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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.. Get immediate access to all our 18+ videos and photos—subscribe now! An anal fissure is a small tear in the skin of the anus. Symptoms of an anal fissure can include: a severe, sharp pain when doing a poo. a burning or gnawing. anal extreme pain Get instant access to the best adult content by subscribing to our Telegram channel now. Symptoms: Anal fissures cause burning, throbbing, sharp, and sometimes radiating pain. You may notice a few drops of blood in toilet water. Hit the "open" button and join our channel. Experience the most electrifying adult content designed to ignite your desires.