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anal extreme pain Anal fissure is the most common cause of severe anal pain and bleeding seen in the primary care setting, in urgent care and surgical clinics, and in Emergency.. Get all 18+ videos and photos by subscribing to our Telegram channel. 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 Unlock an exclusive world of adult content on our Telegram channel—join today and never miss out! 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. Hit "open" and start following our channel. Indulge in the finest, handpicked adult content waiting to ignite your senses. Anal fissures can cause sharp pain, which may begin with a bowel movement and can continue for a few minutes to hours.