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anal painful Pain can be caused by spasms of the pelvic floor muscles, anal sphincter, or rectum. These spasms should be evaluated by a pelvic floor expert.. Gain full access to our 18+ videos and photos by joining our Telegram channel today! When you cough, a band of muscles around your anus contracts. This contraction can make pain caused by an anal abscess, anal fissure, anal fistula or piles. anal painful Watch the top-rated adult content available only on our Telegram channel. 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. it the "open" button now to join our channel and start enjoying exclusive content! Experience the most electrifying adult content designed to ignite your desires. Anal pain (pain in the bottom is common. There are things you can do to ease it, but see a GP if you're in a lot of pain or it does not get better.