Good afternoon Dr I'm worried I'm having pain from...

Treatment for pain in the anus:
Since there are many causes that lead to pain in the anus, it's recommended to have a clinical examination by a specialist doctor to evaluate your condtion, determine the cause and perform the required therapeutic intervention accordingly. One of the commonest causes of anal pain is anal fissures, whose treatment includes the use of a local analgesic such as lidocaine, with the use of a warm water bath for 15 minutes twice a day. It is also possible to get the benefit from the use of treatments such as nifedipine that can be taken orally, which helps to relax the anal sphincter muscle. If there is hemorrhoids, it is recommended to use lactulose 10 cc to relieve constipation, pain reliever such as Ibuprofen can be used when needed and FUCIDIN cream can be used twice a day to treat infections and it advance cases surgery can be done. Furthermore, anal fistula and abscess cases in the anus.

Diagnosis:
The diagnosis is made by doing a clinical medical examination and taking your medical history by a general surgeon, where he examines the anus, which is sufficient for diagnosis in most cases, and in some cases other tests are performed such as magnetic resonance to look at the presence and location of the fistula and complete blood test to look for elevated white blood cells and acute infections.

What are the possible causes?
There are many causes of pain in the anus, including:
1. Anal abscess
2. Hemorrhoids
3. Anal fissure
4. Fistula
5. Local infections
6. Other reasons

Recommendation:
Follow-up with a general surgeon to detect and evaluate your condition.