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The pain is a sharp knifelike pain that returns during the times when the anal opening is irritated. It can be very painful during bowel movements especially if you get constipated or dehydrated. A dull throbbing pain may then take over and it may last for hours. rectal pain can refer to any pain or discomfort in the anus, rectum, or lower portion of the gastrointestinal (gi) tract. 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. 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. 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. This is a swelling of the vein or veins at the anus, which is mostly caused by hard straining during bowel movements. Hemorrhoids may also occur as a result of prolonged constipation and child birthing. Main symptoms of hemorrhoids include swelling of the anus and sharp pain when sitting and defecating. anus pain may be caused by many things, including sitting for too long on a hard surface, an injury, or hemorrhoids. We explain seven common causes, plus reasons you may feel anal pain during.