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