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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. 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 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. 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. Four common causes of the symptom of rectal pain, pressure, or discomfort are. 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. 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. Some more symptoms are constipation,diarrhea,abdomonal pain,pelvic pain,lower back pain, uninary frequency, urinary burning, slow steam,gas, bloating,painful intercourse. rectal pressure is a common symptom of a variety of problems, from constipation to ulcerative colitis. An anal fissure is a small cut or tear in the lining of the anus. The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements.