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Anal fissures are categorized as small tears in the anal surface lining and may cause a feeling of pressure or pain near the rectum area. pressure and pain in the anal or rectal area are common symptoms of several conditions. Generally, patients will feel mild discomforts and irritations but there are times when the pain can be severe and incapacitating. Sometimes, the pain and pressure that is felt can reach deeper within the pelvic muscles or on the upper part of the rectal. rectal pain can refer to any pain or discomfort in the anus, rectum, or lower portion of the gastrointestinal (gi) tract. rectal pressure is a common symptom of a variety of problems, from constipation to ulcerative colitis. since mid december i have been feeling a pressure like feeling in back passage area along with straining when i pass stools. There is intermittent mild pain almost like a pulsating pain. anal pain pain in and around your anus or rectum (perianal region) is a common complaint. Although most causes of anal pain are benign, the pain itself can be severe because of the many nerve endings in the perianal region. Many conditions that cause anal pain may also cause rectal bleeding, which is usually more frightening than serious. Rectal pain is pain or discomfort in the lower portion of the gastrointestinal tract. The term is often used interchangeably with pain in the anus or anal pain. It is a fairly common problem and can result from conditions such as hemorrhoids or anal fissures. Rectal pain can be associated with symptoms such as prolapse, pressure, or bleeding. 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. The pain of proctalgia fugax is sudden and intense, usually lasting less than a minute. The pain is described as a sharp, stabbing, or cramp-like occurring at the anal opening. The attacks occur in clusters, appearing daily for a while then.