The pain in or around the anal area occurs in several ways, which we will refer to in the anal pain article.

Anal burning sensations:

This pain is similar to a knife cut and usually occurs during excretion and is usually caused by ulceration and inflammation in the anus and anal canal area, which can cause severe burning pain when the stool is removed.  Continue for a few minutes to a few hours after excretion.

Anal fissure or anal fissure usually causes this type of pain.

Constant and persistent anal pain:

Constant and lasting pain in the anus Without burning pain in the anus, this type of pain is caused by inflammatory and infectious diseases around the anus such as fistula and abscess.  Anal abscess pain is a progressive pain and increases in severity within a few days so that it is exacerbated by sitting and removing it and can be accompanied by fever and may cause swelling and painful redness around the anus.

Due to anal pain, thrombosis or necrosis hemorrhoids:

Other causes of anal pain include thrombotic or necrotic hemorrhoids, which are caused by blood clotting in the hemorrhoidal tissue, usually associated with swelling around the anus, and a stiff swelling, such as grape seed, which is also painful.

Some Other Causes of Anal Pain:

Anal pain may be due to large anal tumors that progressively increase pain in the anus, which is a rare cause of anal pain.

Other causes of anal pain are spinal problems.  Any spinal cord or spinal cord injury or spinal canal stiffness that presses on the anal nerve leads to anal pain that is physically normal on anal examination.  And the pathologic findings are not visible in the anal area.