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Published on: 8/18/2026

What are the potential causes of rectal pain and when should I see a doctor?

Yoshinori Abe

Reviewed by Yoshinori Abe, MD

Internal Medicine

Rectal pain is discomfort in or around the rectum and anus, and it can stem from a range of causes, including muscle spasms, nerve irritation, hemorrhoids, anal fissures, infections, or inflammation. Most cases are mild and resolve on their own, but persistent or severe rectal pain may signal a more serious underlying condition.

You should see a doctor if:

  • The pain is severe or long-lasting
  • You notice rectal bleeding
  • You have a fever, chills, or discharge
  • You experience changes in bowel habits or unexplained weight loss

Because rectal pain has so many possible causes, pinpointing the reason can feel overwhelming. Taking a free, instant, online symptom check can help you better understand what may be driving your symptoms, identify possible conditions, and guide your next steps—whether that's home care or seeing a doctor. It only takes a few minutes and could save you time, worry, and unnecessary guesswork.

Reviewed for medical accuracy: 07/15/2026

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Explanation

Rectal pain can be caused by different things. Some common causes include muscle spasms, nerve problems, or inflammation. Sometimes, the pain can be due to conditions like hemorrhoids or anal fissures.

When to See a Doctor

  • Severe Pain: If the pain is very bad and doesn't go away.
  • Long-lasting Pain: If the pain lasts for a long time.
  • Other Symptoms: If you have bleeding, fever, or changes in bowel habits.

If you have any of these signs, it's a good idea to see a doctor to find out what's causing the pain and get the right treatment. You can start by using a free AI symptom checker to help understand your symptoms before your appointment.

(References)

  • Wesselmann U, Burnett AL, & Heinberg LJ. (1997). The urogenital and rectal pain syndromes. Pain, 9469518.

  • Ger GC, Wexner SD, Jorge JM, Lee E, Amaranath LA, Heymen S, et al. (1993). Evaluation and treatment of chronic intractable rectal pain. Diseases of the colon and rectum, 8425417.

  • Kugener A, & Baumann P. (2021). [Anorectal and perineal pain]. Therapeutische Umschau. Revue therapeutique, 34704473.

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