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Anal fissures are categorized as small tears in the anal surface lining and may cause a feeling of pressure or pain near the rectum area. 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. pressure and pain in the anal or rectal area are common symptoms of several conditions. Generally, patients will feel mild discomforts and irritations but there are times when the pain can be severe and incapacitating. Sometimes, the pain and pressure that is felt can reach deeper within the pelvic muscles or on the upper part of the rectal. Rectal pain is pain or discomfort in the lower portion of the gastrointestinal tract. The term is often used interchangeably with pain in the anus or anal pain. It is a fairly common problem and can result from conditions such as hemorrhoids or anal fissures. Rectal pain can be associated with symptoms such as prolapse, pressure, or bleeding.