Overview
Rectal pain can be caused by proctitis, hemorrhoids, fissures or infection. STIs should be considered when symptoms follow receptive anal sex.
Possible causes
- Proctitis
- Fissure
- Hemorrhoids
- Abscess
What to note before assessment
- Note bowel habits
- Record discharge or bleeding
- Seek urgent care for severe pain or fever
Key points
- May be infectious
- Can be caused by fissure or hemorrhoids
- STI testing may be needed
- Severe pain needs review
When to seek care
- Rectal pain with discharge
- Pain during bowel movements
- Pain after anal sex