Anal pain — pain in and around your anus or rectum (perianal region) — is a common complaint. Although most causes of anal pain are benign, the pain itself can be severe because of the many nerve endings in the perianal region.
Many conditions that cause anal pain may also cause rectal bleeding, which is usually more frightening than serious.
The causes of anal pain usually can be easily diagnosed. Anal pain usually can be treated with over-the-counter pain relievers and hot water soaks (sitz baths).
Causes of anal pain include:
Have someone drive you to urgent care or the emergency room if you develop:
Make an appointment with your doctor if your pain lasts more than a few days and self-care remedies aren't helping. Also make an appointment with your doctor if anal pain is accompanied by a change in bowel habit or rectal bleeding.
A hemorrhoid that develops quickly or is particularly painful may have formed a blood clot inside (thrombosed). Removing the clot within the first 48 hours often gives the most relief, so request a timely appointment with your doctor. The blood clot of a thrombosed hemorrhoid, although painful, can't break loose and travel, so it won't cause any of the complications — such as stroke — associated with blood clots that form in other parts of the body.
Depending on the cause of your anal pain, there are some measures you can try at home to get relief. They include: