nothing seems to relieve it so I try to ignore it as I now know it is quite common and not a symptom of anything serious.

Posted by Slim on 01/01/2010 at 03:57:00 pm

Recently diagnosed w/ Proctalgia Fugax. I am experiencing these cramps of the anal muscles and they drive me crazy. I am screaming and hitting the wall of the bathroom when they occur. Doctor says to try the medicine Hyomax 0.125mg has anyone heard of it? So far this really sucks. Is there a support group somewhere for this? I am experiencing these symptoms off and on now for 2 weeks.

Posted by Anonymous on 27/12/2009 at 02:24:00 am

I have not been able to make a normal bowel movement in a long time. Recently i couldn't make a bowel movement to save my life. It felt as though something was blocking my bowels from passing through. So i took it upon myself to take some Castol Oil, a few hours later i had blood come from my rectum i believe, i know that it was'nt my period because i tossed on a pad and checked it later no blood insight. So since the Castol Oil did not work i went to go buy some health plus colon cleanser. I only took it for a couple of days because it doesn't taste the greatest of course i can't expect a high fiber cleanser like that to taste like koolaid or anything, it's just i don't want to take it any more. I Forgot to mention when i do make a bowel movement it takes the shape of rabbits droplets, and i always strain and it is painful at times to make a bowel movement. It's crazy because i went through all that straining for only one or two droplet to come out. Now on to my other problem that i have been experiencing yesterday an today. I tried to make a bowel movement yesterday and this really sharp pain occured on my left side of my pelvic area right where my fallopian tube is. The pain stretched from my left pelvic area to my left side and back. It hurts when i stand up or lay on my stomach. I have mucus discharge in my stool, and my anus even without making a bowel movement. It is alot i know i just hope that someone can give me feed back on this situation. I want to know if this may sound serious to the point i need to get medical attention, or something that i can pick up at a store to help relieve this problem. I don't have any health insurance, but if i have to get medical attention i will. I would appreciate any advice that could be given. Thank you!

Posted by Anonymous on 26/12/2009 at 10:11:00 pm

i am swollen between my vagina and my back passage,its bery painfull to go to the toliet and has bleed a little

Posted by Anonymous on 25/12/2009 at 01:17:00 am

Hi, I have pain in my anus after I have a bowel movement and it feels as if my anus remains open for a day after the movement. I feel uncomfortable to sit. Even though I clean and wash properly, I have a shit smell in my ass when i exert myself, for example in the gym? Any ideas what's going on?

Posted by corriie on 24/12/2009 at 10:48:00 am

I have had problems with anal fissure on and off since I was 14. The only thing that helps me at all is a hot bath several time a day. But wouldn't you know it, so many baths makes my tendency for bladder problems show up!! Double whammy! Try citrucel, hot baths and stool softeners and time. That's all that seems to work for me.

Posted by Anonymous on 21/12/2009 at 06:23:00 am

People here may benefit researching kundalini

Posted by Anonymous on 20/12/2009 at 08:27:00 pm

I have had Proctalgia fugax for over 20 years. It took 10 or 12 years to get to the root of the problem. The pain had been so severe at times that I have passed out. Fortunately 90%+ of the attacks have been noctournal. In the past my main efforts for releif have been 3 asprin and 3 Ibuprofen back to back and an ice pack with lots of pressure on the perenium. Marijuana has offered some relief. The intense urge to defacate or ejaculate is usually present and neither seems to offer any significant relief. Sometimes the pain is so intense that suicide has been a thought as reoccurence is in the future. The most relief came at the diagnosis, as I then knew it wasn't a life ending disease. At this point my main line of defense is Xanax at the onset or as a prophylactic measure when early in the day I sense that it may manifest. At points my suspicion of cause has wandered from pants that were too tight to dehydration or constipation. When my main physcian tried to help me get to the root of the issue it took about 18 months of various diagnosis before the true problem came to light. I was never so relieved in my life as then, when the true nature of the condition was exposed. I hope that my input may help someone else deal with the concerns of the condition.

Posted by dan on 20/12/2009 at 06:50:00 pm

Pain in right side of anus with burning/hot sensation which is worse after prolonged sitting and the symptom also includes bowels not feeling empty during the day as well as wanting to pass urine frequently. I have been on ofloxacin for several weeks- but no relief.

Posted by christina brown on 19/12/2009 at 09:44:00 pm

i suffer badly with sitting down i have had a courtozone injection but it still hurts dont know what else to do sometimes i cant feel my feet i hsave seen a nuroligist had a vaginal hysterectomy in 2006 and six months after that all this started.

Posted by anne on 19/12/2009 at 02:57:00 pm

I have had problems with anal fissures since April 2009. Was referred by my GP to a local hospital specialist when things didn't improve after six months. When specialist discovered I hadn't got bowel cancer gave me an emergency telno and wasn't interested in the fact that I have terrible pain if I have any constipation and quite a lot of pain if I have diarrhoea . I am also hypothyroid, and unless I do 40 minutes + per day at the gym gain weight. With my anal fissure problem, I cannot manage my gym work out; have revised it but even so have gained 14lbs in the past three months. The only way I can kill the pain is to take pain killers with alcohol; I know it is dangerous but it is the only way I can kill the agonising pain. Can ANYONE HELP ME, PLEASE?

Posted by joe on 16/12/2009 at 05:35:00 am

this has been a problem for me since i was in my early 20s. it was hitting me hard about 5 times a year. the pain was unbearable, it would pulse like a slow heart beat. it would hurt enough to wake me up then slowly increase till i threw off the blankets and walk like a injured penguin to the bathroom. i sit down on the toilet but i really don't have to make a movement and the pain just gets worse. i would sweat, feel dizzy and feel close to fainting. i did find shooting warm/hot water at my anus somehow relieved the pain. i don't know what child birth feels like but seriously this has to be close. the pain level seemed to have lowered as i aged but actually increased with frequency. at the first sighn of discomfort i take 400 mg tablet of ibeprofine and i chew the damn thing because i want it to take effect quickly. this condition is definately a pain in the ass. i have had 2 water skiing accidents that slammed my ass into the water with a nasty pain and i wonder if it has something to do with it. insta enemas hurt bad.

Posted by Anonymous on 11/12/2009 at 01:33:00 am

I swear this is what i have. I get it 5 to 6 times a year just like it says and it is a very bad pain in your anal area. I grab the base of my penis to try and ease the pain. I move back and forth to try and ease the pain as well. I sure wish there was a cure for this as i feel i suffer from this pain and just want it to never come back.

Posted by billy on 09/12/2009 at 08:32:00 am

i have suffered with prctalgia fugax since i was 20 .when i was younger it was more sevier. i would pass out at times . the best releif i had was when i put a supositry in my anus. can tell me if anybody els has tryed this . billy

Posted by Diamond on 03/12/2009 at 06:40:00 am

Proctalgia fugax! I am so glad to know what was happening to me. It is a very bad pain that wakes me up sometimes. I have noticed when this happens it is usually triggered by sex and orgasm. I have noticed that one of my testicles is higher than the other in the scrotum. Here is what I do to relieve this pain. this is a little embarrassing but here goes. 1. Hot water directly on my anus usually helps right away. 2. The other thing I do is try (and this is really difficult) to have an orgasm it really does help. My pain began about 30 minutes ago and now its gone. There is one more thing my Proctologist recommended. 3. Get more Zinc in your diet. He told me to take a supplement of Zinc it worked I got better. I was worried that this was a symptom of some major medical condition it is reassuring that it is not. I hope this helps someone out there. Just know that your not alone which for a while I thought I was.

Posted by Anonymous on 02/12/2009 at 12:10:00 am

i have a pain in my anus and i have diarrhea, it hurts so much when a pass stool and theres is always bloodin it and it looks clotted and dark also there is bright red blood that just drips out. sometimes there is no poo just clotted blood and it hurts so much just like a knive cutting me inside. i have been to the doctor and going to the hospital to get a colonoscopy but thats not until Jan 4th 2010.

Posted by star on 28/11/2009 at 06:51:00 am

i had tyried anal sx with my partner but it hurt me alot.my partner was going alittle to fast for my first time imediately i told him to stop because of the pain. i went to the restroom i was bleeding after that i've been having small pains and hard timees having bowel movements sometimes it realy hurts having bowel movements that just cant take it.

Posted by Anonymous on 09/11/2009 at 06:06:00 pm

i have bleeding even when i go pee i just drip

Posted by rj on 09/11/2009 at 02:03:00 pm

My mother has PCOS, i have had many tests but they tell me they cannot treat me until i have 10 cysts on each ovary (i have 8). i am in severe discomfort but now have serious pain in my bottom, my mother had the same. any one in same position? i am very worried and very uncomfortable.

Posted by nat on 05/11/2009 at 01:19:00 pm

well i have a 4 yrs old son and ive never had problems till 2 and a half years ago, i've been rushed to the hospital twice for blood loss from anal bleeding, with no symptoms no pain and no answers i attended a colonoscapy appointment, only to find nothing, te doctor said all was fine, however now, 6 months from my colonoscapy i have a throbbing pain in my anus and it occurs probably 4 even 5 times a weeks, it hurts most when i sit, it throbs and is quite painful, it even feels like i have a sorta streached bottom, as in closest to my baginga how your bottem makes a like <> shape feels like one of those v's are streatched and really sore but no blood since my last episode, i've been to a doctor since and they try to tell me i have an anal infection so they prescribed me with antibiotics and hameroid cream for the pain, however nothing has worked so far, the cream does nothing, it hurts so much and i just wonder if anyone has a similar story or problems, thanks nat

Posted by maria on 29/10/2009 at 07:58:00 am

i did anal sex since that i had anal pain ...what i have to do to get off it

Posted by Heather on 23/10/2009 at 05:28:00 pm

My pain doen't fall into any of these catgories exactly. I have a sharp stabbgin pain that shoots from inside my anus and straight up. The pain lasts only a few seconds, and has occured when NOT defecating as often as going to the toilet. Its never happened when sleeping, usually when standing or sitting. no desire to defecate accompanies the pain. I've had the pains for over a year, but they arent a daily, or even a weekly occurance. They don't necessarily follow menstruation. Do you have any ideas? I appreciate the help

Posted by sarah on 23/10/2009 at 02:22:00 pm

I`ve been feeling this pain/pressure/burning in my back passage for about three weeks now. Been to the doctor`s and at first he said it was just a pain in the bum and I shouldn`t worry too much as it woukd go away by itself. Prescribed scheriproct and nurofen. None of these worked and after a few sleepless nights I went back and my GP says I have an anal fissue that he did not notice the first time (?!?). This time prescribed co-codamol and ibruprofen and glyceryl trinitrate ointment. ATM I`m very dizzy as the ointment gives a wicked headache as side effect but the pressure in my back passage is still there no problems with bowels movements..if anything it makes me feel better. Other things that help...walking/standing up and hot baths. Does anyone have the same symptoms? Searching other websites I came acrosas a condition called levator ani syndrome....and the symptoms are similar to this

Posted by Anonymous on 22/10/2009 at 10:08:00 am

Hi, I have a anal fissure since a bad birth delivery of my child. It has been 15 months of horrible pain, i tryed everything and the split keeps coming back. I seen my doctor today and got a referal to get anal surgury. I am really scared and i don't know if i should do it?? Anne

Posted by Anonymous on 16/10/2009 at 11:48:00 pm

I have an anal fissure and it is the most painful thing I have ever experienced. All the ointments I am using are not working, I have not slept in3 days, HOW CAN I GET THROUGH THIS PAIN and how long will the pain last before I feel better.

Posted by Raj on 15/10/2009 at 12:02:00 pm

i have perianal abscess and done drainage of it. How many days/ weeks required to heal the same?

Posted by bob on 05/10/2009 at 01:16:00 pm

i have ha a very itchy anus for the last 2 weeks and it is started to develop into a sort of lump at the bottom of my anus hole. is this caused by Thread worms or is if just a mild infection of some sort?

Posted by Gemsdiamond on 04/10/2009 at 09:22:00 pm

My anus area becomes very sore after going to the toilet. It sometimes has a small tear but always feels raw and sore. The pain depends on the amount of times I have gone to the toilet; cleaning the area with clean water doesn't make any difference to improving the pain. I have been tested for allergies so it is still a mystery as to the cause.

Posted by mark on 27/09/2009 at 01:56:00 pm

the pains that i get is like a very sharp pain in anus and shoots half way up my spine makes me jump right out my seat last fof about two mins happends every coulpe of days

Posted by H on 23/09/2009 at 08:52:00 am

Something New To Add: I have had a problem for many years. It usually occurs in the middle of the night, my anus is in pain and i have an erection. I try and go poop, but nothing happens. If i push it might give me a hemroid or two. so usually i have had to wait it out. the erection goes down right away but the pain stays, then usually after 20-30 minutes I am able to poop and it is usually a couple small little pellets sometime covered with a clear liquid. then after a couple minutes it would be fine. Recently once the pain occurs i go to the toilet and stick my finger in the hole. i notice the opening to be real tight for about 3/4 inche, after gently making my finger through if i feel around the soft tissue i can usually find a small poop pellet which i can help pass through, i might even force any poop in the anus. almost imediately the pain goes away. I am starting to think it has a lot to do with what i eat (for example this time it was sunflower seed shells i had chewed. or other items). Anyways i was awaken tonight same pain, reached in removed, and feel much better. hope this helps.

Posted by Fred on 22/09/2009 at 12:51:00 pm

My anal system herts me prety bad can I please have more info about how to get better. thk's

Posted by nic on 21/09/2009 at 01:26:00 pm

I ended up having anal fissures after having my son, which I think was caused by not eating healthy enough food (You just don't get chance looking after two children!) The pain was absolutely excruiciating, to the point where I sometimes wished my life would end. However there is hope, i went to my doctor who prescribed fybogel and suppositories and ointment, which worked at first but then stopped having any effect so I went back to the dr and they sent me to see the consultant who gave me a stronger ointment. This is working but it is a long drawn out process, but there is help so see your dr straight away!

Posted by akash on 17/09/2009 at 12:36:00 pm

i got anal warts abt 7-8 months back and getting treated with TCA..prior to that i got anal fissure that was treated by a surgeon..but now my warts problem still persists and at the same time i am having pain in the anal region that sometimes radiates to my buttocks and thighs ..i hope its not something serious related with warts..there is no bleeding .at times i get a severe pain in the anal canal while defecating that persisits for abt 5-10 minutes..wht could be the possible cause of that..has it anything to do with warts or fissure..i hope both are not augmenting each other or one augmenting other

Posted by Julie on 26/08/2009 at 03:59:00 pm

I have just been diagnosed with this condition. The attacks I get usually last 20 minutes or more and are excrutiating. The pain makes me feel sick and faint. My Dr prescribed a salbutamol inhaler which, although it didn't alleviate the pain it did seem to shorten the attack.

Posted by tounoujou d j on 17/08/2009 at 09:49:00 pm

I has a pain in my analislook likecramp

Posted by EDWARD on 12/08/2009 at 02:33:00 pm

ARE GAYS FEEL PAIN AFTER 1ST TIME SEX AND HOWLONG AFTER THISHAPPENED?

Posted by Anonymous on 09/08/2009 at 03:46:00 pm

i have had a knife like pain in the anus region for almost 8 years .it occurs every so ofthen then goes but comes back a few days or a few weeks or monthes. what could this be ?

Posted by Anonymous on 07/08/2009 at 06:08:00 am

I have been concerned about the infrequent pain I was having. After reading this page I find the symptoms to very closely match Proctalgia fugax. I must say I am relieved to finally have a name for the problem. However one thing I always noticed when having the pain, that I have yet to see mentioned, is that the pain is very much like when you accidentally hit your tail bone such as when you sit on a seat belt buckle in a car. It is most cerntanily a intense pain but has a kind of tickleish quality to it. Sorry but I can't think of a better way to describe it. Would anyone else with this condition describe the pain like that or in a similar way? P.S. Assuming Proctalgia fugax is what I have the only relief I have found during an attack is what was listed above about using medium pressure on the perineum. I find that sitting on something hard such as a wood chair (without padding), edge of bed, bathtub rim, etc and letting the weight of my body push down on the rectal/perineum area helps attenuate the pain, albeit not much, but it does help make the attack more tolerable. Good luck to all with this problem, at least it's not anything thats life threatening, just really really unpleasant.

Posted by kamat on 05/08/2009 at 06:48:00 pm

Very Informative and Helpful...Much appreciate if you can provide Medical Advise Line Number in UK for such specific problems... Thanks

Posted by Anonymous on 04/08/2009 at 03:31:00 pm

Hi, I noticed anal pain with working such as lifting, etc. Sometimes there is a quick pain like a spasm but a lot of the time it's more when i'm exerting myself, I can feel pressure. I have no bleeding, it's just painful and feels pressure after being on my feet for a while. It feels like a hernia. I have a hiatal hernia and sometimes that spasms. I'm really scared of cancer and made an appt. which they have refered me to a rectal clinic. My appt. is in 2 weeks so in the meantime i sit and worry about all this. I might add that i have no pain when i'm sitting or in bed. Does anyone have familiar symptoms? Please let me know! Thanks.

Posted by Donna Turner on 01/08/2009 at 12:46:00 am

I have been having bad burning after each bowel movement. Sometimes it burns when I don't have a bowel movement.It appears to be red around the anal.I have been having this poblem for a few months now.

Posted by Sarah.L on 22/07/2009 at 04:02:00 pm

Hi there :). I suffer wit Irritable Bowel Syndrome (As if i need 2 go into detail as 2 how horrible it can get!). I find that my anal area never used 2 sting. The pain started about 4 years ago, but i don't think it's from herpes, as i'm still a virgin. Needless 2 say that these anal pains have put me off EVER wantin anal sex. I get this pain every 4 weeks. I know it's tellin me i'm constipated, but omg it stings like an acid burn. It feels as if sum1 is puttin a knife up my bottom. Thats how bad it hurts! Y r we expected 2 live normally? Dr's get annoyed, and then so does the patient, the patient loses all hope. I wish there were easier ways 2 rid of these pains.

Posted by Anonymous on 22/07/2009 at 05:19:00 am

I had an anal fissure after giving birth to my son. It was the 2nd worst pain I have ever felt in my life. As soon as I thought it was healed it would rip back open. I took stool softeners everyday for 2 weeks at the direction of my doctor and it healed me up.

Posted by SARAH on 19/07/2009 at 02:14:00 pm

I GET ALOT OF PAIN FROM MY RECTUM AND VAGINA IT WAKES ME UP SOMETIMES AND IS VERY UNCOMFORTABLE AND MAKES ME WALK LIKE A PENGUIN IS THERE ANYTHING I CAN DO

Posted by Anonymous on 16/07/2009 at 07:18:00 am

i had anal sex for the first time with my boyfriend. it did hurt at first but he used some lubricant and it felt better. now i have some kind of sting in my anus when he trys and even i have back pains sometimes. i want to know what's going on.

Posted by Michael on 11/07/2009 at 09:39:00 am

Proctalgia fugax I have been experiencing this form of cramp together with leg,Jaw and stomach cramps since in my 20 s. I have found that the only form of releif comes after taking 2 x 750mg oh Hexopal tablets. The Anal cramp brings on severe dissiness and I feel that I am passing out with the pain. Unfortunatly I live in the UAE where this is not a prescribed drug and we can therefore be put in prison for just having a single tablet in our possession. I am looking for a remedy because of the restrictions in force here and also the cost of 85 Ponds stirling per 100 tablets. Please can you advise.

Posted by tinkerbell93635 on 26/06/2009 at 05:36:00 am

i feel pain from the anus opening to my gut and back , i feel as if i'm in labor and i'm passing neddles ,i have to grasp on to the walls in the bathroom , can't speak , hard to breath , and it's so painful ,

Posted by Sadie666 on 17/06/2009 at 04:54:00 am

i cant really find anything to what is wrong with me, i been having a stinging pain there for the past day or two, it wasnt that bad, i kept trying to get comfortable but today i felt a big oval shaped lump, when i checked there was something black under a thin layer of skin,it will randomly strat a painful stinging, its freaking me out and i dont know what it is, if anybody has had this plz tell me what it is.

Posted by GVSRAO on 15/06/2009 at 05:05:00 am

past two days i m facing this problem thanks for good advice. you really solved my problem.

Posted by Anonymous on 13/06/2009 at 10:42:00 am

For proctalgia fugax pain... mine lasted for an hour or more at times.. My Urologist provided a script of Darvoset to ride out the pain which is very intense... rivals kidney stones... I did not want to use the pain relievers ... I have now found that using a vibrator or vibrating massager helped tremendously to relax the muscle in question... The Urologist likened it to a charley horse in the spinchter muscle...

Posted by anmoymous on 06/06/2009 at 04:03:00 am

i had anal sex for the first time with my boyfriend. it did hurt at first but he used some lubricant and it felt better. now i have some kind of sting in my anus and even i have back pains. i want to know what's going on.

Posted by Anal Charlie Horse on 28/05/2009 at 08:31:00 pm

Water Water Water! This is the only way I can cure the pain. I often get pains after I ejaculate or for myself to take a crap. Glad to finally find a name for this pain in my ass!

Posted by andy lingard on 28/05/2009 at 11:46:00 am

i have had a few problems with going to the loo constipation and havnt gone at all for a few days, i have had to resort to taking senokot, i now have found that i have got an ache that is there all the time which is inside my bottom area

Posted by rum on 21/05/2009 at 05:03:00 pm

since sum days i am having anal pain although i don't hve anal sex. I also hve pain on my legs n back.pls advice

Posted by Anonymous on 15/05/2009 at 08:06:00 pm

Proctalgia Fugax. I have suffered since the age of 12. I find that a snack , piece of fruit or a drink almost immediatley reduces the pain.

Posted by Wendz on 12/05/2009 at 10:46:00 pm

I have been suffering from pains in my anus for a few days. its like a dull ache and very sore. i was wondering whether this as anything to do with ibs

Posted by Michael on 05/05/2009 at 08:47:00 pm

I suffer from proctalgia fugax sometimes. It has occurred fairly regularly since I was mid 50's. I am 65 and still suffer, on occasion, from it. Normally I am very regular as far as passing solid. But yesterday I passed a fairly small amount of faeces and late last night had to pass more. It was somewhat forced and resulted in an a attack of proctalgia fugax some 30 minutes later. These attacks do last more than 30 minutes and I should try some of the remedies suggested. But it is difficult to consider the remedies after some time asleep. I have to say I have had a good healthy life and find this problem to be mystifying. There is a slight nag of pain throughout the next day but does go away. It is easy to forget about the problem, until the next episode. I am relived this problem seems not to indicate I have anything seriously wrong. However it is a severe pain and I can suffer severe pain without it being obvious, but this is different. I have decided to get out of bed and let my wife sleep in peace.

Posted by miric on 30/04/2009 at 12:56:00 pm

Ive been to the doctors about this stabbing pain repeatedly & now im starting to get abdominal pains with it, probably because its too painful to open my bowels, I have to use stool softeners daily & sitting on anything hard makes the pain a whole lot worse! Have any ladies also suffered during sexual intercourse with this pain has I literally passed out from the pain after making love! Now ive been refered to gyneacology too! Am I the only one suffering like this??

Posted by Anonymous on 30/04/2009 at 12:51:00 pm

am worried i think i've got an anal abscess. I have a tender swelling at the tip of my anus, its just refusing to go its lasted for 4days now. Pls help!

Posted by 1ToughMomma on 28/04/2009 at 05:20:00 am

I am just relieved to find a name for the anal cramps I have had off and on for nearly ten years. Proctalgia fugax. And to find that others can comiserate. I have had two children that weighed over 9 pounds without any form of pain reliever, but the "butt pain" can bring me to my knees. I find that drinking a great deal of hot water upon onset can lessen the severity. It sounds silly, but it really does help, wether it is psychological or not. Thanks to all of you who have been honest enough to admit your pain.

Posted by anonymous on 25/04/2009 at 10:59:00 pm

i have an irritating itch in my anus i have been to the doctor several times and all they gives me is creams that dont seem to work and sometimes seem to making the area feel like its burning (on fire really!)it keeps me up at night and even early hours of the morning cause it irritates me that much and it sometimes bleeds wen i been screatching it or occassionally after beeing to the toilet i have had this problem for years and have tried so many creams. it irritates if i wipe it with warm water

Posted by Andrea Reimer on 25/04/2009 at 10:34:00 pm

Anal are is like lips around the opening and swell when I try to push the stool out. Its like the sphincture muscle won't push it out or realease. I push on the swollen area and have to help the stool out.

Posted by TYRA on 24/04/2009 at 07:26:00 pm

I think doctors should just cut the hemroid off. That way people don't have to go back and forth to the hospital about the same reason. Sitting in a hot bath, ointment product, stuffing the hemroid back in is unnessasary. But the doctors make a huge laugh about peoples hemroid hanging out there butt is insane. I just wanted to tell everybody with hemroids eat food with fiber and exercise. Drink alot of water eat fruit and veggies and salad. You can go to the store and but metamucil for ten dollars it hac alot of fiber just add with water drink it after you eat so you won't have hemroids.

Posted by Anonymous on 21/04/2009 at 05:43:00 pm

I have been having severe pain when i pass waste then followed by a little bleeding. I can feel a little lump in the anus. Its been 3 months now. Should i go 2 the doctors?

Posted by Anonymous on 19/04/2009 at 12:03:00 pm

I think I have experienced the symptoms of Proctalgia fugax. I find moving about or adjusting the position of my hips usually makes the pain go away.

Posted by Anonymous on 17/04/2009 at 05:17:00 pm

I've been to the doctor several times and the emergence room once since the problem started back in Jan and has not went away i eat more fiber take more stool softners than the ever and nothing seems to work. After a bowl movement i am in the worst pain of my life I can't sit I can't stand lieing down doesnt even work a hot bath works ocationally but most of the time I'm work and can't think straight is there any kinds of test the doctors should do to figure out what the problem is and get it fixed.

Posted by sandy on 16/04/2009 at 05:41:00 pm

i have stabbing pain in my anus/ it comes and goes every couple weeks/ i have no bleeding or pain during a bowel movement, what could it be/ it does hurt

Posted by bluedragon on 15/04/2009 at 07:53:00 pm

ive been having what feels like sever cramps or stabbing pain, i think either in my anus or in my intestines, im not sure, i feels like a knife being twisted and nearly brings a tear to my eye its so painfull, only lasts for 30 seconds at the most and have occured 1 - 2 times a day for about a week. what is it? it hurts!

Posted by Anonymous on 08/04/2009 at 05:16:00 pm

i have a "burning" pain in my anus which is constant .i do not suffer with piles,i eat a vared diet.also i have no problems opening my bowles.i have been told i have prostrate caner,and i am being treated for this with:injections and hormone treatment.i cannot be cured for this as this cancer is to progressed to remove. can you give me some advice? thanks ken

Posted by Anonymous on 07/04/2009 at 10:27:00 pm

I think I have a Anal fissure with a tag, if i do all the above should the tag go aswell?

Posted by Rita on 07/04/2009 at 07:58:00 am

It appears that my problem is what is described as Proctalgia Fugax. It is a painful and unpleasant experience. I find relief from using suppositories called Arthrexin which is fairly expensive in S Africa. I have not tried anything else as Arthrexin gives relief and I keep an ample supply. Fortunately it occurs once or twice a month as your article indicates.The cramps have also occured within a day of each other, and I have also had these cramps during the day. It can be most embarassing, especially if you are in the company of your colleagues or boss, and it takes a lot of concentration to process the situation. I have wondered whether it may not be caused by a calcium or some other mineral deficiency.

Posted by Barry on 30/03/2009 at 11:48:00 am

I have been having short, stabbing pains in what feels to be my anus for a couple of days now - I have experienced it before, but then they seemed to disappear for a couple of weeks before returning! They last 2-3 seconds roughly, and are incredibly painful!! Does anyone know what this is likely to be?? I am very worried about this!! Please help in any way you can! Thanks....

Posted by me on 28/03/2009 at 10:53:00 pm

I am waiting to see a surgical specials to check if i have a tuma or piles??? How long can you have anal or bowl cancer befor it affects you? i have had this for months does that mean it cant be cancer

Posted by MG on 21/03/2009 at 09:57:00 am

Five months ago my primary care expressed the 'head' of my anal abcess which had burst earlier. I was given an antibiotic and sat in a sitz bath 4 times daily. I then developed cystitis which I believed came from 'fowl' water sitz. I walk the floor, can't sleep because the constant 'abcess like' pain, burn, itch has returned. This site is correct in warning not to use OTC anal remedies for extended periods. All problems began with my using them for months to clear an external hemmorhoid, which I did. I have soft stool 3 times a day, requiring lots of wiping. Now I have brought my problem back. M wondering if a bidet instead of t.paper could stop this recurring agony?? I found MSM and Olive Leaf Extract helpful in between reducing inflamation. I have not had sex for over 10 yrs. w/divorce. Being 60 I wonder if possible prolapse from large babies is behind it all.

Posted by Ahmed on 20/03/2009 at 09:06:00 pm

Some time some strong paines, in anus for 2-3 second...

Posted by Zippy on 19/03/2009 at 10:15:00 pm

This sounds quite like the pain I sometimes have in the anus. I've often wondered what it is. In my case, I feel it is caused by emotional stress and tension earlier in the day.

Posted by Ravi on 17/03/2009 at 11:33:00 am

Ayurveda has a cure. I had thrombosed piles and the doctor suggested lancing. I chose to take auyvedic medicines. With no operation,with ayurveda treatment the pile disappeared in 2 weeks.

Posted by Fliss on 16/03/2009 at 08:04:00 pm

I have LS which seems to be under control however I still have a problem going to the toilet which could be connected to the LS.My feces are very small almost the size of thick string and unless I take some sort of laxative that softens the stool I struggle to go. Several times this has caused anal fissure with severe pain. Can the anal canal shrink and get tighter. My doctor does not seem to see the problem with my anal as being as important as the LS around the vagine area

Posted by Jinny on 16/03/2009 at 07:27:00 pm

I have been told I have a rectal prolapse. Do you have anal pain ? Sometimes it is really difficult for me to sit down it is that uncomfortable

Posted by Anonymous on 13/03/2009 at 08:22:00 am

thanks now i found a solution to my anal pain

Posted by Maggie on 03/03/2009 at 11:38:00 am

Hi, I have an anal fissure and doctor prescibed me glyceryl trinitrate ointment but I get a headache for a few minutes after using it. My consulatation is in four weeks time and I do not know if I have to stop using it or should I continue and do not care about side effects???

Posted by Moondoggie on 28/02/2009 at 02:03:00 am

I had this anal pain when I was in my mid forties --- there was stress, but not that great. Doctor could find nothing wrong and gave me a relaxant.Eventually pain went away, and only now recurs --- I am 73, and diabetic last two years. I think that it is related to the leg cramps I have been having at night --- which are a result of diabetes, I am told. When I take magnesium, the night cramps go away. I will try taking it for rectal cramps now. Also, I understand that peripheral neuropathy is a result of diabetes ---and although I do not (yet!) have it, this might be a precursor. Finally, the pain is one sided and shoots into the hip and leg -- so bad I can barely stand up -- but once I stand and rebalance, it seems to go away. This is not arthritis (per MD), it is sciatica, I think MD said. I didn't ask more info -- being relieved it wasn;t worse diagnosos.

Posted by Anonymous on 25/02/2009 at 05:29:00 pm

I am bisexual leaning gay, I had IBS for 3 years in which I had bad diarrhea all the while, when I would have a bowel movement it would burn so bad I wanted to pass out. I no longer have IBS but my bottom never recovered completely, I want to engage in anal sex but anything inserted is too painful to be enjoyed, The pain is right inside my opening, and Ive been to the doctor and he said there are no hemorrhoids, The pain feels like my anal walls are just raw. PLEASE HELP!!!

Posted by Donovan on 23/02/2009 at 06:59:00 pm

Ive had these cramps for 8 years now around twice a month in the middle of the night. They last around half an hour and I feel sick. I find walking around helps. I have been worrying what it may be but reassuring to read that it isnt usually serious and that other people have it too!

Posted by Thereshan on 16/02/2009 at 02:47:00 pm

I got a anal fissure. The skin outside the anal is torn out . I used 2 apply vasline when it was sore. Now its worse coz of itching . I got this problem because i went for polynoscaphy

Posted by Wairimu e w on 04/02/2009 at 12:31:00 pm

Hav had anal pains at night for about 10yrs.They last 4 about 10 mins.I pressurise the area to ease pain

Posted by xxx on 03/02/2009 at 08:43:00 am

I have experienced anal pain from childhood. when I read above i.e.Proctalgia fugax , I think it is the reason. The pain usually lasts up to 5 minutes but wakes me up in the night. it is once or twice in a month.I do not know how to prevent it.

Posted by Anonymous on 02/02/2009 at 09:15:00 pm

Can men have anal fissures?

Posted by Anonymous on 01/02/2009 at 04:28:00 pm

i have a sharp stabbing pain in my stomach about 4 inches up and an inch and a half left of my belly button. The odd thing is that the only time i feel it is when there is pressure placed on my anus, such as wiping after a bowel movement.

Posted by MS on 30/01/2009 at 03:30:00 pm

I have had this unbearable pain which is called by my surgeon, anal fissure, for 2 month. Every day,5 to 6 hours after passing stool. I see no blood.I tried all creams & pain killer, and nothing helped. Then 3 days ago I went to the operating room and had a incision. I am suffering even more!! Just pain. Any help?

Posted by Anonymous on 28/01/2009 at 11:00:00 am

Sometimes when i go to the toilet, and i strain or it doesnt feel very easy to pass there is blood in the toilet after, and on the toilet tissue. its bright red, however it stops imediatley. does this sound like a fissure?! i have no pains etc other than the pain i get when i try to pass... which is stinging.

Posted by Sarah on 26/01/2009 at 03:43:00 pm

I attended the GP due to pus and mucous on the toilet roll also with some blood. Upon examination he said I had a large fissure which was oozing pus. He has referred me to the hospital to investigate further. However i started slimming world at the start of January and since eating ALOT of fresh meals and cutting way down on bread its not as painful, there is little mucous and the ache has gone. Will keep you posted. X

Posted by Mark on 23/01/2009 at 03:06:00 am

I find this page very useful; it has addressed some of those frustrating anal problems. However, i'm experiencing an anal problem which seems to be different from those discussed on this page. The anal pain i'm experiencing started as a result of colon detox. It was a natural detox exercise i underwent. That was fasting and drinking only water for 2 days, then after the two days, i ate only watermelon, which was also a kind of detoxifying agent. The watermelon really eased my bowel movement. So this pain came as a result of my frequent visit to the toilet after eating the watermelon and drinking only water, which i also did for 2 days, preceeding the 2 days fasting. It looks like my inner anus has been pushed from its natural position and needs to fastened back; that's my feeling, i'm sure. I feel pains when the anus contracts, but no pains when it expands or closes. Any help?

Posted by dj on 13/01/2009 at 07:29:00 pm

i have these pains in my anus, deep in side and sometimes in the area between my anus and testicles. The pain comes and goes away. Tow days ago, I have seen my GP and he told me, after the anus exam, that there is nothing serious, but told me i need to do a prostate test ( give my blood) I am extremly worried, can anyone help? Thanks

Posted by adam on 09/01/2009 at 08:08:00 am

my male partner forced me to have sex with him no lubication and my anus is sore and its muscles have contract involuntarily. Is there any treatment that can alleviate this soreness?

Posted by mokoena t.t. on 08/01/2009 at 07:49:00 am

I have had this excrutiating pain deep in my unus for more that a decade now.The pain then goes through the penis and makes ejaculation very painful.I now have a permanent pain through the penis and I see colourless discharge like semen coming out of the penis.It is very painful.I dont kow if this is infectious as my wife also has a continous discharge(white) I also see a wound next to the unus opening.I tried to treat it with diferent medication but it does not get right.It is also very painful.Please answer me as I have gone to many docters but I do not find cure

Posted by muhammad sarwar alvi on 04/01/2009 at 10:50:00 pm

It has been experiencely felt that mostly disorders relating to large or small intestines,rectum,annal fissures fistulas ,piles and abcess etc.relate to constipation hence in this regard it is proposed that the patients should always remain in try to free of constipation by doing proer physical exercise and taking isphagol husk so as to keep thier stool in soft condition

Posted by Anonymous on 03/01/2009 at 11:19:00 pm

i have been bleeding from my back passage for about 7weeks now most of the time when i try and go to toilet but sometimes it just happens its bright red and very very sore i hurt for hours later shall i go to the doctors?

Posted by jane on 31/12/2008 at 05:39:00 pm

ii have recently been diagnosed with fibroids and most days i suffer with anal pain and headaches. is there any treatment

Posted by Anonymous on 30/12/2008 at 11:48:00 am

i have anal pains. i think its due to big feces... until now it stills hurt. does it count as one of the problems stated above? thanks..

Posted by daly on 29/12/2008 at 08:29:00 pm

bad anal knifing pains only lasting 1 or 2 miuntes

Posted by kun s choe on 22/12/2008 at 11:08:00 am

I hm have an incnvinient problem that is aching my anal. It had happened since my childhood. I had many treantments that made it disappear for many years or decades, but it appears again.

Advertisments

Fast facts

Anal pain

Related articles

embarrassing problems
View what people have said about anal pain

Latest updates

Dr Phil's latest video
22nd March

Ears that stick out;
15th March

Cystitis in women;
15th March

Genital warts;
12th March

Faecal incontinence;
12th March

Constipation;
12th March

embarrassing problems