Anal pain when sitting

Pain in the rectum is a common experience and is not, in general, due to a serious medical condition. However, the pain can be intense and worrying. It is usually caused as a result of straining and stretching the rectum when passing a hard stool. Anal fissures can also occur if the anal sphincter the muscle that controls the anal opening is too tight to pass stools.
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Proctalgia

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Common Causes of Rectal and Anal Pain

The rectum is the lower part of the large intestine, and it ends at the anus. Injury, inflammation, and infections that affect the anus and rectum can cause rectal pain. For instance, determining when the pain occurs — such as when sitting or during a bowel movement — and uncovering any additional symptoms can help narrow down the cause. Rectal pain has a wide variety of causes, from minor to serious. Because pain around the rectum has so many possible sources, it is important to get a proper diagnosis. Hemorrhoids are veins in the anus that have swollen up. The veins in the anus may swell more often when a person has trouble having a bowel movement and pushes forcefully.
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What Causes Rectal Pain?

Proctalgia is pain due to a spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum. This causes severe stabbing pain like a knife sticking into the rectum. This type of pain may originate without warning.
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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.
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