Rectal pain
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Rectal pain is uncomfortable and can be upsetting to many patients. Often, the origin of the pain is benign. Carcinoma should be ruled out in older patients. Many times, rectal pain can be easily diagnosed. In some cases, though, the pain may be from the urinary or gynecologic systems. Rectal pain should be distinguished from coccydynia which is buttock pain.
Causes
In alphabetical order. [1] [2]
- Anal fissure
- Anal sex
- Constipation
- Coccygodynia
- Diarrhea
- Fecal impaction
- Idiopathic
- Inflammatory bowel disease
- Levator ani syndrome
- Neoplasm
- Perianal abscess
- Proctalgia fugax
- Solitary rectal ulcer syndrome
- Thrombosed hemorrhoid
- Trauma
Treatment
Medical Therapy
Acute anal fissure
- Increase fiber/water intake
- Sitz bath
- Stool softener
- Topical corticosteroids
Coccuodynia
- Analgesics
- Corticosteroid shot
- Sitz bath
Surgery
Indications for Surgery
- Chronic anal fissure
- Sphincterotomy
References
© 2026 MyEClinic – IFTM Institut für Telematik in der Medizin GmbH
