Why Does My Anal Area Hurt?

Pain in the anal area may be caused by anal fissure, perianal abscess, hemorrhoids, and other reasons. Here are some details:

Anal fissure refers to a tear in the anal sinus on the dentate line around the anus. In this case, the pain in the anus is very obvious. Surgical removal of the torn anal sinus is required for gradual healing.

If a perianal abscess is close to the anal opening, it can cause pain in the anal area, and the pain can be severe, accompanied by redness and swelling around the area. In severe cases, there may be pus spilling out. If it is a perianal abscess, surgery should be performed promptly to incision and drain the pus. After surgery for perianal abscess, complications such as anal fistula may occur. Anal fistula can also cause pain in the anal area, but the condition is not as severe as the first two. The main manifestation is the presence of pus around the anus, leaking out from a small hole, which may be accompanied by moderate pain. If the inflammation is severe, the pain will naturally be more severe, and surgical removal is also required for the treatment of anal fistula.

Sometimes, hemorrhoids become incarcerated at the anal opening and cannot be retracted, resulting in thrombosed external hemorrhoids. This condition, if accompanied by incarceration, can also cause obvious pain. Surgical treatment is also required for hemorrhoids.