Pain coming from the bottom area is not something that we are utilized to feeling and, as a repercussion, anal pain around anus can cause a lot of concerns. 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. An anal fissure is a small tear in the skin at the opening of the rectum. 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. Rectal pain can refer to any pain or discomfort in the anus, rectum, or lower portion of the gastrointestinal (gi) tract. 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) constipation crohns disease (a type of inflammatory bowel disease) diarrhea causing anal irritation. 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. The perineum pain between the genitals and anus can be commonly caused by anal fissures. Pain in the area between the scrotum and the anus can be caused by chronic or acute prostatitis. Read below for more information on causes and treatment options. The symptoms of proctalgia fugax are muscles spasms in or around the lower rectum area or in or around the canal of the anus. The pain or spasm happens suddenly, and usually without warning. proctalgia fugax refers to the sudden onset of severe pain in the rectum area, which can last from seconds to minutes. 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.