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Anal pain (pain in the bottom) can be distressing, but its often just the result of a minor, treatable problem. The medical name for pain in and around the anus or rectum is proctalgia. An anal fissure is a small tear in the skin of the anus that can be caused by passing a large or hard poo. Anal cancer is marked by bleeding from the rectum and a mass in the anal canal. An anal fissure is a tear or cut that extends into the anal canal. While many fissures measure less than 1 centimeter, the area is sensitive, and any tear can be painful. Proctalgia fugax does not cause any lasting damage to people, but it is painful. There are treatment options that may help to relax the anal muscles and. Some infections can cause anal pain before, during, or after bowel movements. These include anal abscess (a pocket of pus near your anus or rectum), which may also come with. The perineum pain between the genitals and anus can be commonly caused by anal fissures. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Read below for more information on causes and treatment options. Anal fissure is the most common cause of severe anal pain and bleeding seen in the primary care setting, in urgent care and surgical clinics, and in emergency departments. Most fissures heal spontaneously, but conservative management with ointment and fiber supplementation will relieve the pain and promote healing of those that do not. New protocol to treat anal fissures offers excellent results, without cutting the muscle. Sometimes the most difficult thing about a problem is overcoming the fear of facing it. When people have painful conditions of the anus, they tend to be embarrassed to talk about that part of the body and even less enthusiastic about inviting a doctor to take a look.