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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. Causes of anal pain include anal cancer anal fissure (a small tear in the lining of the anal canal) anal itching (pruritus ani) anal sex anorectal fistula (an abnormal channel between the anus or rectum usually to the skin near the anus) coccydynia or coccygodynia (tailbone pain). Common causes of penile pain are infection of the penis, trauma to the penis and other. Eg balanitis, herpes, prostate infections torn frenulum and others. Rectal pain can refer to any pain or discomfort in the anus, rectum, or lower portion of the gastrointestinal (gi) tract. Less common causes of anal pain there are medical conditions that have associated rectal pain , cancer, foreign bodies in the rectum, rectal prolapse , infections and inflammatory diseases such as crohns disease and ulcerative colitis, and thrombosed hemorrhoids. 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. But if youre experiencing other unusual symptoms, it may be time to make an appointment with your healthcare provider. Four common causes of the symptom of rectal pain, pressure, or discomfort are.