Abstract
Anal pain is a potentially highly debilitating symptom. It is frequently considered as an idiopathic problem but in some cases it could be due to nonfunctional or organic diseases. The manuscript analyzes the most common causes of nonfunctional and functional chronic anal pain, highlighting false beliefs and functional implications. Hemorrhoids rarely are painful unless they became complicated and develop thrombosis or necrosis. Instead, hemorrhoidectomy could develop easily persistent anal pain. The most common cause of anal pain is anal fissure. Also cryptoglandular anal abscess or anal stricture can lead to pain. Chronic anal pain is usually connected with an important anal resting and involuntary hypertonia and leads to a difficult evacuation. Other causes of chronic nonfunctional anal pain are considered and discussed.
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