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anal extreme pain Although most causes of anal pain aren't serious, the pain itself can be severe because of the many nerve endings in the perianal region. Many conditions.. Watch exclusive 18+ videos and explore our photo collection—follow our Telegram channel now. Anal pain is pain that occurs in or around your butthole (your anus or rectum. Common causes include hemorrhoids, fissures and infections. anal extreme pain Watch the highest-rated adult content—accessible only through our Telegram channel. Proctalgia fugax is a sharp, sudden pain you feel in your anus (butthole. It can last from seconds to minutes. Hit "open" and start following our channel. Your ultimate source of hot adult content is just a click away! Causes of anal pain include: Anal cancer Anal fissure (a small tear in the lining of the anal canal; Anal fistula (an abnormal channel between the anus.