Anorectal pain is most often secondary to; Anal fissure, Perirectal abscess and/or fistula, Thrombosed hemorrhoid, Anal canal neoplasms, Perianal skin infection, Dermatologic conditions. Proctalgia fugax results from levator spasm and may present without any other anorectal findings. Physical examination is critical in evaluating patients with anorectal pain. If a patient is too tender to examine
A fissure in ano is a tear in the anoderm distal to the dentate line. The pathophysiology of anal fissure is thought to be related to trauma from either the passage of hard stool or prolonged diarrhea. A tear in the anoderm causes spasm of the internal anal sphincter, which results in pain, increased tearing,