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The pain is a sharp knifelike pain that returns during the times when the anal opening is irritated. It can be very painful during bowel movements especially if you get constipated or dehydrated. A dull throbbing pain may then take over and it may last for hours. rectal pain can refer to any pain or discomfort in the anus, rectum, or lower portion of the gastrointestinal (gi) tract. an anal fissure is a small tear or cut in the skin lining of the anus. Pain andor rectal bleeding during bowel movements are common symptoms of anal fissures. Treatment includes increasing liquid intake, using stool softeners, prescription medications, and surgery. Take stool softeners and extra fiber to lessen pain with bowel movements. Anal fissures these home treatments will promote healing of anal fissures. Sit in a tub of hot water for 20 minutes, three times a day, to reduce pain and help healing. if your hemorrhoid forms a blood clot, you can have pain when you poop, sit, or walk. An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus. Its usually caused by an infection near the anus resulting in a collection of pus (an abscess). Another condition that causes anal pain is a thrombosed external hemorrhoid. Here, a blood clot forms in an outer hemorrhoid in the anal skin. other causes might also be the reason behind anal fissures. The pain and burning are usually made worse by a bowel movement and can last for a while afterword. Anal fissures may bleed even when you are not having a bowel movement and there can be some pain as well. See your doctor if bowel movements are painful for a few weeks or the pain is sharp and intense enough to disrupt your everyday life.