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Most causes of anal swelling are benign, but some can be more serious. Learn about the causes of anal swelling and what treatment options are available. Most anal abscesses are a result of infection from small anal glands. This often appears as a painful boil-like swelling near the anus. anal bleeding is one of the most common causes of swelling. Anal bleeding may come from the anus itself or may appear when blood is mixed with a persons stools. There are many reasons a person may have bleeding from the anus, including inflammatory bowel disease, rectal cancer, constipation , and ulcers. This section discusses 17 medical conditions causing anal swelling. A simple discussion of these causes with additional information is below. Causes of anal swelling the following medical conditions are some of the possible causes of anal swelling. There are likely to be other possible causes, so ask your doctor about your symptoms. Most causes of a swollen anus are temporary and harmless, but some require medical attention. These conditions can lead to chronic irritation that results in anal abscesses that cause pain and swelling. Anatomical causes may lead to a swollen rectum, such as the following. Fistula rarely, an abnormal anatomical communication, or fistula, can form between the anus or rectum and the skin around the anus 5. Introduction this information shows the various causes of anal swelling, and how common these diseases or conditions are in the general population. This is not a direct indication as to how commonly these diseases are the actual cause of anal swelling, but gives a relative idea as to how frequent these diseases are seen overall. Anal pain (pain in the bottom) can be distressing, but its often just the result of a minor, treatable problem. The medical name for pain in and around the anus or rectum is proctalgia. An anal fissure is a small tear in the skin of the anus that can be caused by passing a large or hard poo. A fungus, like the one that causes most vaginal yeast infections, can also cause anal itching.