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It usually involves inflammation of the anal lining and is often misdiagnosed as hemorrhoids. Causes of anal pain include anal cancer anal fissure (a small tear in the lining of the anal canal) anal itching (pruritus ani) anal sex anorectal fistula (an abnormal channel between the anus or rectum usually to the skin near the anus) coccydynia or coccygodynia (tailbone pain) constipation crohns disease (a type of inflammatory bowel.). The goals of proctitis treatment are to reduce inflammation, control pain, and treat infection. Examples of possible causes of anal itching include hemorrhoids, anal fissures, pinworms (enterobius vermicularis), spicy foods, and medications. Additional symptoms associated with anal itching include burning and pain if the anal skin is traumatized by scratching. Proctitis, also known as rectal inflammation is a condition that can cause great discomfort, pain and anal bleeding. The causes are varied such as stis, crohns disease or even salmonella. However, in most cases recovery occurs promptly and without complications if you follow your doctors recommendations. Ice pack this is the simplest and one of the most beneficial home remedies for pain and inflammation. The cold ice constricts the blood vessels leading to the painful area. This reduces the supply of blood to the affected part and as such the swelling decreases. Many factors can cause anal swelling, or a swollen anus, which can be itchy or painful. acute inflammation can cause pain of varying types and severity. Pain may be constant and steady, throbbing and pulsating, stabbing, or pinching.